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.

Visiting Nurse Association Of Wisconsin, Inc. (NPI 1134255037)

Field	Value
Entity Type	Organization
Organization	Visiting Nurse Association Of Wisconsin, Inc.
Address	11333 W National Ave
City	West Allis
State	WI
ZIP	53227
Taxonomy	Home Health Agency
NPI Enumerated	February 26, 2007

Payer Source	Total Paid
Medicaid	$15.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	77,570	$100	$8.1M
97799	Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.	48,710	$90	$4.5M
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	25,710	$90	$2.3M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	6,170	$90	$548.8K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	6,800	$1	$6.8K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1,100	$0	$0
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	6,260	$0	$0
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	50	$0	$0
G0493	Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to…	1,280	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	2,490	$0	$0

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

Visiting Nurse Association Of Wisconsin, Inc. — 4 of 5 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	1	30	2,580	$90	$784K
97799	Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.	1	20	1,950	$80	$503.2K
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	1	10	740	$80	$311.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	171	500	3,140	$20	$148.9K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	1	10	250	$1	$2.3K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1	50	170	$1	$1.3K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1	10	600	$1	$250
G0493	Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to…	1	10	1,280	$1	$210
Q5001	Hospice or home health care provided in patient's home/residence	1	10	30	$1	$10
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	11	20	60	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Visiting Nurse Association Of Wisconsin, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Visiting Nurse Association Of Wisconsin, Inc.	WI	Home Infusion Therapy Pharmacy	$0	$21.3M
Visiting Nurse Association Of Wisconsin, Inc.	WI	Community Based Hospice Care Agency	$0	$9.8M
Visiting Nurse Association Of Wisconsin, Inc.	WI	Home Infusion Therapy Pharmacy	$0	$5M
Visiting Nurse Association Of Wisconsin, Inc	WI	Home Health Agency	$0	$2.7M
Visiting Nurse Association Of Wisconsin, Inc.	WI	Community Based Hospice Care Agency	$0	$1.7M

Nearby Providers

Other providers in the same ZIP code as Visiting Nurse Association Of Wisconsin, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A2cl Services, LLC	WI	Clinical Medical Laboratory	$19M	$98.7M
West Allis Memorial Hospital, Inc.	WI	General Acute Care Hospital	$0	$23.3M
Premier Care Of Wisconsin, LLC.	WI	Methadone Clinic	$204.8K	$11.2M
Great Lakes Pathologists Sc	WI	Anatomic Pathology & Clinical Pathology Physician	$0	$6.4M
Samer Dola	WI	Hematology (Pathology) Physician	$103.3K	$5.8M
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$5.2M
Atlas Healthcare, Inc	WI	Home Health Agency	$0	$4.5M
Surgicenter Of Greater Milwaukee, LLC	WI	Ambulatory Surgical Clinic/Center	$0	$4.4M
West Allis School District	WI	Local Education Agency (LEA)	$0	$4.3M
Eye Care Specialists, S.c.	WI	Ophthalmology Physician	$0	$3.5M

Visiting Nurse Association Of Wisconsin, Inc. — Billing Profile & Reimbursement Data

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Visiting Nurse Association Of Wisconsin, 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