Oneida County — Billing Profile & Reimbursement Data
NPI 1225175128 · Rhinelander, WI · Preventive Medicine/Occupational Environmental Medicine Physician
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Oneida County is a preventive medicine/occupational environmental medicine physician provider located in Rhinelander, Wisconsin. This profile covers 6 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Oneida County |
| Address | 100 W Keenan St |
| City | Rhinelander |
| State | WI |
| ZIP | 54501 |
| Taxonomy | Preventive Medicine/Occupational Environmental Medicine Physician |
| NPI Enumerated | January 31, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $727.1K |
| Medicare | $240.2K |
Medicare: Total Revenue Breakdown by CPT/HCPCS Code
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
Medicare: Complete Services Breakdown
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 760 | $140 | $109.3K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 900 | $70 | $65K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 810 | $40 | $31.5K |
| G0008 | Administration of influenza virus vaccine | 970 | $30 | $28K |
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 40 | $130 | $5.5K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 60 | $20 | $1.4K |
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| S4993 | Contraceptive pills for birth control | 3,780 | $80 | $294.9K |
| H1010 | Non-medical family planning education, per session | 3,760 | $80 | $285.4K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 760 | $60 | $47.6K |
| A4267 | Contraceptive supply, condom, male, each | 1,420 | $20 | $24.1K |
| S5170 | Home delivered meals, including preparation; per meal | 70 | $240 | $17.7K |
| 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… | 350 | $50 | $17.6K |
| 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… | 440 | $20 | $10.6K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 90 | $60 | $5.3K |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 40 | $120 | $4.8K |
| 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. | 380 | $10 | $4.1K |
Showing 1–10 of 24
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
24 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H1010 | Non-medical family planning education, per session | 25 | 50 | 3,770 | $90 | $744.2K |
| S4993 | Contraceptive pills for birth control | 20 | 50 | 3,210 | $70 | $732.6K |
| 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… | 775 | 1,630 | 270 | $40 | $205.3K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 150 | 160 | 990 | $30 | $191.8K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 149 | 160 | 970 | $30 | $174.2K |
| 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… | 753 | 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. | 167 | 350 | 300 | $50 | $157.9K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 672 | 690 | 160 | $60 | $90.4K |
| A4267 | Contraceptive supply, condom, male, each | 24 | 40 | 2,160 | $10 | $89.7K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 32 | 70 | 90 | $50 | $40.6K |
Showing 1–10 of 24
Nearby Providers
Other providers in the same ZIP code as Oneida County, ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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