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.

Wisconsin Radiology Specialists, S C (NPI 1568446003)

Wisconsin Radiology Specialists, S C is a specialist provider located in Mequon, Wisconsin. This profile covers 0 Medicare and 80 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	Wisconsin Radiology Specialists, S C
Address	10945 N Port Washington Rd Ste 201
City	Mequon
State	WI
ZIP	53092
Taxonomy	Specialist
NPI Enumerated	November 29, 2005

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

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

80 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	39,030	$30	$1.1M
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.	25,380	$40	$1.1M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	153,290	$10	$766.4K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	16,240	$20	$357.3K
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…	38,470	$10	$230.8K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	3,590	$40	$154.2K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	4,140	$40	$153.1K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	14,960	$10	$149.6K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	2,960	$50	$136.2K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	3,360	$40	$134.5K

Showing 1–10 of 80

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

Wisconsin Radiology Specialists, S C — 10 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

80 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	4	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.	4	220	980	$80	$210.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	48	90	280	$50	$110.2K
49083	In this procedure, the provider withdraws an abnormal buildup of fluid from the abdominal cavity to relieve pressure and pain or to obtain a sample to submit to a laboratory for analysis. He…	10	10	80	$150	$105.2K
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…	14	90	190	$100	$101.6K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	7	60	170	$90	$90.7K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	8	130	300	$70	$75.1K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	10	160	130	$70	$54.9K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	10	80	110	$90	$54K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	39	90	180	$80	$50.9K

Showing 1–10 of 80

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jose Pratts Emanuelli	TN	Diagnostic Radiology Physician	$759.9K	$16.3K
Andrew Hutchens	TN	Diagnostic Radiology Physician	$424.1K	$0
Vineet Sharma	TN	Diagnostic Radiology Physician	$286.1K	$63.3K
Reagan Leverett	TN	Diagnostic Radiology Physician	$337.1K	$0
Paul Nau	TN	Diagnostic Radiology Physician	$288.3K	$23.3K
Daniel Wunder	TN	Vascular & Interventional Radiology Physician	$252.8K	$12K
Michael Spellman	TN	Diagnostic Radiology Physician	$221.9K	$23.2K
Jonathan Gordon	TN	Diagnostic Radiology Physician	$122.8K	$121.3K
Michael Cian	TN	Diagnostic Radiology Physician	$228.6K	$14.5K
Yao Chen	WI	Diagnostic Radiology Physician	$143.4K	$96K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Mequon Surgery Center LLC	WI	Ambulatory Surgical Clinic/Center	$375.9K	$49.3K
Richard Schmidt	WI	Otolaryngology Physician	$367.6K	$3.7K
Adam Bryant	WI	Diagnostic Radiology Physician	$124.4K	$200K
Southern Ozaukee Fire And Emergency Medical Services Department	WI	Land Ambulance	$240.2K	$3.2K
Lisa Bennett	WI	Ophthalmology Physician	$207.9K	$0
Sanjeevi Vridhachalam	WI	Diagnostic Radiology Physician	$56.8K	$130.6K
Greg Watchmaker	WI	Orthopaedic Hand Surgery Physician	$144.8K	$0
Emil Hurst	WI	Vascular & Interventional Radiology Physician	$128.8K	$13.5K
Ramin Golchini	WI	Diagnostic Radiology Physician	$101.2K	$29.5K
Joshua Bonis	WI	Diagnostic Radiology Physician	$94.4K	$35.4K

Wisconsin Radiology Specialists, S C — Billing Profile & Reimbursement Data

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Wisconsin Radiology Specialists, S C — 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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