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.

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1356391247)

Field	Value
Entity Type	Organization
Organization	Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
Address	2251 N Shore Dr
City	Rhinelander
State	WI
ZIP	54501
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$10.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

274 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…	26,270	$40	$945.8K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	7,530	$110	$835.6K
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.	15,740	$40	$645.5K
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.	13,610	$40	$530.6K
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…	14,690	$40	$514.3K
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.	9,550	$50	$496.5K
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.	26,940	$20	$458K
99001	The provider prepares a specimen collected from a patient at a location other than the provider’s office and sends it to an outside laboratory for analysis.	13,280	$30	$411.8K
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.	5,190	$60	$290.7K
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.	4,790	$50	$244.3K

Showing 1–10 of 274

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

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. — 3 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

274 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	35	140	3,200	$160	$1.1M
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.	84	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.	54	430	760	$60	$484.6K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	19	20	320	$60	$483K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	10	20	340	$90	$462K
J0585	Injection, onabotulinumtoxina, 1 unit	27	30	550	$240	$428.8K
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.	57	190	1,790	$90	$390.9K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	110	170	690	$150	$372.4K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	38	140	2,200	$90	$358.4K
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.	35	330	1,350	$60	$338K

Showing 1–10 of 274

Related Providers

Other providers that share a Tax Identification Number (TIN) with Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Ascension Medical Group-southeast Wisconsin Inc	WI	Internal Medicine Physician	$0	$44.8M
Sacred Heart Health System, Inc.	FL	General Acute Care Hospital	$0	$38.5M
Ascension Ne Wisconsin, Inc	WI	General Acute Care Hospital	$0	$19.9M
Aspirus Stevens Point Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$15.6M
Ascension Medical Group-fox Valley Wisconsin, Inc	WI	Multi-Specialty Clinic/Center	$0	$13.4M
Sacred Heart Health System, Inc.	FL	Family Medicine Physician	$0	$12.3M
Aspirus Riverview Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.9M
Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis	WI	General Acute Care Hospital	$0	$5.7M
Aspirus Stanley Hospital & Clinics, Inc.	WI	Critical Access Hospital	$0	$4.8M

Nearby Providers

Other providers in the same ZIP code as Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Human Service Center	WI	Case Management Agency	$0	$10M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$2.7M
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.	WI	General Practice Physician	$0	$1.7M
The Human Service Center	WI	Community/Behavioral Health Agency	$0	$1.5M
Oneida County	WI	Preventive Medicine/Occupational Environmental Medicine Physician	$240.2K	$727.1K
Robert Aylesworth	WI	Dermatology Physician	$344.9K	$0
City Of Rhinelander	WI	Land Ambulance	$146.5K	$171K
Anthony Rutkowski	WI	Diagnostic Radiology Physician	$117.2K	$30
Steven Brown	WI	Diagnostic Radiology Physician	$96.8K	$70
Kent Lowry	WI	Orthopaedic Surgery Physician	$79.2K	$0

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. — Billing Profile & Reimbursement Data

Sign up for Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. — Billing Profile & Reimbursement Data policy alerts

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. — Billing Profile & Reimbursement Data

Sign up for Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References