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 Riverview Hospital & Clinics, Inc. (NPI 1184176059)

Field	Value
Entity Type	Organization
Organization	Aspirus Riverview Hospital & Clinics, Inc.
Address	2031 Peach St
City	Wisconsin Rapids
State	WI
ZIP	54494
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 26, 2016

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

77 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	65,190	$30	$2.1M
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…	18,590	$50	$985.2K
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…	6,140	$60	$343.8K
99392	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…	5,090	$60	$300.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,190	$60	$185.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	1,170	$120	$144K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	3,430	$30	$109.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,310	$60	$77.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	4,620	$10	$55.4K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	2,960	$10	$41.4K

Showing 1–10 of 77

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 Riverview Hospital & Clinics, Inc. — 5 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

77 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	28	80	650	$110	$244.4K
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.	159	260	3,590	$20	$232.2K
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…	68	1,630	270	$40	$205.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	75	120	400	$180	$186.8K
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…	28	1,760	250	$40	$173.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	31	350	300	$50	$157.9K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	172	220	2,770	$20	$120.2K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	70	80	240	$180	$109.1K
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…	15	190	370	$60	$107.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	132	260	750	$40	$99K

Showing 1–10 of 77

Related Providers

Other providers that share a Tax Identification Number (TIN) with Aspirus Riverview 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 Riverview Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.9M
Aspirus Wausau Hospital, Inc.	WI	Land Ambulance	$4M	$6.1M
Deepak Sambhara	WI	Ophthalmology Physician	$4.3M	$0
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.	WI	Critical Access Hospital	$0	$3.6M
Aspirus Wausau Hospital, Inc	WI	Emergency Medicine Physician	$0	$2.7M
Aspirus Medical Group, Inc.	WI	Clinic/Center	$0	$2.5M
Aspirus Wausau Hospital, Inc.	WI	Nephrology Physician	$0	$1.9M
David Filsoof	CA	Cardiovascular Disease Physician	$1.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Therapies Plus LLC	WI	Rehabilitation Clinic/Center	$0	$3.7M
Opportunity Development Centers, Inc.	WI	Developmentally Disabled Services Day Training Agency	$0	$3.1M
Northwest Journey - Wisconsin Rapids Day Treatm	WI	Adolescent and Children Mental Health Clinic/Center	$0	$2.5M
Wisconsin Rapids Public School District	WI	Local Education Agency (LEA)	$0	$1.9M
City Of Wisconsin Rapids	WI	Land Ambulance	$268.1K	$823.7K
Surgery Center Of Wisconsin Rapids, LLC	WI	Ambulatory Surgical Clinic/Center	$782.8K	$0
Walgreen Co	WI	Pharmacy	$141.9K	$78.3K
Lacey Schwanebeck	WI	Nurse Practitioner	$119.3K	$0
Ronnie Kirschling	WI	Hematology (Internal Medicine) Physician	$81.5K	$0
Frank Walter	WI	Orthopaedic Hand Surgery Physician	$66.7K	$0

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

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Aspirus Riverview 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