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.

Ascension Calumet Hospital, Inc (NPI 1376541748)

Ascension Calumet Hospital, Inc is a critical access hospital provider located in Chilton, Wisconsin. This profile covers 0 Medicare and 85 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Ascension Calumet Hospital, Inc
Address	614 Memorial Dr
City	Chilton
State	WI
ZIP	53014
Taxonomy	Critical Access Hospital
NPI Enumerated	July 11, 2005

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

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

85 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	6,590	$160	$1M
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.	4,790	$130	$599K
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…	11,670	$40	$420.1K
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.	2,890	$140	$416.7K
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.	920	$330	$303K
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…	6,630	$40	$272K
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.	860	$140	$118.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,240	$50	$64.7K
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.	6,250	$10	$56.3K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	1,630	$20	$35.9K

Showing 1–10 of 85

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

Ascension Calumet Hospital, Inc — 0 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

85 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.	111	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.	113	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.	124	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…	17	20	320	$60	$483K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	120	150	450	$150	$480.6K
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.	121	190	1,790	$90	$390.9K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	114	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.	123	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.	121	330	1,350	$60	$338K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	93	170	720	$70	$272.7K

Showing 1–10 of 85

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension Ne Wisconsin, Inc	WI	General Acute Care Hospital	$0	$19.9M
Carrie Chapman	WI	Cardiovascular Disease Physician	$432.8K	$0
Patrick Mannebach	WI	Cardiovascular Disease Physician	$373.8K	$0
Simon Roselaar	WI	Cardiovascular Disease Physician	$328.7K	$0
Matthew Valente	MT	Emergency Medicine Physician	$34.8K	$289.5K
Michele Holder	WI	Dermatology Physician	$153.7K	$0
Charles Kutler	NY	Infectious Disease Physician	$101.4K	$6.2K
Robert Wilson	WI	Cardiovascular Disease Physician	$105.9K	$0
Douglas Mielke	WI	Interventional Cardiology Physician	$101.8K	$0
Aditya Rangbulla	WI	Internal Medicine Physician	$76.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Calumet County	WI	Case Management Agency	$0	$4.1M
Calumet County	WI	Community/Behavioral Health Agency	$0	$2.8M
Jane Pleshek	WI	Nurse Practitioner	$112.5K	$10.5K
Peter Janu	WI	Surgery Physician	$42.6K	$0

Ascension Calumet Hospital, Inc — Billing Profile & Reimbursement Data

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Ascension Calumet Hospital, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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