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.

Arbor Mental Health Center (NPI 1366065351)

Field	Value
Entity Type	Organization
Organization	Arbor Mental Health Center
Address	500 N 3rd St Ste 22o
City	Wausau
State	WI
ZIP	54403
Taxonomy	Clinical Psychologist
NPI Enumerated	May 25, 2020

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	7,860	$440	$3.4M
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	7,870	$90	$716.4K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1,360	$400	$550.2K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	2,850	$80	$239.6K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1,370	$90	$117.5K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	2,830	$30	$87.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	840	$90	$75.6K

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

Arbor Mental Health Center — 4 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	1	20	120	$280	$206.1K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	3	30	130	$120	$65.4K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	1	30	90	$90	$58.2K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	3	30	110	$70	$38.5K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	1	30	80	$70	$30.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	40	370	60	$60	$21.5K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	2	30	100	$40	$18.5K

Nearby Providers

Other providers in the same ZIP code as Arbor Mental Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Human Services Board Serving North Central Heatlh Care Facility	WI	Multi-Specialty Clinic/Center	$0	$74.1M
Primary Connection Health Care, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$11.5M
Human Services Board Serving North Central Health Care Facility	WI	Multi-Specialty Clinic/Center	$0	$9.4M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$110.8K	$8.7M
Marathon County	WI	Public Health or Welfare Agency	$0	$6M
Deepak Sambhara	WI	Ophthalmology Physician	$4.3M	$0
Human Services Board Serving North Central Heatlh Care Facility	WI	Multi-Specialty Clinic/Center	$0	$3.2M
Wausau School District	WI	Local Education Agency (LEA)	$0	$2.8M
City Of Wausau	WI	Land Ambulance	$397K	$1.8M
Milwaukee Health Services System, LLC	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.6M

Arbor Mental Health Center — Billing Profile & Reimbursement Data

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Arbor Mental Health Center — 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