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.

Mcfi Fiscal Agent (NPI 1295927614)

Field	Value
Entity Type	Organization
Organization	Mcfi Fiscal Agent
Address	2020 W Wells St
City	Milwaukee
State	WI
ZIP	53233
Taxonomy	Comprehensive Outpatient Rehabilitation Facility (CORF)
NPI Enumerated	August 10, 2007

Payer Source	Total Paid
Medicaid	$16.9M
Medicare	$0

Key Findings

MCFI FISCAL AGENT is effectively a single‑payer Medicaid provider: there is no Medicare billing on file while lifetime Medicaid revenue totals $16.9M, indicating the organization’s operations and revenue are driven almost entirely by Medicaid-funded services. This payer concentration means analyses of this entity should focus on Medicaid program changes, waiver rules, and state-level reimbursement dynamics rather than Medicare policy shifts.

Revenue is highly concentrated in a small set of service lines: the precomputed top 3 Medicaid codes by revenue account for 71.8% of this provider's total Medicaid revenue. The three top codes are T1005 ($7.7M, 45.5%), T2017 ($2.4M, 14.3%), and S5150 ($2M, 11.9%), so most dollars come from respite and residential habilitation-related services rather than a broad mix of fee-for-service clinical procedures.

The code mix and descriptions point to an operational focus on long‑term supports and home/community‑based services rather than traditional outpatient rehab procedures. High volumes of T1005 (respite care services), S5150 (unskilled respite care per 15 minutes), and S5151/S9125 (per diem respite) alongside T2017 (habilitation, residential, waiver) indicate the provider delivers substantial respite and residential habilitation under waiver programs and likely participates heavily in in‑home and residential support models.

T2017 is a clear statewide outlier and the provider’s signature program: it ranks #1 of 29 providers in-state at the 100th percentile and is labeled an "extreme outlier, far above typical state volume for this code." That position suggests MCFI FISCAL AGENT is the dominant in‑state provider for residential habilitation under waiver authority and likely operates at a scale or with a case mix materially different from peers.

MCFI also shows strong statewide placement on T1005 and S5150 but with different competitive interpretations: T1005 (rank #2 of 22, 95th percentile) is very high volume but described as "typical, unremarkable volume" for that code despite ranking near the top, while S5150 (rank #4 of 27, 88th percentile) is high but within a range characterized as typical. Together these ranks indicate the provider is a major player for respite and support services statewide but not universally dominant across every respite code.

The provider’s service mix includes administrative/support functions tied to self‑directed programs—T2040 (financial management, self-directed, waiver) appears with $750.8K in revenue and a mid-state rank (5 of 9, 50th percentile). Presence of T2040 alongside attendant care codes (S5125) and miscellaneous home‑visit codes (99600, 99509) reinforces that MCFI FISCAL AGENT operates both direct care/respite delivery and program management for waiver/self‑directed enrollees.

From a risk and business development perspective, the heavy dependence on a few waiver/respite codes creates revenue concentration risk if state policy or reimbursement for those codes changes. Although the portfolio includes many smaller codes (for example, 99499, 99509, T2027), none approach the revenue share of the top three codes, so strategic shifts or audits affecting waiver/respite billing would have outsized financial impact.

The organization’s NPI tenure (enumerated 2007-08-10, ~19 years ago) signals long-standing participation in the state Medicaid ecosystem, which may help explain its large role in residential habilitation and respite services. That longevity combined with top statewide ranks for T2017 and T1005 implies established payer relationships and operational capacity in waiver and respite program administration.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1005	Respite care services, up to 15 minutes	111,760	$70	$7.7M
T2017	Habilitation, residential, waiver; 15 minutes	36,640	$70	$2.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	26,600	$80	$2M
S5151	Unskilled respite care, not hospice; per diem	7,290	$230	$1.6M
S9125	Respite care, in the home, per diem	7,280	$200	$1.4M
T2040	Financial management, self-directed, waiver; per 15 minutes	15,320	$50	$750.8K
S5125	Attendant care services; per 15 minutes	4,350	$90	$387.3K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	3,790	$40	$155.6K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1,010	$120	$116.3K
T2027	Specialized childcare, waiver; per 15 minutes	1,710	$70	$112.7K

Showing 1–10 of 13

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

Mcfi Fiscal Agent — 2 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1005	Respite care services, up to 15 minutes	2	20	4,180	$90	$3.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	4	30	2,010	$90	$2.1M
S9125	Respite care, in the home, per diem	5	10	1,400	$240	$1.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	5	10	15,320	$60	$1.5M
S5151	Unskilled respite care, not hospice; per diem	2	20	2,030	$280	$1.1M
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	23	30	2,580	$90	$784K
T2017	Habilitation, residential, waiver; 15 minutes	1	30	820	$110	$605.6K
T2027	Specialized childcare, waiver; per 15 minutes	4	10	4,210	$60	$518.7K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	16	30	1,050	$100	$359.1K
S5125	Attendant care services; per 15 minutes	225	300	15,060	$10	$325.4K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Mcfi Fiscal Agent, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Salim Torania	WI	Infectious Disease Physician	$130.6K	$67.3K

Mcfi Fiscal Agent — Billing Profile & Reimbursement Data

Sign up for Mcfi Fiscal Agent — Billing Profile & Reimbursement Data policy alerts

Mcfi Fiscal Agent — Billing Profile & Reimbursement Data

Sign up for Mcfi Fiscal Agent — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References