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.

Clinica Latina, S.c. (NPI 1518940543)

Clinica Latina, S.c. is a family medicine physician provider located in Milwaukee, Wisconsin. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Clinica Latina, S.c.
Address	1238 S Cesar E Chavez Dr
City	Milwaukee
State	WI
ZIP	53204
Taxonomy	Family Medicine Physician
NPI Enumerated	November 23, 2005

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2315	Injection, naltrexone, depot form, 1 mg	930	$860	$797.1K
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…	4,980	$40	$189.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	3,620	$40	$151.9K
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…	2,050	$30	$51.1K
99203	The provider sees a new 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 provider…	400	$50	$20.9K
82570	The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	3,480	$1	$13.9K
99402	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	810	$10	$7.3K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	760	$10	$4.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,300	$1	$2.6K
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	1,060	$1	$2.1K

Showing 1–10 of 19

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

Clinica Latina, S.c. — 1 of 15 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	49	190	620	$40	$226.6K
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…	205	1,630	270	$40	$205.3K
J2315	Injection, naltrexone, depot form, 1 mg	2	10	190	$430	$184.1K
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…	439	1,760	250	$40	$173.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	628	690	160	$60	$90.4K
99203	The provider sees a new 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 provider…	127	440	90	$50	$41K
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	75	130	1,600	$10	$38.7K
3008F	No Summary found for this code	165	240	240	$10	$17.7K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	135	200	930	$1	$15.3K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	55	130	470	$10	$13.6K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
16th Street Community Health Center Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$16.3M
Affiliated Home Health Care, Inc.	WI	Home Health Agency	$0	$9.6M
United Community Center	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.5M
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$5.6M
Multi-cultural Counseling Services Ii Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.7M
A Promise Of Hope For Mothers	WI	Adult Care Home Facility	$0	$4.3M
Dnt Associates Inc.	WI	General Practice Dentistry	$0	$2.7M
Children's Health System	WI	Urgent Care Clinic/Center	$0	$2.3M
D2 Dental Of Wisconsin, S.c.	WI	General Practice Dentistry	$0	$2.2M
Debra Kultgen	WI	Clinical Social Worker	$28.4K	$1.8K

Clinica Latina, S.c. — Billing Profile & Reimbursement Data

Sign up for Clinica Latina, S.c. — Billing Profile & Reimbursement Data policy alerts

Clinica Latina, S.c. — Billing Profile & Reimbursement Data

Sign up for Clinica Latina, S.c. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References