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.

Thedacare Regional Medical Center-neenah, Inc. (NPI 1518993880)

Key Findings

Field	Value
Entity Type	Organization
Organization	Thedacare Regional Medical Center-neenah, Inc.
Address	130 2nd St
City	Neenah
State	WI
ZIP	54956
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 25, 2006

Payer Source	Total Paid
Medicaid	$18.3M
Medicare	$0

This profile is effectively single-payer in the available data: Total Medicare revenue is listed as none (no Medicare billing on file), while Total Medicaid revenue is $18.3M, indicating the provider’s billed activity in our dataset is concentrated in Medicaid. The absence of Medicare claims on file means comparisons and national-peer context for Medicare services are not available for this entity.

Revenue concentration is moderate among a small number of services: the precomputed top 3 Medicaid codes account for 24.9% of this provider's total Medicaid revenue. Individually, 99283 accounts for $957.4K (9.0%), 80048 accounts for $883.5K (8.3%), and 99284 accounts for $816.7K (7.6%), so emergency department E/M visits and basic lab panels are the largest single-line contributors within that top tranche.

The code mix signals a conventional general acute care hospital with a busy emergency department and extensive on-site laboratory capacity. Multiple ED evaluation-and-management codes (99283, 99284, 99282, 99281) and an observation-service code (G0378) appear among the top-revenue items alongside lab staples such as 80048, 84443, 85025 and 80076, which together indicate routine acute care throughput with substantial inpatient/ED lab testing.

Laboratory testing is a standout service line by volume and competitive position in-state: 80048 (basic metabolic panel) is $883.5K and ranks #6 of 219 providers in-state (98th percentile; notably above typical state volume), 84443 (TSH) is $528K and ranks #3 of 202 (99th percentile; notably above typical state volume), and 80076 (hepatic function panel) is $248.3K and ranks #2 of 96 (99th percentile; extreme outlier, far above typical state volume). These labels indicate lab testing is a clear strength relative to peers rather than a marginal service.

Emergency department activity appears busy but not dominant relative to the statewide market: 99283 ($957.4K) ranks #45 of 362 (88th percentile), 99284 ($816.7K) ranks #43 of 432 (90th percentile), and 99282 ($558.2K) ranks #23 of 191 (88th percentile). Those percentile positions describe a provider with robust, typical ED volumes compared with many in-state peers rather than an outlier ED volume.

Imaging, procedure, and infusion services form meaningful secondary lines of revenue that support acute-care operations. Codes such as 74177 (CT abdomen/pelvis, $309.5K, rank #35 of 223, 85th percentile), 70450 (CT head, $261.5K, rank #41 of 221, 82nd percentile), 43239 (EGD with biopsy, $432.8K, rank #19 of 116, 84th percentile), and infusion codes 96361/96365 ($795.7K and $443.9K respectively) show the hospital performs diagnostic imaging, endoscopy, and IV infusion therapies at scale appropriate for a general acute-care facility.

Certain ancillary services are unusually concentrated relative to peers and may represent operational focus areas or centralized labs: 87086 (urine culture, $338.8K) ranks #7 of 170 (96th percentile; notably above typical state volume) and G0480 (definitive drug testing, $346.9K) ranks #8 of 115 (94th percentile). These placements reinforce that the hospital’s laboratory and diagnostic testing capacity is a competitive differentiator in-state.

Tenure and standing: the provider’s NPI was enumerated on 2006-06-25 (~20 years ago), indicating a long-established presence in the market. Across the Medicaid-coded services reported, the provider is generally a strong in-state participant on lab and diagnostic codes and a typical-to-robust performer for emergency and imaging services, rather than an across-the-board market leader for every service line.

Medicaid: Complete Services Breakdown

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

375 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	17,410	$60	$957.4K
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…	55,220	$20	$883.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	18,150	$50	$816.7K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	6,920	$120	$795.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	8,860	$60	$558.2K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	37,710	$10	$528K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	6,630	$70	$443.9K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	17,680	$30	$442K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	2,280	$190	$432.8K
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	270	$1,490	$403.8K

Showing 1–10 of 375

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

Thedacare Regional Medical Center-neenah, Inc. — 6 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

375 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	37	140	3,200	$160	$1.1M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	5	10	530	$1,490	$1.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	45	360	1,550	$70	$614.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	43	430	760	$60	$484.6K
A0436	Rotary wing air mileage, per statute mile	5	10	510	$570	$392.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	23	190	1,790	$90	$390.9K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	29	40	150	$530	$381.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	19	140	2,200	$90	$358.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	88	330	1,350	$60	$338K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	141	170	720	$70	$272.7K

Showing 1–10 of 375

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thedacare Medical Center - Shawano, Inc.	WI	Critical Access Hospital	$0	$32.8M
Thedacare, Incorporated	WI	Family Medicine Physician	$0	$14.8M
Thedacare Regional Medical Center - Appleton, Inc.	WI	General Acute Care Hospital	$0	$11.5M
Thedacare Medical Center - Waupaca, Inc.	WI	Critical Access Hospital	$0	$10.9M
Thedacare Medical Center - Berlin, Inc.	WI	Critical Access Hospital	$0	$9.4M
Thedacare Medical Center - New London, Inc.	WI	Critical Access Hospital	$0	$9.2M
Thedacare Medical Center - Wild Rose, Inc	WI	Critical Access Hospital	$0	$6M
The Neuroscience Group Of Northeast Wisconsin Sc	WI	Neurological Surgery Physician	$0	$3.9M
Michael Yuz	FL	Diagnostic Radiology Physician	$410.4K	$92.4K
Richard Santa Cruz	WI	Cardiovascular Disease Physician	$477.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension Medical Group-fox Valley Wisconsin, Inc	WI	Multi-Specialty Clinic/Center	$0	$13.4M
Children's Hospital Of Wisconsin, Inc.	WI	Children's Hospital	$0	$3.4M
Radiology Associates Of The Fox Valley, Sc	WI	Diagnostic Radiology Physician	$0	$2.1M
Bio-medical Applications Of Wisconsin, Inc.	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.9M
Khalid Kahook	WI	Retina Specialist (Ophthalmology) Physician	$1.8M	$390
Neenah Joint School District	WI	Local Education Agency (LEA)	$0	$1.6M
Ministry Home Care, LLC.	WI	Community Based Hospice Care Agency	$0	$1.5M
Fox Valley Emergency Medicine S.c.	WI	Emergency Medicine Physician	$0	$1.5M
Rajeev Buddi	WI	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Charles Hejny	WI	Retina Specialist (Ophthalmology) Physician	$834.4K	$0

Thedacare Regional Medical Center-neenah, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References