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 Ne Wisconsin, Inc (NPI 1407803638)

Key Findings

Field	Value
Entity Type	Organization
Organization	Ascension Ne Wisconsin, Inc
Address	1506 S Oneida St
City	Appleton
State	WI
ZIP	54915
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

This provider effectively operates as a Medicaid-focused facility: there is no Medicare billing on file while total Medicaid revenue is $19.9M, so the provider’s observable revenue stream in the dataset is concentrated in Medicaid. That single-payer footprint suggests analyses of financial exposure and contracting should focus on Medicaid reimbursement trends rather than Medicare mix.

Revenue concentration is notable: the precomputed top-3 Medicaid codes by revenue account for 39.3% of this provider's total Medicaid revenue. The top three codes are 99283 ($2M, 14.9%), 96361 ($1.9M, 14.3%), and 99284 ($1.4M, 10.2%), indicating a small number of high-volume services produce a large share of Medicaid dollars.

The code mix points to a hospital operating significant emergency and infusion services. High revenues and volumes for emergency E/M codes 99283, 99284, and 99285 ($1.1M, 8.2%) together with infusion/IV codes 96361, 96360, and 96365 indicate frequent ED presentations with IV fluid/medication administration and substantial throughput through ED/infusion workflows. The presence of G0378 (hospital observation service, $419.2K, 3.1%) supports the conclusion that observation stays are also part of the acute-care continuum.

Laboratory and diagnostic testing are material ancillary revenue lines: comprehensive panels 80053 ($972.6K, 7.3%), automated CBC/G0306 ($205.4K) and point-prevalent testing codes such as U0003 ($272.4K) for SARS-CoV-2, 87502 influenza ($337.4K), and 87491 chlamydia ($319.6K) are all in the top revenue list. The provider’s test mix suggests in-house diagnostics and infectious disease testing are significant operational components that support ED and ambulatory workflows.

Statewide competitive standing is elevated but characterized as typical volume for many leading codes: 99283 ranks #25 of 362 providers in-state (93th percentile; typical, unremarkable volume), 96361 ranks #10 of 135 (93th percentile; typical, unremarkable volume), and 99284 ranks #28 of 432 (94th percentile; typical, unremarkable volume). These placements indicate the hospital is among higher-volume in-state providers for these services while still within the dataset’s typical range rather than being a dominant statewide outlier.

There are a few statistical outliers in the lab screening profile that merit attention: 80306 (presumptive drug test) is listed as an extreme outlier, far above typical state volume for this code (rank #2 of 105, 99th percentile), and G0306 (complete CBC automated) is ranked #1 of 4 providers in-state (100th percentile). Such outlier status for substance-use screening and automated hematology testing could reflect local practice patterns, contractual relationships, or patient population needs and should be investigated further by analysts.

The presence of higher-acuity ED coding alongside observation services signals a mix of acute and intermediate care: 99285 ($1.1M, 8.2%) ranks #18 of 331 (95th percentile; typical, unremarkable volume) and G0378 supports observation throughput. This combination indicates the facility manages both high-acuity ED cases and short-term observation stays rather than only low-acuity ambulatory care.

The provider has an established operational history with its NPI enumerated on 2006-05-31 (~20 years ago), which supports interpreting current billing patterns as the output of a longstanding service footprint rather than a recently launched operation; tenure strengthens the plausibility of stable ED, observation, and laboratory service lines evident in the Medicaid billing data.

Medicaid: Complete Services Breakdown

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

342 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.	31,170	$60	$2M
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.	17,870	$110	$1.9M
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.	26,290	$50	$1.4M
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.	24,440	$50	$1.1M
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.	54,030	$20	$972.6K
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.	7,010	$70	$504.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7,340	$60	$462.5K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	6,140	$70	$448.1K
G0378	Hospital observation service, per hour	8,060	$50	$419.2K
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.	6,410	$60	$390.9K

Showing 1–10 of 342

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 Ne Wisconsin, Inc — 2 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

342 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	22	50	8,810	$110	$2.2M
J9271	Injection, pembrolizumab, 1 mg	5	10	200	$1,270	$1.4M
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.	10	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.	25	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.	28	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…	8	20	320	$60	$483K
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.	32	190	1,790	$90	$390.9K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	28	40	150	$530	$381.9K
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.	20	140	2,200	$90	$358.4K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	8	10	40	$570	$357.5K

Showing 1–10 of 342

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension Medical Group-southeast Wisconsin Inc	WI	Internal Medicine Physician	$0	$44.8M
Aspirus Stevens Point Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$15.6M
Ascension Medical Group-fox Valley Wisconsin, Inc	WI	Multi-Specialty Clinic/Center	$0	$13.4M
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.2M
Ascension Ne Wisconsin, Inc	WI	General Acute Care Hospital	$0	$4.3M
Ascension Calumet Hospital, Inc	WI	Critical Access Hospital	$0	$3.8M
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thedacare, Incorporated	WI	Community Based Hospice Care Agency	$0	$8.3M
Thedacare, Incorporated	WI	Durable Medical Equipment & Medical Supplies	$0	$7.4M
Christian Servants Home Care, LLC.	WI	In Home Supportive Care Agency	$0	$2.1M
Alejandro Garcia	WI	Sports Medicine (Family Medicine) Physician	$138.4K	$0
Dustin Riddle	WI	Foot & Ankle Surgery Podiatrist	$78.1K	$0
Aditya Rangbulla	WI	Internal Medicine Physician	$76.8K	$0
John Leschke	WI	Neurological Surgery Physician	$59.2K	$0
Jennifer Steinhoff	WI	Family Medicine Physician	$36.2K	$0
Madhavi Reddy Cherukula	WI	Internal Medicine Physician	$34.6K	$0
Abisoye Adebayo	WI	Geriatric Medicine (Family Medicine) Physician	$29.7K	$0

Ascension Ne Wisconsin, Inc — Billing Profile & Reimbursement Data

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Ascension Ne Wisconsin, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References