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.

Lola's New Beginnings (NPI 1205467172)

Field	Value
Entity Type	Organization
Organization	Lola's New Beginnings
Address	3632 S 77th St
City	Milwaukee
State	WI
ZIP	53220
Taxonomy	Case Management Registered Nurse
NPI Enumerated	January 30, 2020

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	31,360	$70	$2M
H1002	Prenatal care, at risk enhanced service; care coordination	610	$50	$27.2K
H1000	Prenatal care, at-risk assessment	600	$40	$22.3K

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

Lola's New Beginnings — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	46	220	7,110	$70	$1.7M
H1000	Prenatal care, at-risk assessment	4	30	90	$40	$15.7K
H1002	Prenatal care, at risk enhanced service; care coordination	3	30	70	$40	$11.5K

Nearby Providers

Other providers in the same ZIP code as Lola's New Beginnings, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Milwaukee Radiologists Ltd	WI	Diagnostic Radiology Physician	$0	$2.4M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Home Care Medical, Inc	WI	Oxygen Equipment & Supplies (DME)	$0	$1.2M
Medical Diagnostic Imaging LLC	WI	Diagnostic Radiology Physician	$14.2K	$464.9K
Ahmad Khraisat	WI	Interventional Cardiology Physician	$382.4K	$0
Ivelisse Vargas Jon	WI	Foot & Ankle Surgery Podiatrist	$107.7K	$77K
Cole Rojas	WI	Ophthalmology Physician	$182.2K	$0
Hart Moss	WI	Cornea and External Diseases Specialist Physician	$150.8K	$0
Yuriy Zamota	WI	Family Medicine Physician	$46.5K	$64.5K
David Labadie	WI	Podiatrist	$101.5K	$0

Lola's New Beginnings — Billing Profile & Reimbursement Data

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Lola's New Beginnings — 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