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.

St Vincent Hospital-hospital Sisters-third Order Of St Francis (NPI 1285613638)

Field	Value
Entity Type	Organization
Organization	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Address	2710 Executive Dr
City	Green Bay
State	WI
ZIP	54304
Taxonomy	General Practice Physician
NPI Enumerated	January 13, 2006

Payer Source	Total Paid
Medicaid	$12.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

210 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…	112,130	$30	$3.4M
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…	51,310	$40	$2.1M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	12,390	$50	$594.5K
J0585	Injection, onabotulinumtoxina, 1 unit	450	$1,300	$578K
99392	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…	8,140	$60	$480K
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…	8,280	$60	$472.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,840	$60	$290.2K
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…	10,580	$30	$275K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	5,060	$40	$222.7K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	8,860	$20	$203.8K

Showing 1–10 of 210

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

St Vincent Hospital-hospital Sisters-third Order Of St Francis — 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

210 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	17	30	550	$240	$428.8K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	6	10	1,090	$120	$277.4K
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…	130	170	720	$70	$272.7K
95951	N/A	6	10	380	$200	$271.9K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	8	20	830	$140	$245.3K
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.	185	260	3,590	$20	$232.2K
95700	The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…	4	10	30	$140	$218K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	20	40	930	$100	$214.5K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	5	20	120	$280	$206.1K
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…	29	1,630	270	$40	$205.3K

Showing 1–10 of 210

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Vincent Hospital-hospital Sisters-third Order Of St Francis, 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
St Vincent Hospital-hospital Sisters-third Order Of St Francis	WI	Clinical Medical Laboratory	$0	$2.6M
Concord Hospital, Inc.	NH	Emergency Medicine Physician	$0	$2.5M
St Vincent Hospital-hospital Sisters-third Order Of St Francis	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.7M
Haramandeep Singh	CA	Sleep Medicine (Psychiatry & Neurology) Physician	$592.2K	$0
Patrick Safo	WI	Dermatology Physician	$518.9K	$0
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Julie Chicks	WI	Addiction Medicine (Internal Medicine) Physician	$6.8K	$301.5K
Nicole Kieffer	WI	Rheumatology Physician	$307.5K	$0
St Vincent Hospital-hospital Sisters-third Order Of St Francis	WI	Ambulatory Surgical Clinic/Center	$244.3K	$26.5K

Nearby Providers

Other providers in the same ZIP code as St Vincent Hospital-hospital Sisters-third Order Of St Francis, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospice Advantage, LLC,	WI	Community Based Hospice Care Agency	$0	$5M
Planned Parenthood Of Wi, Inc	WI	Ambulatory Family Planning Facility	$0	$2.3M
Innovative Counseling Inc	WI	Community/Behavioral Health Agency	$0	$2.2M
Chrome Dental LLC	WI	Dental Clinic/Center	$0	$1.3M
Maria Linden	WI	Psychiatry Physician	$76.6K	$435.1K
James Williams	WI	Family Medicine Physician	$381.1K	$780
Andrew Vanbruggen	WI	Otolaryngology Physician	$131.3K	$0
Nami Zarvan	WI	Diagnostic Radiology Physician	$88.2K	$0
Danqing Guo	WI	Family Medicine Physician	$87.8K	$0
Jeremy Mccue	WI	Diagnostic Radiology Physician	$87.4K	$80

St Vincent Hospital-hospital Sisters-third Order Of St Francis — Billing Profile & Reimbursement Data

Sign up for St Vincent Hospital-hospital Sisters-third Order Of St Francis — Billing Profile & Reimbursement Data policy alerts

St Vincent Hospital-hospital Sisters-third Order Of St Francis — Billing Profile & Reimbursement Data

Sign up for St Vincent Hospital-hospital Sisters-third Order Of St Francis — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References