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.

Baycare Aurora, LLC (NPI 1255387726)

Key Findings

Field	Value
Entity Type	Organization
Organization	Baycare Aurora, LLC
Address	2845 Greenbrier Rd
City	Green Bay
State	WI
ZIP	54311
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$25.4M
Medicare	$0

BAYCARE AURORA, LLC is effectively a single-payer Medicaid billing entity in this dataset: it has no Medicare revenue on file and reports Total Medicaid revenue of $25.4M, indicating Medicaid is the sole recorded public payer driving its billed activity and payment volume. This concentration means analyses or network contracting assessments should treat the provider as Medicaid-centric rather than a mixed Medicare/Medicaid hospital.

Revenue concentration within Medicaid is moderately concentrated: the precomputed top three Medicaid codes by revenue account for 36.1% of the provider's total Medicaid revenue. That level of concentration suggests a handful of service lines or visit types are disproportionately important to the provider’s Medicaid revenue base, so changes to reimbursement or utilization for those codes could materially affect overall Medicaid income.

Service-line implications from the top codes point to an acute-care hospital with a high-volume emergency and outpatient therapy footprint. High volumes and revenue share for emergency E/M codes 99283, 99284, and 99285, together with observation (G0378) and imaging/diagnostic codes like 74177 and 70450, indicate this site sees substantial ED visits and associated diagnostics. Concurrently, substantial billing for therapy codes 97110, 97140, and 97112 signals an integrated physical/rehabilitation service offering, while infusion codes 96360, 96361, 96365 and chemotherapy code 96413 reflect significant infusion/infusion-support activity.

Competitive standing in-state is mixed but includes notable dominance on several specific codes. The facility ranks #4 of 354 for 99211 (99th percentile) and is described as an "extreme outlier, far above typical state volume for this code," and it ranks #1 of 347 for 99202 (100th percentile), also an extreme outlier. These placements mark the provider as an unusually high-volume performer for certain outpatient E/M and new-patient office visit codes compared with Wisconsin peers, suggesting either a large ambulatory operation associated with the hospital or coding/service patterns that generate exceptional volume for those specific encounters.

For many commonly billed Medicaid services the provider sits in high percentiles but not uniquely dominant positions. Several high-revenue codes—99283 (91st percentile), 99284 (92nd), 99285 (88th), 97110 (98th), and 97140 (98th)—are in the upper state percentiles and flagged as "typical, unremarkable" to "notably above typical state volume," indicating strong but not singular market share across emergency care, therapy, and imaging compared with peers. These placements reflect a major regional provider rather than a narrowly specialized outlier for most services.

Magnitude and mix of specific revenue items suggest an ER-anchored acute hospital with significant outpatient and ancillary services: 99211 contributes $2.9M (17.6% of Medicaid revenue) and 96361 contributes $1.6M (9.6%), while 99283 contributes $1.5M (9.0%). Together these high-ranking codes point to routine low-acuity outpatient work and substantial IV/infusion care as important revenue drivers, reinforcing a clinical profile centered on emergency, observation, infusion, diagnostics, and rehabilitation.

The provider’s tenure is long-standing: its NPI was enumerated on 2006-05-26 (~20 years ago), indicating two decades of enrollment which supports an established operational presence in the market. That longevity, combined with the high-state percentile placements on multiple codes, is consistent with an entrenched regional hospital system or large community hospital serving diverse clinical needs.

There are clear statistical outliers in the Medicaid code mix that warrant attention for peer/comparative analyses. The extreme outlier status for 99211 (99th percentile) and 99202 (100th percentile) means these two outpatient/E/M codes are materially different from typical state providers in volume; separately, codes such as 97110 and 97140 are described as "notably above typical state volume," highlighting unusually strong therapy volumes. These descriptive labels signal where utilization or service-delivery models diverge from peers and where deeper case-mix or site-of-service review would be most informative.

Medicaid: Complete Services Breakdown

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

383 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	54,340	$50	$2.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	12,150	$130	$1.6M
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.	22,970	$60	$1.5M
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…	40,520	$30	$1.3M
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.	20,560	$60	$1.2M
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.	38,680	$20	$773.6K
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.	10,680	$60	$629.9K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	25,170	$20	$553.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	3,030	$180	$536.1K
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…	16,480	$30	$510.8K

Showing 1–10 of 383

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

Baycare Aurora, LLC — 5 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

383 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	23	140	3,200	$160	$1.1M
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.	33	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.	37	430	760	$60	$484.6K
J0585	Injection, onabotulinumtoxina, 1 unit	8	30	550	$240	$428.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	38	190	1,790	$90	$390.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	37	140	2,200	$90	$358.4K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	7	10	40	$570	$357.5K
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.	40	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…	17	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…	27	170	720	$70	$272.7K

Showing 1–10 of 383

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aurora Medical Group, Inc.	WI	Certified Registered Nurse Anesthetist	$2.2K	$139.2M
Aurora Medical Center Of Oshkosh, Inc	WI	General Acute Care Hospital	$0	$16.4M
Jeffrey Bahr	WI	Internal Medicine Physician	$3.1M	$356.4K
Aurora Medical Group, Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.2M
Reed Mitchell	VA	Hematology & Oncology Physician	$1M	$0
Steven Port	WI	Cardiovascular Disease Physician	$506.2K	$0
Govind Ramadurai	IL	Cardiovascular Disease Physician	$469.1K	$29.1K
Robert Percell	NE	Clinical Cardiac Electrophysiology Physician	$431.8K	$0
Imran Sheikh	AZ	Clinical Cardiac Electrophysiology Physician	$226.6K	$0
Ijaz Malik	WI	Cardiovascular Disease Physician	$213K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Lund	WI	Clinical Psychologist	$0	$77.1M
County Of Brown	WI	Clinic/Center	$0	$21.1M
Caravel Autism Health, LLC	WI	Behavior Analyst	$0	$18.5M
County Of Brown	WI	Community/Behavioral Health Agency	$0	$8.2M
Visiting Nurse Association Of Wisconsin, Inc.	WI	Home Infusion Therapy Pharmacy	$0	$5M
Baycare Clinic LLP	WI	Emergency Medicine Physician	$0	$3.6M
County Of Brown	WI	Case Management Agency	$0	$3.3M
Aegis Group Inc	WI	Land Ambulance	$1.2M	$1.6M
Visiting Nurse Association Of Wisconsin, Inc	WI	Home Health Agency	$0	$2.7M
Orthopedic Surgery Center Of Green Bay, LLC	WI	Ambulatory Surgical Clinic/Center	$2M	$0

Baycare Aurora, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References