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.

Addiction Services And Pharmacotherapy, Sc (NPI 1538820790)

Field	Value
Entity Type	Organization
Organization	Addiction Services And Pharmacotherapy, Sc
Address	3825 39th Ave Suite 120
City	Kenosha
State	WI
ZIP	53144
Taxonomy	Methadone Clinic
NPI Enumerated	January 9, 2022

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	55,640	$10	$556.4K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	8,580	$60	$540.7K
H0022	Alcohol and/or drug intervention service (planned facilitation)	3,010	$40	$123.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	130	$50	$5.8K
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	30	$10	$200

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

Addiction Services And Pharmacotherapy, Sc — 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
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	16	100	150	$60	$657.7K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	16	240	380	$10	$397.8K
H0022	Alcohol and/or drug intervention service (planned facilitation)	36	190	400	$30	$140.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	202	350	210	$60	$95.8K
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	39	50	200	$10	$2.8K

Nearby Providers

Other providers in the same ZIP code as Addiction Services And Pharmacotherapy, Sc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenosha Human Development Services, Inc	WI	Case Management Agency	$0	$9.5M
Kenosha Unified School District No. 1	WI	Local Education Agency (LEA)	$0	$4.8M
City Of Kenosha	WI	Land Ambulance	$681K	$3.8M
Clinton Warren	WI	Retina Specialist (Ophthalmology) Physician	$281.9K	$4.2K
Neil Shepler	WI	Family Medicine Physician	$229.9K	$0
William Yoder	WI	Foot & Ankle Surgery Podiatrist	$180.6K	$1.7K
Sudip Ringwala	WI	Allergy & Immunology Physician	$56.4K	$124.5K
B7 Pharmacy Inc	WI	Community/Retail Pharmacy	$141.8K	$12.4K
Kathryn Hoppe	WI	Otolaryngology Physician	$70.5K	$0
Carly Weber	WI	Speech-Language Pathologist	$67.3K	$0

Addiction Services And Pharmacotherapy, Sc — Billing Profile & Reimbursement Data

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Addiction Services And Pharmacotherapy, Sc — 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