Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Paragon Community Services LLC (NPI 1073638342)

Field	Value
Entity Type	Organization
Organization	Paragon Community Services LLC
Address	3030 S Calhoun Rd
City	New Berlin
State	WI
ZIP	53151
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2037	Therapeutic camping, day, waiver; each session	3,760	$490	$1.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	6,280	$130	$835.8K
T2021	Day habilitation, waiver; per 15 minutes	3,280	$250	$825.6K
T2003	Non-emergency transportation; encounter/trip	8,300	$70	$605.6K
T2017	Habilitation, residential, waiver; 15 minutes	2,810	$180	$514K
T2020	Day habilitation, waiver; per diem	680	$290	$197K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	740	$120	$87.1K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wisconsin Distribution

Paragon Community Services LLC — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	9	30	2,010	$90	$2.1M
T2020	Day habilitation, waiver; per diem	5	10	590	$650	$949.6K
T2017	Habilitation, residential, waiver; 15 minutes	10	30	820	$110	$605.6K
T2021	Day habilitation, waiver; per 15 minutes	5	40	340	$200	$441.5K
T2037	Therapeutic camping, day, waiver; each session	2	20	200	$500	$420.2K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	13	20	1,240	$150	$402.7K
T2003	Non-emergency transportation; encounter/trip	95	260	4,280	$10	$153.2K

Nearby Providers

Other providers in the same ZIP code as Paragon Community Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Care Medical, Inc	WI	Oxygen Equipment & Supplies (DME)	$0	$26.4M
Atos Medical Inc.	WI	Durable Medical Equipment & Medical Supplies	$0	$9.5M
Jill Rudman	WI	Clinical Psychologist	$0	$5.3M
Ejlal Alalawi	WI	Dentist	$0	$2.3M
Specialized Medical Services, Inc.	WI	Durable Medical Equipment & Medical Supplies	$0	$2.1M
City Of New Berlin	WI	Ambulance	$258K	$210.6K
Muhammad Iqbal	WI	Infectious Disease Physician	$219.2K	$196.9K
White Drug Enterprises Inc	WI	Long Term Care Pharmacy	$82.4K	$176.7K
Kim Wolf	WI	Nurse Practitioner	$39K	$148.6K
David Crosby	WI	Dermatology Physician	$181.6K	$0

Paragon Community Services LLC — Billing Profile & Reimbursement Data

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Paragon Community Services LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References