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    OpenPayerNPI Medicare & MedicaidWisconsin Institute Of Surgical Excellence LLC
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    Wisconsin Institute Of Surgical Excellence LLC — Billing Profile & Reimbursement Data

    NPI 1447768411 · Neenah, WI · Ambulatory Surgical Clinic/Center

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    Wisconsin Institute Of Surgical Excellence LLC is a ambulatory surgical clinic/center provider located in Neenah, Wisconsin. This profile covers 12 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWisconsin Institute Of Surgical Excellence LLC
    Address1265 W American Dr Ste 200
    CityNeenah
    StateWI
    ZIP54956
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 12, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$372K
    Medicaid$60.1K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…470$200$91.5K
    55700Code deleted December 31, 2025.120$620$72.4K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$1,670$51.6K
    52332The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$800$27.2K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…40$620$25K
    J0585Injection, onabotulinumtoxina, 1 unit4,950$10$24.8K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…40$630$22.6K
    52234The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…20$1,130$17K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.20$900$15.2K
    52351The provider performs a diagnostic cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the…10$1,130$13.6K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058546607,900$1$53.1K
    5235111010$1,130$13.6K
    5059031020$480$9.6K
    52000116070$120$8.8K
    5235696020$410$8.7K
    5220411010$620$8K
    5228793030$210$7K
    5223411010$320$4.5K
    5570017020$170$4K
    5231035020$190$4K

    Showing 1–10 of 12

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…450$140$60.1K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…31070$250$96.5K

    Nearby Providers

    Other providers in the same ZIP code as Wisconsin Institute Of Surgical Excellence LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thedacare Regional Medical Center-neenah, Inc.WIGeneral Acute Care Hospital$0$18.3M
    Ascension Medical Group-fox Valley Wisconsin, IncWIMulti-Specialty Clinic/Center$0$13.4M
    The Neuroscience Group Of Northeast Wisconsin ScWINeurological Surgery Physician$0$3.9M
    Children's Hospital Of Wisconsin, Inc.WIChildren's Hospital$0$3.4M
    Radiology Associates Of The Fox Valley, ScWIDiagnostic Radiology Physician$0$2.1M
    Bio-medical Applications Of Wisconsin, Inc.WIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.9M
    Khalid KahookWIRetina Specialist (Ophthalmology) Physician$1.8M$390
    Neenah Joint School DistrictWILocal Education Agency (LEA)$0$1.6M
    Ministry Home Care, LLC.WICommunity Based Hospice Care Agency$0$1.5M
    Fox Valley Emergency Medicine S.c.WIEmergency Medicine Physician$0$1.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Wisconsin Institute Of Surgical Excellence LLC — 3 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Wisconsin Institute Of Surgical Excellence LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin