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.

Surgicenter Of Greater Milwaukee, LLC (NPI 1447355243)

Field	Value
Entity Type	Organization
Organization	Surgicenter Of Greater Milwaukee, LLC
Address	3223 S 103rd St
City	Milwaukee
State	WI
ZIP	53227
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 14, 2006

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3,420	$600	$2M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	3,650	$470	$1.7M
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	450	$710	$320.4K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	320	$480	$155K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	100	$980	$99.2K
67311	The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…	80	$590	$49.6K
49591	The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of less than 3 cm. The hernias are reducible, or able to be pushed back inside…	60	$790	$48K
54640	The provider performs an orchiopexy using an inguinal and/or scrotal approach to move a patient's undescended testicle(s) into the scrotum.	20	$530	$9.5K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	10	$20	$220
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	50	$1	$140

Showing 1–10 of 13

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

Surgicenter Of Greater Milwaukee, LLC — 3 of 10 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	29	30	550	$240	$428.8K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3	40	150	$530	$381.9K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1	20	50	$400	$216.3K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	2	10	40	$620	$168.1K
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	11	20	180	$120	$153.6K
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	1	10	50	$680	$119.5K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	13	10	550	$80	$105.8K
49591	The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of less than 3 cm. The hernias are reducible, or able to be pushed back inside…	1	10	60	$790	$48K
67311	The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…	1	10	50	$610	$29.2K
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	2	10	40	$350	$25.9K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Surgicenter Of Greater Milwaukee, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A2cl Services, LLC	WI	Clinical Medical Laboratory	$19M	$98.7M
West Allis Memorial Hospital, Inc.	WI	General Acute Care Hospital	$0	$23.3M
Visiting Nurse Association Of Wisconsin, Inc.	WI	Home Infusion Therapy Pharmacy	$0	$21.3M
Visiting Nurse Association Of Wisconsin, Inc.	WI	Home Health Agency	$0	$15.4M
Premier Care Of Wisconsin, LLC.	WI	Methadone Clinic	$204.8K	$11.2M
Great Lakes Pathologists Sc	WI	Anatomic Pathology & Clinical Pathology Physician	$0	$6.4M
Samer Dola	WI	Hematology (Pathology) Physician	$103.3K	$5.8M
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$5.2M
Atlas Healthcare, Inc	WI	Home Health Agency	$0	$4.5M
West Allis School District	WI	Local Education Agency (LEA)	$0	$4.3M

Surgicenter Of Greater Milwaukee, LLC — Billing Profile & Reimbursement Data

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Surgicenter Of Greater Milwaukee, LLC — 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