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.

Baylon Family Physicians, Ltd. (NPI 1346257185)

Field	Value
Entity Type	Organization
Organization	Baylon Family Physicians, Ltd.
Address	756 N 35th St
City	Milwaukee
State	WI
ZIP	53208
Taxonomy	Pediatrics Physician
NPI Enumerated	August 2, 2006

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

64 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	18,030	$40	$721.3K
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…	6,150	$60	$362.9K
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…	2,750	$60	$165.1K
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…	2,160	$60	$125.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,050	$60	$125.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	870	$60	$52.4K
3008F	No Summary found for this code	4,670	$10	$42K
99188	The provider applies a fluoride adhesive over the tooth surface to prevent tooth decay, provide remineralization, or treat hypersensitivity.	2,080	$10	$27K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	2,680	$10	$21.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	270	$60	$15.1K

Showing 1–10 of 64

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

Baylon Family Physicians, Ltd. — 2 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

64 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	177	1,630	270	$40	$205.3K
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…	75	1,760	250	$40	$173.2K
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…	39	190	370	$60	$107.4K
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…	37	210	340	$60	$98.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	271	690	160	$60	$90.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	33	200	200	$60	$64.2K
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…	335	440	90	$50	$41K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	18	70	90	$50	$40.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	29	150	110	$60	$38.6K
92552	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.	5	20	50	$20	$35.6K

Showing 1–10 of 64

Nearby Providers

Other providers in the same ZIP code as Baylon Family Physicians, Ltd., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Procare Medical Group Sc	WI	Multi-Specialty Clinic/Center	$0	$25.1M
Progressive Community Health Centers, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$7.7M
Dva Renal Healthcare Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.3M
Milwaukee Public Schools	WI	Speech-Language Pathologist	$0	$4.5M
Wisconsin Community Services Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.1M
Baby And Me Prenatal Care Coordination LLC	WI	Case Management Agency	$0	$3.8M
True Dental LLC	WI	Dentist	$0	$1.8M
Helen Jurgensen	WI	Clinical Social Worker	$45.5K	$105.2K
Courtney Lamm	WI	Primary Care Nurse Practitioner	$144K	$0
Ramneet Bhathal	WI	Family Medicine Physician	$106K	$0

Baylon Family Physicians, Ltd. — Billing Profile & Reimbursement Data

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Baylon Family Physicians, Ltd. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References