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NPI 1316218167 · Fort Atkinson, WI · Interventional Pain Medicine Physician
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Pain Centers Of Wisconsin - Fort Atkinson, LLC is a interventional pain medicine physician provider located in Fort Atkinson, Wisconsin. This profile covers 8 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Pain Centers Of Wisconsin - Fort Atkinson, LLC |
| Address | 1604 Madison Ave |
| City | Fort Atkinson |
| State | WI |
| ZIP | 53538 |
| Taxonomy | Interventional Pain Medicine Physician |
| NPI Enumerated | January 25, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $101.7K |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 130 | $260 | $33.4K |
| 64635 | Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue. | 60 | $510 | $29.3K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 70 | $260 | $18K |
| 64490 | The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging… | 40 | $250 | $9.8K |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 20 | $200 | $4.3K |
| 64454 | The provider injects an anesthetic agent and/or a steroid into branches of the genicular nerves that supply the knee joint; imaging guidance is included, if performed, so should not be reported… | 30 | $120 | $3.7K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 10 | $240 | $2.9K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 20 | $20 | $260 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 40 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Wisconsin median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer… | 29 | 40 | 130 | $0 | $0 |
Other providers in the same ZIP code as Pain Centers Of Wisconsin - Fort Atkinson, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Fort Healthcare, Inc. | WI | General Acute Care Hospital | $0 | $9.4M |
| School District Of Fort Atkinson | WI | Local Education Agency (LEA) | $0 | $1.5M |
| Rock River Community Clinic, Inc | WI | Federally Qualified Health Center (FQHC) | $0 | $1.5M |
| Fort Healthcare Inc | WI | Rural Health Clinic/Center | $0 | $1.4M |
| Opportunities, Inc. Of Jefferson County | WI | Developmentally Disabled Services Day Training Agency | $0 | $1.3M |
| City Of Fort Atkinson | WI | Land Ambulance | $166.1K | $87.7K |
| Walgreen Co | WI | Pharmacy | $175.2K | $27K |
| Catherine Lee | WI | Ophthalmology Physician | $194.9K | $0 |
| Paul Schuppner | WI | Orthopaedic Surgery Physician | $96.1K | $0 |
| Matthew Bliss | WI | Orthopaedic Hand Surgery Physician | $74.9K | $0 |
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