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 Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1548628100)

Field	Value
Entity Type	Organization
Organization	Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
Address	1020 Kabel Ave
City	Rhinelander
State	WI
ZIP	54501
Taxonomy	General Practice Physician
NPI Enumerated	February 10, 2016

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	15,820	$50	$743.7K
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…	12,590	$40	$516.4K
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…	1,840	$60	$110.6K
H0022	Alcohol and/or drug intervention service (planned facilitation)	2,360	$30	$73.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	670	$100	$65.4K
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…	1,860	$30	$48.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	460	$100	$44.6K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	840	$50	$38.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	350	$30	$10.8K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	1,090	$10	$8.7K

Showing 1–10 of 36

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 Rhinelander & Tomahawk Hospitals & Clinics, Inc. — 1 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	105	1,630	270	$40	$205.3K
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…	467	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.	320	350	300	$50	$157.9K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	445	500	3,140	$20	$148.9K
H0022	Alcohol and/or drug intervention service (planned facilitation)	44	190	400	$30	$140.3K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	94	100	2,400	$10	$138.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	489	630	2,500	$20	$135.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	211	260	690	$40	$133.8K
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…	210	220	2,770	$20	$120.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	31	790	400	$40	$109.6K

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with Aspirus Rhinelander & Tomahawk Hospitals & 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
Sacred Heart Health System, Inc.	FL	General Acute Care Hospital	$0	$38.5M
Aspirus Stevens Point Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$15.6M
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
Deepak Sambhara	WI	Ophthalmology Physician	$4.3M	$0
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M

Nearby Providers

Other providers in the same ZIP code as Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Human Service Center	WI	Case Management Agency	$0	$10M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$2.7M
The Human Service Center	WI	Community/Behavioral Health Agency	$0	$1.5M
Oneida County	WI	Preventive Medicine/Occupational Environmental Medicine Physician	$240.2K	$727.1K
Robert Aylesworth	WI	Dermatology Physician	$344.9K	$0
City Of Rhinelander	WI	Land Ambulance	$146.5K	$171K
Anthony Rutkowski	WI	Diagnostic Radiology Physician	$117.2K	$30
Steven Brown	WI	Diagnostic Radiology Physician	$96.8K	$70
Kent Lowry	WI	Orthopaedic Surgery Physician	$79.2K	$0
John Kim	WI	Diagnostic Radiology Physician	$76.3K	$0

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. — Billing Profile & Reimbursement Data

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Aspirus Rhinelander & Tomahawk Hospitals & 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