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.

Madison Metropolitan School District (NPI 1245410224)

Field	Value
Entity Type	Organization
Organization	Madison Metropolitan School District
Address	545 W Dayton St
City	Madison
State	WI
ZIP	53703
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	November 7, 2007

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	107,230	$20	$1.8M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	106,400	$10	$1.2M
T1002	Rn services, up to 15 minutes	43,640	$10	$392.7K
T2003	Non-emergency transportation; encounter/trip	48,940	$10	$293.7K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	71,310	$1	$213.9K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	9,230	$10	$83K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	20,580	$1	$61.7K
T1003	Lpn/lvn services, up to 15 minutes	1,220	$30	$31.8K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	850	$10	$6.8K

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

Madison Metropolitan School District — 6 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2003	Non-emergency transportation; encounter/trip	10	260	4,280	$10	$153.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	4	500	3,140	$20	$148.9K
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…	2	630	2,500	$20	$135.5K
T1003	Lpn/lvn services, up to 15 minutes	49	60	5,640	$10	$94K
T1002	Rn services, up to 15 minutes	1	20	4,130	$10	$78.5K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	7	340	4,640	$10	$58.7K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	6	50	80	$80	$37.8K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	4	40	200	$10	$34.2K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	1	130	810	$1	$9.6K

Nearby Providers

Other providers in the same ZIP code as Madison Metropolitan School District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Madison	WI	Land Ambulance	$2M	$8.3M
William Kemp	WI	Neurological Surgery Physician	$396.1K	$0
Matthew Witek	WI	Radiation Oncology Physician	$131.2K	$0
Deborah Williams	WI	Internal Medicine Physician	$116.2K	$0
George Leydon	WI	Family Medicine Physician	$72.9K	$0
Peter Mason	WI	Cardiovascular Disease Physician	$66K	$0
Sofia Masri	WI	Advanced Heart Failure and Transplant Cardiology Physician	$46.4K	$0
Lisa Schmaltz	WI	Diagnostic Radiology Physician	$44.3K	$0
Paul Estrada	WI	Gastroenterology Physician	$31.4K	$0
Robert Factor	WI	Psychiatry Physician	$29.1K	$0

Madison Metropolitan School District — Billing Profile & Reimbursement Data

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Madison Metropolitan School District — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References