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.

Primary Connection Health Care, Inc. (NPI 1457370744)

Field	Value
Entity Type	Organization
Organization	Primary Connection Health Care, Inc.
Address	181 N 2nd Street
City	Wausau
State	WI
ZIP	54403
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	46,660	$230	$10.9M
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…	4,870	$30	$126.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,270	$40	$93.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,840	$30	$85.1K
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…	2,400	$30	$60.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	15,070	$1	$30.1K
D0210	Intraoral - complete series of radiographic images	5,350	$1	$21.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	4,090	$1	$16.3K
99204	The provider sees a new 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 provider…	150	$90	$13.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	10,730	$1	$10.7K

Showing 1–10 of 63

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

Primary Connection Health Care, Inc. — 1 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

63 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	8	60	4,880	$230	$4.9M
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.	179	260	3,590	$20	$232.2K
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…	344	1,630	270	$40	$205.3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	111	120	490	$100	$179.5K
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…	240	1,760	250	$40	$173.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	174	900	410	$70	$130.4K
D2392	Post 2 surface resin‑based composite	69	270	510	$60	$123.3K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	178	220	2,770	$20	$120.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	33	220	430	$50	$111.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	160	790	400	$40	$109.6K

Showing 1–10 of 63

Related Providers

Other providers that share a Tax Identification Number (TIN) with Primary Connection Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Deepak Sambhara	WI	Ophthalmology Physician	$4.3M	$0
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
David Filsoof	CA	Cardiovascular Disease Physician	$1.3M	$0
Mckenzie County Healthcare Systems Inc	ND	Critical Access Hospital	$0	$1.2M
Mathew Aschbrenner	WI	Ophthalmology Physician	$919.8K	$0
Ammar Taha	WI	Diagnostic Radiology Physician	$410.5K	$380K
Sean Whalen	NY	Nuclear Medicine Physician	$555.5K	$0
Maxwell Wingelaar	WI	Ophthalmology Physician	$446.8K	$0
Robert Aylesworth	WI	Dermatology Physician	$344.9K	$0

Nearby Providers

Other providers in the same ZIP code as Primary Connection Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Human Services Board Serving North Central Heatlh Care Facility	WI	Multi-Specialty Clinic/Center	$0	$74.1M
Human Services Board Serving North Central Health Care Facility	WI	Multi-Specialty Clinic/Center	$0	$9.4M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$110.8K	$8.7M
Marathon County	WI	Public Health or Welfare Agency	$0	$6M
Arbor Mental Health Center	WI	Clinical Psychologist	$0	$5.2M
Human Services Board Serving North Central Heatlh Care Facility	WI	Multi-Specialty Clinic/Center	$0	$3.2M
Wausau School District	WI	Local Education Agency (LEA)	$0	$2.8M
City Of Wausau	WI	Land Ambulance	$397K	$1.8M
Milwaukee Health Services System, LLC	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.6M
Ec Laser And Surgery Institute Of Wi, LLC	WI	Ambulatory Surgical Clinic/Center	$1.3M	$281.3K

Primary Connection Health Care, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References