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.

Aurora Health Care Southern Lakes, Inc. (NPI 1225156888)

Key Findings

Field	Value
Entity Type	Organization
Organization	Aurora Health Care Southern Lakes, Inc.
Address	10400 75th St
City	Kenosha
State	WI
ZIP	53142
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 26, 2007

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

This provider effectively operates on a single-payer footprint: there is no Medicare billing on file and all recorded lifetime federal revenue is Medicaid-only at $19.9M, indicating the provider’s measurable Medicare activity is nil while its financial scale in claims activity is concentrated in Medicaid. The absence of Medicare billing suggests payer mix and operational planning will be driven almost entirely by Medicaid reimbursement and utilization patterns.

Revenue concentration is high by Medicaid standards: the precomputed top 3 Medicaid codes account for 37.6% of the provider’s total Medicaid revenue, led by 99283 ($2.1M, 14.8%), 97110 ($1.6M, 11.6%), and 99284 ($1.6M, 11.2%). This concentration shows a small set of services driving well over one-third of reported Medicaid income and should be a focus for contract and utilization review.

The code mix signals a substantial emergency department footprint: high-volume ED E/M codes 99283 ($2.1M, 14.8%; ranks #20 of 362, 95th percentile), 99284 ($1.6M, 11.2%; ranks #26 of 432, 94th percentile), and 99285 ($861.7K, 6.0%; ranks #30 of 331, 91th percentile) together represent a major portion of clinical throughput and revenue. The presence of 99282 ($468K, 3.3%) further confirms the ED sees a full acuity mix from straightforward to high MDM visits rather than only low-acuity encounters.

Physical and occupational therapy are a prominent service line: 97110 is a major revenue driver with 45.8K claims and $1.6M revenue (11.6%) and is described as an extreme outlier in-state (ranks #13 of 631, 98th percentile), while related CPTs such as 97140 ($394.3K, 2.8%), 97530 ($227.6K, 1.6%), 97112 ($207.6K, 1.5%) and 97161 ($198.4K, 1.4%) show substantial ancillary volumes. These figures point to a high-volume rehab program co-located with acute services and a competitive advantage in therapy capacity within the state Medicaid market.

Intravenous therapy and dehydration management represent another concentrated operational theme: 96361 ($1.5M, 10.2%), 96360 ($388.1K, 2.7%), and 96365 ($219.1K, 1.5%) together indicate frequent use of IV fluids and infusion services, consistent with both ED and inpatient-level hydration/medication administration workflows. The sizable revenue for 96361 in particular underlines recurrent hourly IV fluid administration as a nontrivial revenue stream for the provider.

Diagnostic imaging and laboratory support are aligned with an acute care and ED-heavy practice: comprehensive metabolic panels 80053 ($727.6K, 5.1%; ranks #24 of 261, 91th percentile), CT abdomen/pelvis with contrast 74177 ($456.6K, 3.2%), CT head 70450 ($418K, 2.9%), and echocardiography 93306 ($342.1K, 2.4%) show routine use of higher-acuity diagnostics. These ancillary charges are consistent with an organization that manages complex presentations and relies on on-site imaging and lab services to support ED and procedural volumes.

Competitive standing is mixed but strong in select areas: 97110 is an extreme outlier in-state (98th percentile, rank #13 of 631) and 0241U is notably above typical state volume (ranks #4 of 100, 97th percentile), indicating dominance in specific test/therapy categories, while ED E/M codes occupy high percentiles (99283 at 95th, 99284 at 94th, 99285 at 91th) that reflect major regional ED activity but not necessarily monopoly status. Many other high-revenue codes fall in the 82–96th percentile range and are described as typical or unremarkable volume, suggesting broad service breadth with particular strengths in therapy and certain diagnostics.

The provider’s NPI tenure—enumerated 2007-03-26 (~19 years ago)—indicates an established organization with nearly two decades of enrollment history. Coupled with the Medicaid-dominant revenue profile and concentrated service lines (ED, rehab, IV/infusion, imaging), this tenure supports the interpretation of a mature regional hospital that is commercially oriented toward Medicaid populations and high-volume therapy services.

Medicaid: Complete Services Breakdown

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

322 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	34,100	$60	$2.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	45,830	$40	$1.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	28,160	$60	$1.6M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	11,660	$130	$1.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	14,860	$60	$861.7K
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.	38,300	$20	$727.6K
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.	2,690	$190	$509K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	7,200	$70	$468K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	6,090	$80	$456.6K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	5,890	$70	$418K

Showing 1–10 of 322

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

Aurora Health Care Southern Lakes, Inc. — 4 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

322 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	25	140	3,200	$160	$1.1M
P9016	Red blood cells, leukocytes reduced, each unit	9	10	750	$590	$906.4K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	360	1,550	$70	$614.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	26	430	760	$60	$484.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	28	190	1,790	$90	$390.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	55	140	2,200	$90	$358.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	30	330	1,350	$60	$338K
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…	57	170	720	$70	$272.7K
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.	24	260	3,590	$20	$232.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	44	190	620	$40	$226.6K

Showing 1–10 of 322

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Familia Dental Kenosha LLC	WI	Dental Clinic/Center	$0	$3.7M
Fresenius Medical Care Midwest Dialysis, LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M
Planned Parenthood Of Wi, Inc.	WI	Ambulatory Family Planning Facility	$0	$3.1M
Children's Medical Group	WI	Pediatrics Physician	$0	$2.6M
Children's Medical Group	WI	Pediatrics Physician	$0	$1.5M
Charleen Geissman	WI	Behavior Analyst	$0	$1.4M
Wisconsin Specialty Surgery Center,llc	WI	Ambulatory Surgical Clinic/Center	$749.3K	$0
Steven Kenzer	WI	Rheumatology Physician	$269.6K	$0
Eric Marsh	WI	Dermatology Physician	$256.1K	$0
Michael Slimack	WI	Adult Reconstructive Orthopaedic Surgery Physician	$211.2K	$0

Aurora Health Care Southern Lakes, Inc. — Billing Profile & Reimbursement Data

Sign up for Aurora Health Care Southern Lakes, Inc. — Billing Profile & Reimbursement Data policy alerts

Aurora Health Care Southern Lakes, Inc. — Billing Profile & Reimbursement Data

Sign up for Aurora Health Care Southern Lakes, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aurora Health Care Southern Lakes, Inc.	WI	General Acute Care Hospital	$0	$7.1M
Aurora Health Care Southern Lakes, Inc.	WI	General Acute Care Hospital	$0	$5.2M
Aurora Health Care Southern Lakes, Inc.	WI	General Acute Care Hospital	$0	$4.5M
Jeffrey Bahr	WI	Internal Medicine Physician	$3.1M	$356.4K
Aurora Medical Center Of Washington County, Inc.	WI	General Acute Care Hospital	$0	$3.3M
Muhammad Iqbal	WI	Infectious Disease Physician	$219.2K	$196.9K
James Toniolo	WI	Diagnostic Radiology Physician	$179.3K	$0
Mark Glazer	WI	Diagnostic Radiology Physician	$89.5K	$0
Madhu Sadagopan	WI	Diagnostic Radiology Physician	$80.3K	$0
Leandro Espinosa	WI	Diagnostic Radiology Physician	$79.7K	$0