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.

Aurora Medical Center Of Oshkosh, Inc (NPI 1275578064)

Key Findings

Field	Value
Entity Type	Organization
Organization	Aurora Medical Center Of Oshkosh, Inc
Address	855 N Westhaven Dr
City	Oshkosh
State	WI
ZIP	54904
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicaid	$16.4M
Medicare	$0

AURORA MEDICAL CENTER OF OSHKOSH, INC shows no Medicare billing on file and reports $16.4M in lifetime Medicaid revenue, making its public billing footprint effectively single-payer (Medicaid) in the available data. This absence of Medicare activity means payer-mix analysis should be framed around Medicaid-dominated revenue rather than a dual Medicare/Medicaid profile.

Revenue concentration is meaningful at the top of the Medicaid portfolio: the provider's precomputed top three Medicaid codes (99283, 96361, 99284) account for 38.0% of its total Medicaid revenue. Those three are each large line items individually — 99283 $1.6M (13.1%), 96361 $1.5M (12.6%), and 99284 $1.5M (12.3%) — indicating a few high-volume services drive a disproportionate share of payments.

The code mix points to a high-volume emergency department and infusion/observation operation: ED E/M codes 99283 (27.2K claims, $1.6M) and 99284 (32.7K claims, $1.5M), together with multiple IV/infusion codes (96361 $1.5M; 96360 $300.8K; 96365 $296.4K; 96366 $195.1K), suggest substantial ED throughput and repeated use of IV fluid/medication services. These patterns are consistent with an acute-care hospital that treats many emergency and dehydration/infusion cases rather than a primarily outpatient clinic.

Physical therapy and rehabilitation are also material revenue drivers: 97110 accounts for $1.4M (11.4%) and ranks #18 of 631 in-state at the 97th percentile, described as notably above typical state volume, while 97140 ($451.7K, 3.7%) and 97161 ($245.3K, 2.0%) are both flagged as notably above typical state volume as well. The elevated percentiles and 'notably above typical' labels indicate PT/rehab is a clearly differentiated service line for this provider within Wisconsin.

Competitive standing across Medicaid codes is mixed: several high-revenue codes sit at high state percentiles (for example, 99284 at the 96th percentile and 97110 at the 97th percentile), yet many of the ED and infusion codes are characterized in the dataset as 'typical, unremarkable volume' despite high claim counts. In practical terms, the hospital is a strong regional ED and rehab participant with a number of above-typical therapy codes, but it does not present as a singular statewide monopolist across most high-revenue categories.

Ancillary diagnostics and imaging contribute consistent, mid-sized revenue buckets that support an acute-care profile: 80053 (CMP) shows $450.1K (3.7%, rank #36 of 261, 87th percentile, typical), 74177 (CT abdomen/pelvis with contrast) $367.8K (3.0%, rank #39 of 223, 83th percentile, typical), and 70450 (CT head without contrast) $298.5K (2.4%, rank #43 of 221, 81th percentile, typical). These typical, unremarkable but steady volumes in lab and imaging align with an on-site hospital lab and radiology operation that supports ED and inpatient services.

While the top three Medicaid codes concentrate 38.0% of Medicaid revenue, the remainder of the $16.4M is distributed across many other codes in the provider's top 25 (including PT, imaging, lab, and procedure codes), indicating revenue is not single-code dependent but also not broadly diversified. This profile suggests both reliance on a few high-volume ED/infusion services and a complementary set of ancillary and therapy lines that together sustain the facility's Medicaid revenue base.

The NPI was enumerated on 2006-06-17 (~20 years ago), indicating a long-tenured presence in the market; combined with the Medicaid-centric revenue picture and the strong therapy and ED code volumes, this tenure supports interpretation of the hospital as an established local acute-care provider with entrenched Medicaid activity and developed inpatient/ED and rehab service lines.

Medicaid: Complete Services Breakdown

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

284 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	27,180	$60	$1.6M
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.	11,970	$130	$1.5M
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.	32,700	$50	$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…	39,700	$40	$1.4M
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.	17,970	$50	$880.7K
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…	21,510	$20	$451.7K
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.	26,470	$20	$450.1K
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.	7,120	$60	$448.4K
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.	4,720	$80	$367.8K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	3,620	$80	$300.8K

Showing 1–10 of 284

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

Aurora Medical Center Of Oshkosh, Inc — 4 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

284 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.	24	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.	30	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.	20	430	760	$60	$484.6K
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.	30	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.	34	140	2,200	$90	$358.4K
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.	24	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…	48	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.	36	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.	53	190	620	$40	$226.6K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	24	110	1,280	$90	$224.5K

Showing 1–10 of 284

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aurora Health Care Metro, Inc.	WI	General Acute Care Hospital	$0	$181.9M
Aurora Medical Group, Inc.	WI	Certified Registered Nurse Anesthetist	$2.2K	$139.2M
Aurora Psychiatric Hospital, Inc.	WI	Psychiatric Hospital	$0	$28.2M
Baycare Aurora, LLC	WI	General Acute Care Hospital	$0	$25.4M
Aurora Health Care Central, Inc.	WI	General Acute Care Hospital	$0	$12.4M
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
Aurora Health Care Metro, Inc.	WI	Clinic/Center	$0	$2.1M
Kalid Adab	WI	Hematology & Oncology Physician	$259.5K	$1.2M
Reed Mitchell	VA	Hematology & Oncology Physician	$1M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ams Of Wisconsin LLC	WI	Methadone Clinic	$113.1K	$5.3M
Ascension Ne Wisconsin, Inc	WI	General Acute Care Hospital	$0	$4.3M
Angela Wade	WI	Behavior Analyst	$0	$2.7M
Ambulatory Surgical Center, LLC	WI	Ambulatory Surgical Clinic/Center	$305.6K	$0
Anita Gheller-rigoni	WI	Allergy & Immunology (Internal Medicine) Physician	$247.5K	$0
Alexey Shereshevsky	WI	Family Medicine Physician	$238.7K	$0
Ashleigh Ledet	WI	Physician Assistant	$215.6K	$0
Ioannis Karkatzounis	WI	Hospitalist Physician	$84.4K	$97.7K
Ammar Alzoubi	WI	Internal Medicine Physician	$126.8K	$0
Stephen Nystrom	WI	Orthopaedic Surgery Physician	$88.4K	$0

Aurora Medical Center Of Oshkosh, Inc — 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