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.

Ethan Emmons (NPI 1265416325)

Field	Value
Entity Type	Individual
Organization	Ethan Emmons
Address	744 S Webster Ave
City	Green Bay
State	WI
ZIP	54301
Taxonomy	Sleep Medicine (Internal Medicine) Physician
NPI Enumerated	December 2, 2005

Payer Source	Total Paid
Medicare	$65.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	230	$120	$28.4K
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…	180	$90	$15.3K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	80	$90	$7K
99204	The provider sees a new 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 provider…	60	$120	$6.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	30	$90	$2.7K
95806	A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.	90	$30	$2.6K
99205	The provider sees a new 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 provider…	20	$160	$2.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Ethan Emmons — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,179	9,800	80	$70	$9.2K
99215	128	3,320	30	$110	$6.3K
95811	9	70	30	$120	$5K
99205	760	1,070	20	$140	$4K
95810	27	70	30	$110	$3.8K
99204	565	3,390	30	$100	$3.7K
95806	5	30	30	$30	$1.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ethan Emmons, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bellin Memorial Hospital Inc.	WI	General Acute Care Hospital	$0	$29.2M
Bellin Memorial Hospital Inc	WI	Family Medicine Physician	$0	$19.8M
Unity Limited Partnership	WI	Community Based Hospice Care Agency	$0	$16.2M
Oconto Hospital & Medical Center Inc	WI	Critical Access Hospital	$0	$4.8M
Oconto Hospital & Medical Center Inc	WI	Rural Health Clinic/Center	$0	$4.2M
Bellin Psychiatric Center Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.1M
Orthopedic Surgery Center Of Green Bay, LLC	WI	Ambulatory Surgical Clinic/Center	$2M	$0
Debbie Lim	WI	Rheumatology Physician	$1.8M	$0
Green Bay Emergency Medicine Services S.c.	WI	Emergency Medicine Physician	$0	$1.8M
Tower Clock Surgery Center LLC	WI	Ambulatory Surgical Clinic/Center	$1.2M	$428.6K

Nearby Providers

Other providers in the same ZIP code as Ethan Emmons, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Vincent Hospital-hospital Sisters-third Order Of St Francis	WI	General Acute Care Hospital	$0	$19.6M
County Of Brown	WI	Community/Behavioral Health Agency	$0	$12.8M
Hha Of Wisconsin, LLC	WI	Home Health Agency	$0	$5.6M
City Of Green Bay Office Of Comptroller	WI	Land Ambulance	$613K	$3.7M
Cerebral Palsy, Inc.	WI	Rehabilitation Clinic/Center	$0	$4M
Innovative Wisconsin, LLC	WI	Community/Behavioral Health Agency	$0	$3.8M
Almost Family Personal Care, LLC	WI	Nursing Care Agency	$0	$3.1M
Renal Life Link Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.8M
St Vincent Hospital-hospital Sisters-third Order Of St Francis	WI	Clinical Medical Laboratory	$0	$2.6M
La Sante Wisconsin Inc.	WI	Durable Medical Equipment & Medical Supplies	$0	$2.3M

Ethan Emmons — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References