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.

Gundersen Lutheran Medical Center Inc (NPI 1215270327)

Field	Value
Entity Type	Organization
Organization	Gundersen Lutheran Medical Center Inc
Address	3075 S Kinney Coulee Rd
City	Onalaska
State	WI
ZIP	54650
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	March 27, 2013

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	38,200	$40	$1.6M
J0606	Injection, etelcalcetide, 0.1 mg	7,520	$10	$45.1K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	8,670	$1	$17.3K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	2,950	$1	$2.9K
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	1,510	$0	$0
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	3,100	$0	$0
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	250	$0	$0
82310	The lab analyst measures the calcium level, primarily on a serum sample.	3,860	$0	$0
82374	The lab analyst measures the carbon dioxide, primarily in serum. Most of the carbon dioxide in blood exists as bicarbonate with much of the balance as carbonic acid.	1,150	$0	$0
82435	The lab analyst performs the technical lab test to analyze the amount of chloride, sometimes abbreviated Cl, in the blood.	1,130	$0	$0

Showing 1–10 of 35

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

Gundersen Lutheran Medical Center Inc — 1 of 4 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

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	28	120	17,840	$50	$1.2M
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…	158	170	720	$70	$272.7K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	81	150	450	$20	$83.1K
85610	Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…	164	170	2,490	$10	$28.9K
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	19	60	620	$10	$27.4K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	51	120	230	$10	$25.4K
J0606	Injection, etelcalcetide, 0.1 mg	2	10	2,440	$10	$21.9K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	45	220	580	$10	$21.2K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	57	240	1,180	$10	$20.7K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	46	150	570	$10	$13.7K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gundersen Lutheran Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gundersen Lutheran Medical Center Inc	WI	General Acute Care Hospital	$0	$74.3M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Gundersen Clinic Ltd	WI	Clinic/Center	$0	$10.1M
Peter Bracha	FL	Retina Specialist (Ophthalmology) Physician	$4M	$0
Gundersen Lutheran Medical Center, Inc.	WI	Air Ambulance	$0	$2M
Naila Ahmad	MD	Rheumatology Physician	$1.1M	$0
Cindy Calderon	WI	Ophthalmology Physician	$897.7K	$4.1K
Jason Aldred	WA	Neurology Physician	$686.7K	$0
Adnan Kiani	IA	Rheumatology Physician	$685.6K	$0
Clarence Brown	WI	Dermatology Physician	$192.2K	$462.8K

Nearby Providers

Other providers in the same ZIP code as Gundersen Lutheran Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ams Of Wisconsin, LLC	WI	Methadone Clinic	$121.6K	$9.5M
Karen Corona-londre	WI	Behavior Analyst	$0	$3.5M
John Kohorst	WI	MOHS-Micrographic Surgery Physician	$293.3K	$0
Wal-mart Stores East LP	WI	Community/Retail Pharmacy	$134.4K	$3.6K
Emily Guerber	WI	Family Medicine Physician	$115.1K	$0
Hans Von Weiss	WI	Dermatology Physician	$110K	$0
Rebecca Danhof	WI	Dermatology Physician	$101.4K	$0
Yongxue Yao	WI	Dermatology Physician	$99.7K	$0
Jennifer Kaus	WI	Nurse Practitioner	$88.9K	$0
Dana Rademacher	WI	Urology Physician	$88.8K	$0

Gundersen Lutheran Medical Center Inc — Billing Profile & Reimbursement Data

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Gundersen Lutheran Medical Center 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