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.

Emilie Franchow (NPI 1295229037)

Field	Value
Entity Type	Individual
Organization	Emilie Franchow
Address	1020 N 12th St
City	Milwaukee
State	WI
ZIP	53233
Taxonomy	Clinical Neuropsychologist
NPI Enumerated	June 15, 2018

Payer Source	Total Paid
Medicare	$16.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	70	$100	$6.7K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	140	$30	$3.4K
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…	40	$70	$3.1K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	70	$30	$1.8K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	20	$70	$1.5K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	10	$30	$390

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Emilie Franchow — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96133	52	60	80	$70	$6K
96132	22	70	50	$90	$4.9K
96139	30	40	180	$30	$4.9K
96116	49	60	40	$60	$3.1K
96138	11	40	50	$30	$1.3K
96136	26	40	20	$20	$900

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcfi Fiscal Agent	WI	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$16.9M
City Of Milwaukee	WI	Land Ambulance	$440.6K	$11.4M
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$10.4M
Milwaukee Center For Independence	WI	Pediatric Registered Nurse	$0	$10.1M
Marquette University	WI	General Practice Dentistry	$0	$7.6M
Milwaukee Center For Independence Inc	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.8M
Penfield Children's Center, Inc.	WI	Clinic/Center	$0	$2.3M
Progressive Community Health Centers, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$1.9M
Carolina Conti	WI	Internal Medicine Physician	$33.5K	$426.5K
Ijaz Malik	WI	Cardiovascular Disease Physician	$213K	$0

Emilie Franchow — Billing Profile & Reimbursement Data

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Emilie Franchow — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References