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.

Mayo Clinic Health System-northwest Wisconsin Region, Inc. (NPI 1235588831)

Field	Value
Entity Type	Organization
Organization	Mayo Clinic Health System-northwest Wisconsin Region, Inc.
Address	733 W Clairemont Ave
City	Eau Claire
State	WI
ZIP	54701
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	June 6, 2016

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

212 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	50,320	$40	$1.8M
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…	41,580	$30	$1M
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.	16,830	$40	$622.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	12,420	$30	$335.4K
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.	8,100	$40	$299.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	6,310	$50	$290.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4,590	$50	$220.1K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	8,340	$20	$183.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	33,500	$10	$167.5K
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.	14,250	$10	$156.8K

Showing 1–10 of 212

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

Mayo Clinic Health System-northwest Wisconsin Region, Inc. — 7 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

212 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.	139	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.	50	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.	56	330	1,350	$60	$338K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	13	30	1,050	$70	$320.9K
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…	64	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.	164	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.	112	190	620	$40	$226.6K
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.	100	220	1,140	$70	$213.3K
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.	99	220	980	$80	$210.3K
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…	31	1,630	270	$40	$205.3K

Showing 1–10 of 212

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mayo Clinic Health System-northwest Wisconsin Region, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayo Clinic	MN	Clinical Medical Laboratory	$12.2M	$15.2M
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	General Acute Care Hospital	$0	$16.8M
Mayo Clinic Health System-southeast Minnesota Region	MN	Multi-Specialty Clinic/Center	$0	$13.7M
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	Critical Access Hospital	$0	$9.9M
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	Critical Access Hospital	$0	$7.8M
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	Critical Access Hospital	$0	$2.1M
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	Critical Access Hospital	$0	$2.1M
Dong-wouk Park	WA	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	Multi-Specialty Clinic/Center	$0	$1.6M
Abigail Stockham	MN	Radiation Oncology Physician	$757.3K	$0

Nearby Providers

Other providers in the same ZIP code as Mayo Clinic Health System-northwest Wisconsin Region, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Hospice LLC	WI	Community Based Hospice Care Agency	$0	$25.2M
Mchs Hospitals Inc	WI	General Acute Care Hospital	$0	$12.4M
Steven Kristo	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.9M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$229.3K	$5.6M
Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis	WI	General Acute Care Hospital	$0	$5.7M
Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St Francis	WI	Family Medicine Physician	$0	$4.6M
Mchs Hospitals Inc	WI	Clinic/Center	$0	$4.1M
Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.	WI	Substance Abuse Rehabilitation Facility	$0	$3.9M
Dedra Davis-wallace	WI	Pediatric Dentistry	$0	$3.6M
Caillier Clinic Ltd	WI	Clinical Neuropsychologist	$0	$3.1M

Mayo Clinic Health System-northwest Wisconsin Region, 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