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 1235666967)

Field	Value
Entity Type	Organization
Organization	Mayo Clinic Health System-northwest Wisconsin Region, Inc.
Address	2321 Stout Rd
City	Menomonie
State	WI
ZIP	54751
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 12, 2017

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.

60 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	23,890	$30	$645.1K
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…	7,610	$50	$350.1K
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…	3,040	$30	$103.3K
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.	1,540	$50	$78.5K
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.	5,000	$10	$60K
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…	1,470	$40	$51.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	530	$80	$40.4K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	1,040	$40	$36.5K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	5,020	$10	$35.1K
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…	340	$90	$31.7K

Showing 1–10 of 60

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. — 1 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

60 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.	235	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.	182	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.	239	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…	110	170	720	$70	$272.7K
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…	156	1,630	270	$40	$205.3K
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…	61	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.	29	350	300	$50	$157.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	408	900	410	$70	$130.4K
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…	229	790	400	$40	$109.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	146	190	370	$60	$107.4K

Showing 1–10 of 60

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	Multi-Specialty Clinic/Center	$0	$7.5M
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
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
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$5.8M
Arbor Place, Inc.	WI	Substance Abuse Rehabilitation Facility	$0	$4.6M
County Of Dunn	WI	Case Management Agency	$0	$3M
Northwest Journey - Menomonie Day Treatment	WI	Adolescent and Children Mental Health Clinic/Center	$0	$2M
Aurora Community Health Inc	WI	Home Health Aide	$0	$1.3M
School District Of The Menomonie Area	WI	Local Education Agency (LEA)	$0	$1.3M
City Of Menomonie	WI	Land Ambulance	$426.8K	$499.5K
Walgreen Co	WI	Pharmacy	$156.1K	$32K
Ronald Hessler	WI	Ophthalmology Physician	$147.7K	$0
Samuel Elsner	WI	Foot & Ankle Surgery Podiatrist	$56.5K	$0

Mayo Clinic Health System-northwest Wisconsin Region, Inc. — Billing Profile & Reimbursement Data

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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