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.

The Neuroscience Group Of Northeast Wisconsin Sc (NPI 1578516803)

Field	Value
Entity Type	Organization
Organization	The Neuroscience Group Of Northeast Wisconsin Sc
Address	1305 W. American Drive
City	Neenah
State	WI
ZIP	54956
Taxonomy	Neurological Surgery Physician
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	6,810	$480	$3.3M
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	3,400	$50	$163K
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…	5,250	$30	$162.8K
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…	6,740	$20	$121.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	3,120	$30	$99.7K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	320	$70	$21.2K
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…	710	$10	$9.3K
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…	220	$40	$8.6K
99204	The provider sees a new 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 provider…	140	$50	$7.2K
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…	110	$40	$4.5K

Showing 1–10 of 23

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

The Neuroscience Group Of Northeast Wisconsin Sc — 0 of 22 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	3	30	550	$240	$428.8K
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…	198	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…	187	1,760	250	$40	$173.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	56	60	1,280	$50	$160.9K
64643	The provider injects a chemical, such as Botox®, into one to four muscles of an additional extremity after the first to relieve a patient's pain and spasms.	16	20	180	$120	$153.6K
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…	440	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.	224	260	690	$40	$133.8K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	10	10	550	$80	$105.8K
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…	211	350	210	$60	$95.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	475	690	160	$60	$90.4K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Neuroscience Group Of Northeast Wisconsin Sc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thedacare Medical Center - Shawano, Inc.	WI	Critical Access Hospital	$0	$32.8M
Thedacare Regional Medical Center-neenah, Inc.	WI	General Acute Care Hospital	$0	$18.3M
Thedacare Regional Medical Center - Appleton, Inc.	WI	General Acute Care Hospital	$0	$11.5M
Thedacare Medical Center - Waupaca, Inc.	WI	Critical Access Hospital	$0	$10.9M
Thedacare Medical Center - Berlin, Inc.	WI	Critical Access Hospital	$0	$9.4M
Thedacare Medical Center - New London, Inc.	WI	Critical Access Hospital	$0	$9.2M
Thedacare Medical Center - Wild Rose, Inc	WI	Critical Access Hospital	$0	$6M
Daniel Long	WI	Neurology Physician	$466.8K	$0
Shoaib Ahmad	OK	Pulmonary Disease Physician	$276.1K	$0
Christopher Lynch	CT	Adult Reconstructive Orthopaedic Surgery Physician	$264K	$0

Nearby Providers

Other providers in the same ZIP code as The Neuroscience Group Of Northeast Wisconsin Sc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension Medical Group-fox Valley Wisconsin, Inc	WI	Multi-Specialty Clinic/Center	$0	$13.4M
Children's Hospital Of Wisconsin, Inc.	WI	Children's Hospital	$0	$3.4M
Radiology Associates Of The Fox Valley, Sc	WI	Diagnostic Radiology Physician	$0	$2.1M
Bio-medical Applications Of Wisconsin, Inc.	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.9M
Khalid Kahook	WI	Retina Specialist (Ophthalmology) Physician	$1.8M	$390
Neenah Joint School District	WI	Local Education Agency (LEA)	$0	$1.6M
Ministry Home Care, LLC.	WI	Community Based Hospice Care Agency	$0	$1.5M
Fox Valley Emergency Medicine S.c.	WI	Emergency Medicine Physician	$0	$1.5M
Rajeev Buddi	WI	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Charles Hejny	WI	Retina Specialist (Ophthalmology) Physician	$834.4K	$0

The Neuroscience Group Of Northeast Wisconsin Sc — Billing Profile & Reimbursement Data

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The Neuroscience Group Of Northeast Wisconsin 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

Related Providers

Nearby Providers

Frequently Asked Questions

References