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.

Premier Care Of Wisconsin, LLC. (NPI 1356951321)

Field	Value
Entity Type	Organization
Organization	Premier Care Of Wisconsin, LLC.
Address	1333 College Ave Ste M1
City	South Milwaukee
State	WI
ZIP	53172
Taxonomy	Methadone Clinic
NPI Enumerated	August 5, 2020

Payer Source	Total Paid
Medicaid	$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.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	164,850	$10	$1.3M
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	10,250	$50	$522.5K
H0022	Alcohol and/or drug intervention service (planned facilitation)	6,100	$30	$195.1K
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	270	$10	$1.4K
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.	520	$1	$1K
98966	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	80	$10	$420

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

Premier Care Of Wisconsin, LLC. — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	15	100	150	$60	$657.7K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	14	240	380	$10	$397.8K
H0022	Alcohol and/or drug intervention service (planned facilitation)	25	190	400	$30	$140.3K
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.	25	50	740	$10	$20.7K
98966	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	12	20	670	$10	$6.2K
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	18	50	200	$10	$2.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Premier Care Of Wisconsin, LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premier Care Of Wisconsin, LLC.	WI	Methadone Clinic	$204.8K	$11.2M
Premier Care Of Wisconsin, LLC.	WI	Methadone Clinic	$0	$4.8M

Nearby Providers

Other providers in the same ZIP code as Premier Care Of Wisconsin, LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of South Milwaukee	WI	Land Ambulance	$140.6K	$595.9K
Lindsey Mena	WI	Nurse Practitioner	$107.5K	$0
Megan Sheets	WI	Physical Therapist	$92.1K	$0
Cindy Treat	WI	Occupational Therapist	$24K	$0
Patrick Foss	WI	Family Medicine Physician	$18.9K	$0

Premier Care Of Wisconsin, LLC. — Billing Profile & Reimbursement Data

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Premier Care Of Wisconsin, LLC. — Billing Profile & Reimbursement Data

Sign up for Premier Care Of Wisconsin, LLC. — 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