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.

Mchs Hospitals Inc (NPI 1093221434)

Mchs Hospitals Inc is a clinic/center provider located in Marshfield, Wisconsin. This profile covers 0 Medicare and 236 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Mchs Hospitals Inc
Address	1000 N Oak Ave
City	Marshfield
State	WI
ZIP	54449
Taxonomy	Clinic/Center
NPI Enumerated	December 21, 2017

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

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

236 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	86,220	$40	$3.1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	46,940	$30	$1.2M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	14,190	$60	$894K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	16,590	$30	$563.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	8,360	$50	$384.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	9,910	$30	$307.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	38,590	$10	$192.9K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	1,260	$150	$192K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,180	$60	$181.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,950	$40	$169.7K

Showing 1–10 of 236

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

Mchs Hospitals Inc — 4 of 25 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

236 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	4	10	10,060	$410	$6.6M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	144	360	1,550	$70	$614.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	51	430	760	$60	$484.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	184	190	1,790	$90	$390.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	42	330	1,350	$60	$338K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	14	30	1,050	$70	$320.9K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	169	170	720	$70	$272.7K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	11	20	830	$140	$245.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	230	260	3,590	$20	$232.2K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	15	40	930	$100	$214.5K

Showing 1–10 of 236

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$3.4M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$3.2M
Marriage & Family Health Services, Ltd.	WI	Adolescent and Children Mental Health Clinic/Center	$0	$2.6M
Mchs Hospitals Inc	WI	Land Ambulance	$1.4M	$987.9K
School District Of Marshfield	WI	Local Education Agency (LEA)	$0	$1.7M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M
City Of Marshfield	WI	Land Ambulance	$200K	$484.6K
Lori Bents	WI	Chiropractor	$27.4K	$399.4K
Yan Guo	WI	Ophthalmology Physician	$318.7K	$0
Yi Hsieh	WI	Urology Physician	$299K	$0

Mchs Hospitals Inc — Billing Profile & Reimbursement Data

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Mchs Hospitals Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mchs Hospitals Inc	WI	Rural Acute Care Hospital	$0	$45.3M
Family Health Center Of Marshfield Inc	WI	Dental Clinic/Center	$0	$20.4M
Marshfield Clinic Inc	WI	Clinic/Center	$526.8K	$19.6M
Mchs Hospitals Inc	WI	General Acute Care Hospital	$0	$12.4M
Lakeview Medical Center Inc Of Rice Lake	WI	Rural Acute Care Hospital	$0	$10M
Mchs Hospitals Inc	WI	Critical Access Hospital	$0	$7.4M
Flambeau Hospital Inc	WI	Critical Access Hospital	$0	$7M
Mchs Hospitals Inc	WI	General Acute Care Hospital	$0	$6.4M
Mchs Hospitals Inc	WI	Clinic/Center	$0	$4.1M
Mchs Hospitals Inc	WI	Rural Acute Care Hospital	$0	$2.9M