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.

Family & Children's Center, Inc. (NPI 1487960167)

Field	Value
Entity Type	Organization
Organization	Family & Children's Center, Inc.
Address	811 Monitor St
City	La Crosse
State	WI
ZIP	54603
Taxonomy	Child Mental Illness Respite Care
NPI Enumerated	August 19, 2010

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9125	Respite care, in the home, per diem	14,530	$340	$4.9M
T1005	Respite care services, up to 15 minutes	18,420	$100	$1.7M
S5151	Unskilled respite care, not hospice; per diem	1,580	$160	$250.3K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	3,820	$50	$187K
S5150	Unskilled respite care, not hospice; per 15 minutes	720	$50	$32.5K

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

Family & Children's Center, Inc. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1005	Respite care services, up to 15 minutes	6	20	4,180	$90	$3.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	19	30	2,010	$90	$2.1M
S9125	Respite care, in the home, per diem	2	10	1,400	$240	$1.9M
S5151	Unskilled respite care, not hospice; per diem	9	20	2,030	$280	$1.1M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	4	20	1,240	$150	$402.7K

Nearby Providers

Other providers in the same ZIP code as Family & Children's Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-state Ambulance, Inc.	WI	Land Ambulance	$1.5M	$4.1M
Peter Frandsen Pediatric Dentistry, LLC	WI	Dental Clinic/Center	$0	$1.8M
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$1.8M

Family & Children's Center, Inc. — Billing Profile & Reimbursement Data

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Family & Children's Center, 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

Nearby Providers

Frequently Asked Questions

References