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.

Lakeland Care Inc (NPI 1366563314)

Field	Value
Entity Type	Organization
Organization	Lakeland Care Inc
Address	N6654 Rolling Meadows Dr
City	Fond Du Lac
State	WI
ZIP	54937
Taxonomy	Exclusive Provider Organization
NPI Enumerated	April 3, 2007

Payer Source	Total Paid
Medicaid	$24.7M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused operation: it has no Medicare billing on file and reports total Medicaid revenue of $24.7M, so all available payer-scale analysis should be interpreted through a Medicaid-only lens. The absence of Medicare activity means competitive and utilization dynamics must be assessed against Medicaid peers rather than mixed-payer benchmarks.

Revenue is extremely concentrated in a single service line: the top three Medicaid codes account for 99.9% of this provider’s Medicaid revenue, with T1017 alone generating $23.9M (96.9% of Medicaid revenue). Such concentration indicates the organization’s financial performance is highly dependent on reimbursement and utilization policies tied to that one code.

The provider’s code mix identifies its primary business as targeted case management with ancillary non-emergency transportation services. T1017 (Targeted case management) shows 90.9K claims with an average paid/claim of $263 and $23.9M in revenue, while transportation codes T2003 (1.2K claims, $321 avg paid/claim, $387.8K revenue) and A0110 (4.2K claims, $82 avg paid/claim, $340.7K revenue) represent secondary revenue streams that support the core case-management activity. This pattern is consistent with organizations that deliver ongoing care coordination and provide or arrange transport for enrollees.

Competitive standing for the dominant code is strong by rank but characterized as typical by the dataset: T1017 ranks #4 of 87 providers in-state (97th percentile; typical, unremarkable volume for this code), indicating the provider is among the higher-volume in-state billers of targeted case management, yet the accompanying label suggests this level of activity is not an extreme statistical outlier within that service category. By contrast, T2003 ranks #180 of 260 (31th percentile; typical, unremarkable volume for this code), signaling a modest presence in the non-emergency trip market, and A0110 ranks #2 of 4 (67th percentile; typical, unremarkable volume for this code) reflecting limited statewide competition for that specific transport billing pathway.

Operational and financial risk is elevated by the near-monopoly of a single code: with T1017 comprising 96.9% of Medicaid revenue and the top three codes accounting for 99.9%, changes to program rules, documentation requirements, or utilization of targeted case management would disproportionately affect this provider’s revenue. Diversification appears limited; the transportation codes collectively represent only a small share of total revenue and would not fully mitigate adverse shifts in case management reimbursement.

The provider is an established entity with an NPI enumeration date of 2007-04-03 (~19 years ago), suggesting long-standing participation in Medicaid programs and likely operational experience in delivering case management and related services. This tenure may support stability in payer contracting and program integration but does not reduce the concentration risk tied to a single dominant code.

Several minor codes are present but immaterial to the revenue base: S0215 (mileage) generates $24.5K (0.1% of Medicaid revenue) and A0170 (parking/tolls/ancillary) generates $124 (0.0% of Medicaid revenue); A0170 is listed as rank #1 of 1 (0th percentile; no state peer volume comparison available), indicating that some ancillary billing pathways exist but contribute negligible revenue. These low-dollar lines are operationally relevant for service delivery logistics but do not alter the provider’s core Medicaid dependency on targeted case management.

Average paid-per-claim differences suggest transportation events pay more per encounter but occur at far lower volume than case management: T2003 has a $321 avg paid/claim versus $263 for T1017 and $82 for A0110, yet T1017’s claim volume (90.9K) drives the overall revenue profile. For analysts evaluating contract terms or utilization levers, this indicates opportunities and limits—transportation may command higher unit payments, but scaling it to materially affect total revenue would require substantial increases in trips or alternative billing strategies.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	90,890	$260	$23.9M
T2003	Non-emergency transportation; encounter/trip	1,210	$320	$387.8K
A0110	Non-emergency transportation and bus, intra or inter state carrier	4,160	$80	$340.7K
S0215	Non-emergency transportation; mileage, per mile	420	$60	$24.5K
A0170	Transportation ancillary: parking fees, tolls, other	60	$1	$120

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

Lakeland Care Inc — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	4	90	3,130	$100	$2M
A0110	Non-emergency transportation and bus, intra or inter state carrier	2	10	3,740	$80	$240.5K
T2003	Non-emergency transportation; encounter/trip	180	260	4,280	$10	$153.2K
S0215	Non-emergency transportation; mileage, per mile	77	200	280	$40	$39K
A0170	Transportation ancillary: parking fees, tolls, other	1	10	60	$1	$140

Nearby Providers

Other providers in the same ZIP code as Lakeland Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Agnesian Healthcare, Inc	WI	Community Based Hospice Care Agency	$0	$8.8M
In Home Health LLC	WI	Community Based Hospice Care Agency	$0	$2.6M
Steven Sandstrom	WI	Neurology Physician	$27.7K	$0
Amy Gumieny	WI	Nurse Practitioner	$10.8K	$0

Lakeland Care Inc — Billing Profile & Reimbursement Data

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Lakeland Care Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References