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.

Aspirus Stevens Point Hospital & Clinics, Inc. (NPI 1538112230)

Field	Value
Entity Type	Organization
Organization	Aspirus Stevens Point Hospital & Clinics, Inc.
Address	900 Illinois Ave
City	Stevens Point
State	WI
ZIP	54481
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$15.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

369 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	30,800	$40	$1.2M
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.	9,000	$110	$999K
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…	11,300	$80	$858.4K
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…	25,490	$30	$841.2K
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.	19,260	$40	$770.5K
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.	16,470	$40	$592.9K
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.	32,670	$20	$555.4K
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.	11,440	$40	$492K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	6,570	$60	$394.1K
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.	6,130	$60	$355.5K

Showing 1–10 of 369

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

Aspirus Stevens Point Hospital & Clinics, Inc. — 3 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

369 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.	31	140	3,200	$160	$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.	77	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.	40	430	760	$60	$484.6K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	16	20	320	$60	$483K
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.	56	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.	26	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.	23	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.	25	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…	18	170	720	$70	$272.7K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	12	80	650	$110	$244.4K

Showing 1–10 of 369

Related Providers

Other providers that share a Tax Identification Number (TIN) with Aspirus Stevens Point Hospital & Clinics, 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
Ascension Medical Group-southeast Wisconsin Inc	WI	Internal Medicine Physician	$0	$44.8M
Sacred Heart Health System, Inc.	FL	General Acute Care Hospital	$0	$38.5M
Ascension Ne Wisconsin, Inc	WI	General Acute Care Hospital	$0	$19.9M
Ascension Medical Group-fox Valley Wisconsin, Inc	WI	Multi-Specialty Clinic/Center	$0	$13.4M
Sacred Heart Health System, Inc.	FL	Family Medicine Physician	$0	$12.3M
Aspirus Riverview Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.9M
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.2M
Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis	WI	General Acute Care Hospital	$0	$5.7M
Aspirus Stanley Hospital & Clinics, Inc.	WI	Critical Access Hospital	$0	$4.8M

Nearby Providers

Other providers in the same ZIP code as Aspirus Stevens Point Hospital & Clinics, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Clinica De Los Campesinos, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$24.3M
County Of Portage	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.9M
Inclusa Inc	WI	Health Maintenance Organization	$0	$6.4M
Brittany Printz	WI	Behavior Analyst	$0	$5.2M
Stevens Point Area Public School District	WI	Local Education Agency (LEA)	$0	$3.1M
Emily Paschen	WI	Behavior Analyst	$0	$2.9M
Lincare Inc	WI	Durable Medical Equipment & Medical Supplies	$0	$2.2M
Northwest Counseling & Guidance Clinic	WI	Adolescent and Children Mental Health Clinic/Center	$0	$2M
Aspirus Stevens Point Hospital & Clinics, Inc.	WI	General Practice Physician	$0	$2M
County Of Portage	WI	Land Ambulance	$390.6K	$786K

Aspirus Stevens Point Hospital & Clinics, Inc. — Billing Profile & Reimbursement Data

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Aspirus Stevens Point Hospital & Clinics, 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