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.

Baby And Me Prenatal Care Coordination LLC (NPI 1376099705)

Field	Value
Entity Type	Organization
Organization	Baby And Me Prenatal Care Coordination LLC
Address	1922 N 37th St
City	Milwaukee
State	WI
ZIP	53208
Taxonomy	Case Management Agency
NPI Enumerated	August 26, 2016

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	58,870	$70	$3.8M

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

Baby And Me Prenatal Care Coordination LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	26	220	7,110	$70	$1.7M

Nearby Providers

Other providers in the same ZIP code as Baby And Me Prenatal Care Coordination LLC, 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
True Dental LLC	WI	Dentist	$0	$1.8M
Baylon Family Physicians, Ltd.	WI	Pediatrics Physician	$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

Baby And Me Prenatal Care Coordination LLC — Billing Profile & Reimbursement Data

Sign up for Baby And Me Prenatal Care Coordination LLC — Billing Profile & Reimbursement Data policy alerts

Baby And Me Prenatal Care Coordination LLC — Billing Profile & Reimbursement Data

Sign up for Baby And Me Prenatal Care Coordination LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References