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.

Froedtert South, Inc. (NPI 1558305284)

Froedtert South, Inc. is a family medicine physician provider located in Kenosha, Wisconsin. This profile covers 0 Medicare and 102 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Froedtert South, Inc.
Address	6308 8th Ave
City	Kenosha
State	WI
ZIP	53143
Taxonomy	Family Medicine Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

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

102 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…	61,810	$40	$2.3M
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…	47,020	$30	$1.3M
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.	2,110	$170	$362.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	30,820	$10	$215.8K
99203	The provider sees a new 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 provider…	3,910	$50	$199.4K
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…	3,430	$50	$167.8K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	370	$210	$77.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,560	$50	$71.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,240	$30	$67.1K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	5,900	$10	$64.9K

Showing 1–10 of 102

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

Froedtert South, Inc. — 5 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

102 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	16	30	1,050	$70	$320.9K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	82	220	1,140	$70	$213.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	91	220	980	$80	$210.3K
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…	25	1,630	270	$40	$205.3K
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.	23	120	400	$180	$186.8K
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…	37	1,760	250	$40	$173.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	33	150	440	$70	$131.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	35	80	240	$180	$109.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	101	190	370	$60	$107.4K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	77	90	190	$100	$101.6K

Showing 1–10 of 102

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Froedtert South, Inc.	WI	General Acute Care Hospital	$0	$33M
Vivek Sehgal	NJ	Diagnostic Radiology Physician	$281.4K	$265.1K
Srikanth Davuluri	WI	Pulmonary Disease Physician	$94.6K	$342.5K
Kunal Patel	WI	Pulmonary Disease Physician	$100.8K	$316.8K
Michael Babbitt	WI	Diagnostic Radiology Physician	$135K	$249.6K
Lauren Snower	WI	Internal Medicine Physician	$179.5K	$192.4K
Vijayta Bansal-kapuria	IL	Neurology Physician	$296.1K	$61.1K
Shou Mei	WI	Diagnostic Radiology Physician	$153.4K	$186.2K
Shazia Kamran	WI	Neurology Physician	$96.2K	$202.5K
David Knight	WI	Hematology & Oncology Physician	$235.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenosha County Department Of Human Services	WI	Community/Behavioral Health Agency	$0	$63M
Kenosha County Department Of Human Services	WI	Community/Behavioral Health Agency	$0	$8.5M
Professional Services Group	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7M
Kenosha Community Health Center, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$4.1M
Kenosha County Department Of Human Services	WI	Community/Behavioral Health Agency	$0	$2.6M
Professional Services Group, Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.6M
Ljh Ambulance, Inc	WI	Land Ambulance	$756.8K	$565.7K
Jennifer Stropkey	WI	Nurse Practitioner	$405.7K	$0
Mohsin Ghadiali	WI	Diagnostic Radiology Physician	$155.6K	$17.4K
Raaid Museitif	WI	Interventional Cardiology Physician	$144.4K	$0

Froedtert South, Inc. — Billing Profile & Reimbursement Data

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Froedtert South, 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

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