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.

Mchs Hospitals Inc (NPI 1316416035)

Mchs Hospitals Inc is a clinic/center provider located in Eau Claire, Wisconsin. This profile covers 0 Medicare and 143 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Mchs Hospitals Inc
Address	2310 Craig Rd
City	Eau Claire
State	WI
ZIP	54701
Taxonomy	Clinic/Center
NPI Enumerated	November 26, 2018

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

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

143 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	43,850	$30	$1.4M
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…	22,890	$20	$503.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	6,070	$40	$230.8K
99203	The provider sees a new 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 provider…	3,350	$40	$147.3K
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…	2,980	$40	$125.3K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	570	$200	$113K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3,430	$30	$106.3K
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…	2,180	$50	$98.2K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	3,810	$30	$95.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,700	$50	$76.6K

Showing 1–10 of 143

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

Mchs Hospitals Inc — 4 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

143 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	148	360	1,550	$70	$614.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	138	430	760	$60	$484.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	152	190	1,790	$90	$390.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	109	330	1,350	$60	$338K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	22	30	1,050	$70	$320.9K
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.	243	260	3,590	$20	$232.2K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	154	220	1,140	$70	$213.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	167	220	980	$80	$210.3K
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…	35	1,630	270	$40	$205.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	59	120	400	$180	$186.8K

Showing 1–10 of 143

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Hospice LLC	WI	Community Based Hospice Care Agency	$0	$25.2M
Steven Kristo	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.9M
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	Multi-Specialty Clinic/Center	$0	$7.5M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$229.3K	$5.6M
Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis	WI	General Acute Care Hospital	$0	$5.7M
Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St Francis	WI	Family Medicine Physician	$0	$4.6M
Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.	WI	Substance Abuse Rehabilitation Facility	$0	$3.9M
Dedra Davis-wallace	WI	Pediatric Dentistry	$0	$3.6M
Caillier Clinic Ltd	WI	Clinical Neuropsychologist	$0	$3.1M
Katherine Gleason	WI	Behavior Analyst	$0	$3M

Mchs Hospitals Inc — Billing Profile & Reimbursement Data

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Mchs Hospitals Inc — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mchs Hospitals Inc	WI	Rural Acute Care Hospital	$0	$45.3M
Family Health Center Of Marshfield Inc	WI	Dental Clinic/Center	$0	$20.4M
Marshfield Clinic Inc	WI	Clinic/Center	$526.8K	$19.6M
Mchs Hospitals Inc	WI	General Acute Care Hospital	$0	$12.4M
Mchs Hospitals Inc	WI	Clinic/Center	$0	$11.8M
Lakeview Medical Center Inc Of Rice Lake	WI	Rural Acute Care Hospital	$0	$10M
Mchs Hospitals Inc	WI	Critical Access Hospital	$0	$7.4M
Flambeau Hospital Inc	WI	Critical Access Hospital	$0	$7M
Mchs Hospitals Inc	WI	General Acute Care Hospital	$0	$6.4M
Mchs Hospitals Inc	WI	Rural Acute Care Hospital	$0	$2.9M