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.

Aspirus Stevens Point Hospital & Clinics, Inc. (NPI 1184082745)

Field	Value
Entity Type	Organization
Organization	Aspirus Stevens Point Hospital & Clinics, Inc.
Address	3500 Hoover Rd
City	Stevens Point
State	WI
ZIP	54481
Taxonomy	General Practice Physician
NPI Enumerated	February 10, 2016

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 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…	29,300	$40	$1.2M
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…	7,790	$50	$389.4K
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…	6,270	$30	$169.2K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,070	$80	$89.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	680	$80	$54K
90832	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…	310	$40	$11.2K
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…	160	$50	$7.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	80	$70	$5.4K
Q3014	Telehealth originating site facility fee	310	$20	$4.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	110	$40	$4.4K

Showing 1–10 of 30

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

Aspirus Stevens Point Hospital & Clinics, Inc. — 1 of 24 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	45	1,630	270	$40	$205.3K
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…	202	1,760	250	$40	$173.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	371	900	410	$70	$130.4K
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…	76	790	400	$40	$109.6K
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…	192	350	210	$60	$95.8K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	19	170	110	$80	$62.4K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	96	140	340	$30	$49.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	62	120	90	$50	$45K
Q3014	Telehealth originating site facility fee	77	170	250	$20	$44K
99203	The provider sees a new 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 provider…	380	440	90	$50	$41K

Showing 1–10 of 30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Aspirus Stevens Point Hospital & Clinics, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Aspirus Stevens Point Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$15.6M
Aspirus Riverview Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.9M
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.2M
Deepak Sambhara	WI	Ophthalmology Physician	$4.3M	$0
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
David Filsoof	CA	Cardiovascular Disease Physician	$1.3M	$0
Sean Whalen	NY	Nuclear Medicine Physician	$555.5K	$0
Patrick Safo	WI	Dermatology Physician	$518.9K	$0
Maxwell Wingelaar	WI	Ophthalmology Physician	$446.8K	$0

Nearby Providers

Other providers in the same ZIP code as Aspirus Stevens Point Hospital & Clinics, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Clinica De Los Campesinos, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$24.3M
County Of Portage	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.9M
Inclusa Inc	WI	Health Maintenance Organization	$0	$6.4M
Brittany Printz	WI	Behavior Analyst	$0	$5.2M
Stevens Point Area Public School District	WI	Local Education Agency (LEA)	$0	$3.1M
Emily Paschen	WI	Behavior Analyst	$0	$2.9M
Lincare Inc	WI	Durable Medical Equipment & Medical Supplies	$0	$2.2M
Northwest Counseling & Guidance Clinic	WI	Adolescent and Children Mental Health Clinic/Center	$0	$2M
County Of Portage	WI	Land Ambulance	$390.6K	$786K
Ambulatory Surgical Center Of Stevens Point LLC	WI	Ambulatory Surgical Clinic/Center	$553.8K	$0

Aspirus Stevens Point Hospital & Clinics, Inc. — Billing Profile & Reimbursement Data

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Aspirus Stevens Point Hospital & Clinics, 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