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.

Healthfirst Network Inc. F/k/a Family Planning Health Services Inc. (NPI 1538152491)

Field	Value
Entity Type	Organization
Organization	Healthfirst Network Inc. F/k/a Family Planning Health Services Inc.
Address	216 S 3rd Ave
City	Wausau
State	WI
ZIP	54401
Taxonomy	Non-Surgical Family Planning Clinic/Center
NPI Enumerated	August 25, 2005

Payer Source	Total Paid
Medicaid	$10.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S4993	Contraceptive pills for birth control	42,470	$80	$3.4M
H1010	Non-medical family planning education, per session	26,380	$90	$2.5M
J1050	Injection, medroxyprogesterone acetate, 1 mg	6,690	$80	$548.3K
A4267	Contraceptive supply, condom, male, each	26,750	$20	$508.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	7,020	$60	$421.1K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	360	$820	$293.5K
A4268	Contraceptive supply, condom, female, each	26,410	$10	$264.1K
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…	6,300	$40	$233.1K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	7,060	$30	$233K
J7304	Contraceptive supply, hormone containing patch, each	590	$380	$222.4K

Showing 1–10 of 51

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

Healthfirst Network Inc. F/k/a Family Planning Health Services Inc. — 8 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

51 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H1010	Non-medical family planning education, per session	5	50	3,770	$90	$744.2K
S4993	Contraceptive pills for birth control	2	50	3,210	$70	$732.6K
T5999	Supply, not otherwise specified	2	10	2,310	$70	$649.2K
J7304	Contraceptive supply, hormone containing patch, each	2	10	240	$200	$433.5K
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…	317	1,630	270	$40	$205.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	20	160	990	$30	$191.8K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	12	60	970	$30	$180.5K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	21	160	970	$30	$174.2K
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…	201	1,760	250	$40	$173.2K
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.	226	350	300	$50	$157.9K

Showing 1–10 of 51

Nearby Providers

Other providers in the same ZIP code as Healthfirst Network Inc. F/k/a Family Planning Health Services Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Impressions Sc	WI	Pediatric Dentistry	$0	$17.3M
Aspirus Wausau Hospital, Inc.	WI	General Acute Care Hospital	$0	$16.3M
Aspirus Wausau Hospital, Inc.	WI	Land Ambulance	$4M	$6.1M
Aspirus Wausau Hospital, Inc.	WI	Clinical Medical Laboratory	$0	$6.9M
Aspirus Vna Home Health Inc	WI	Inpatient Hospice	$0	$3.2M
Northwest Counseling & Guidance Clinic	WI	Adolescent and Children Mental Health Clinic/Center	$0	$3M
Aspirus Wausau Hospital, Inc	WI	Emergency Medicine Physician	$0	$2.7M
Aspirus Vna Home Health Inc.	WI	Durable Medical Equipment & Medical Supplies	$0	$2.4M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Mchs Hospitals Inc	WI	Internal Medicine Physician	$122.8K	$1.8M

Healthfirst Network Inc. F/k/a Family Planning Health Services Inc. — Billing Profile & Reimbursement Data

Sign up for Healthfirst Network Inc. F/k/a Family Planning Health Services Inc. — Billing Profile & Reimbursement Data policy alerts

Healthfirst Network Inc. F/k/a Family Planning Health Services 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