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.

Emergency Medicine Associates Of Madison, Sc (NPI 1235119769)

Field	Value
Entity Type	Organization
Organization	Emergency Medicine Associates Of Madison, Sc
Address	202 S Park St
City	Madison
State	WI
ZIP	53715
Taxonomy	Emergency Medicine Physician
NPI Enumerated	January 19, 2006

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.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	42,150	$20	$969.5K
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.	28,950	$30	$839.5K
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.	14,860	$20	$282.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	9,280	$10	$46.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	10	$40	$530
99053	The provider renders overnight services at a 24 hour facility.	6,780	$0	$0

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

Emergency Medicine Associates Of Madison, Sc — 2 of 5 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	54	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.	14	430	760	$60	$484.6K
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	330	1,350	$60	$338K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	112	120	120	$60	$56.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	31	280	190	$10	$30.1K
99053	The provider renders overnight services at a 24 hour facility.	3	30	70	$1	$80

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Medicine Associates Of Madison, Sc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kristin Madenci	MA	Surgery Physician	$49.7K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Medicine Associates Of Madison, Sc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dean Health Systems, Inc	WI	Allergy & Immunology Physician	$0	$26.3M
Meriter Hospital, Inc.	WI	General Acute Care Hospital	$0	$25.5M
Ssm Health Care Of Wisconsin, Inc.	WI	General Acute Care Hospital	$0	$14.7M
Ssm Health Care Of Wisconsin, Inc	WI	Clinical Medical Laboratory	$0	$6.4M
Madison Surgery Center, Inc.	WI	Ambulatory Surgical Clinic/Center	$3.6M	$549.2K
Ryan Bros Ambulance LLC	WI	Land Ambulance	$1.5M	$2.3M
Madison Emergency Physicians, Sc	WI	Emergency Medicine Physician	$0	$3.2M
Dean Health Systems, Inc.	WI	Ambulatory Surgical Clinic/Center	$2M	$856.3K
Amol Kulkarni	WI	Ophthalmology Physician	$2.1M	$0
Meriter Health Enterprises Inc.	WI	Clinical Medical Laboratory	$680.6K	$1M

Emergency Medicine Associates Of Madison, Sc — Billing Profile & Reimbursement Data

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Emergency Medicine Associates Of Madison, Sc — 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