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.

Thedacare, Incorporated (NPI 1295823508)

Field	Value
Entity Type	Organization
Organization	Thedacare, Incorporated
Address	3000 E College Ave Ste A
City	Appleton
State	WI
ZIP	54915
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

88 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0601	Continuous positive airway pressure (CPAP) device	23,830	$50	$1.1M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	21,270	$50	$1.1M
A7030	Full face mask used with positive airway pressure device, each	8,920	$90	$811.8K
E0562	Humidifier, heated, used with positive airway pressure device	20,650	$20	$495.5K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	6,320	$60	$398.4K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	14,870	$20	$327.1K
A7035	Headgear used with positive airway pressure device	14,050	$20	$309.1K
A7037	Tubing used with positive airway pressure device	12,960	$20	$285.1K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	3,200	$80	$265.8K
A7031	Face mask interface, replacement for full face mask, each	6,190	$30	$197.9K

Showing 1–10 of 88

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

Thedacare, Incorporated — 14 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

88 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	7	10	2,610	$310	$912.3K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	8	20	530	$140	$543.1K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	9	10	1,870	$150	$413.2K
E0603	Breast pump, electric (ac and/or dc), any type	13	20	540	$140	$316.8K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	4	70	4,670	$40	$311K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	7	10	2,720	$60	$291.8K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	7	10	350	$110	$177.7K
A7030	Full face mask used with positive airway pressure device, each	3	80	1,250	$80	$169.7K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	5	20	340	$120	$159.9K
E0601	Continuous positive airway pressure (CPAP) device	3	90	2,270	$40	$150.6K

Showing 1–10 of 88

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thedacare, Incorporated	WI	Family Medicine Physician	$0	$14.8M
Thedacare Regional Medical Center - Appleton, Inc.	WI	General Acute Care Hospital	$0	$11.5M
Thedacare Medical Center - Berlin, Inc.	WI	Critical Access Hospital	$0	$9.4M
Thedacare, Incorporated	WI	Community Based Hospice Care Agency	$0	$8.3M
Thedacare, Incorporated	WI	Counselor	$0	$1.5M
Paul Utrie	WI	Rheumatology Physician	$1.3M	$0
Mohsin Alhaddad	TN	Cardiovascular Disease Physician	$524.3K	$497.8K
Asher Shahzad	NV	Infectious Disease Physician	$437.5K	$483.4K
Donny Stokes	MS	Cardiovascular Disease Physician	$881.8K	$0
Richard Santa Cruz	WI	Cardiovascular Disease Physician	$477.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension Ne Wisconsin, Inc	WI	General Acute Care Hospital	$0	$19.9M
Christian Servants Home Care, LLC.	WI	In Home Supportive Care Agency	$0	$2.1M
Alejandro Garcia	WI	Sports Medicine (Family Medicine) Physician	$138.4K	$0
Dustin Riddle	WI	Foot & Ankle Surgery Podiatrist	$78.1K	$0
Aditya Rangbulla	WI	Internal Medicine Physician	$76.8K	$0
John Leschke	WI	Neurological Surgery Physician	$59.2K	$0
Jennifer Steinhoff	WI	Family Medicine Physician	$36.2K	$0
Madhavi Reddy Cherukula	WI	Internal Medicine Physician	$34.6K	$0
Abisoye Adebayo	WI	Geriatric Medicine (Family Medicine) Physician	$29.7K	$0
Mark Adorjan	WI	Family Medicine Physician	$24.8K	$0

Thedacare, Incorporated — Billing Profile & Reimbursement Data

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Thedacare, Incorporated — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References