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 Renal Care Group, L.L.C. (NPI 1588806830)

Field	Value
Entity Type	Organization
Organization	Wisconsin Renal Care Group, L.L.C.
Address	161 W Wisconsin Ave Ste 1100
City	Milwaukee
State	WI
ZIP	53203
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	April 1, 2009

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	81,170	$50	$4.1M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	8,230	$20	$197.5K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	5,780	$1	$23.1K
80069	The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.	1,940	$1	$7.8K
0001A	N/A	20	$0	$0
0031A	N/A	20	$0	$0
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	4,170	$0	$0
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	4,620	$0	$0
82108	The lab analyst performs a quantitative measurement of the element aluminum. Most commonly the source is serum or urine. This quantitation is important in patients on kidney dialysis or medications…	860	$0	$0
82310	The lab analyst measures the calcium level, primarily on a serum sample.	5,130	$0	$0

Showing 1–10 of 48

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 Renal Care Group, L.L.C. — 3 of 4 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

48 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	3	120	17,840	$50	$1.2M
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	278	300	3,190	$10	$91.3K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	176	250	940	$10	$36.8K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	1	70	660	$20	$32.6K
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	4	60	620	$10	$27.4K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	99	110	390	$10	$27.1K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	71	120	230	$10	$25.4K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	25	220	580	$10	$21.2K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	81	240	1,180	$10	$20.7K
83735	The lab analyst performs a test to measure the amount of magnesium in a patient specimen.	182	200	1,700	$1	$20.3K

Showing 1–10 of 48

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wisconsin Renal Care Group, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wisconsin Renal Care Group, L.L.C.	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
Wisconsin Renal Care Group, L.L.C.	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.3M

Nearby Providers

Other providers in the same ZIP code as Wisconsin Renal Care Group, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Milwaukee County Department On Aging Care Management Organization	WI	Health Maintenance Organization	$0	$59.9M
Vivent Health Inc	WI	Case Management Agency	$0	$5.9M
Alpha Care Health Services Of Wi, Inc.	WI	Home Health Agency	$0	$1.7M
Yvonne Strauss	WI	Physical Therapist	$49.5K	$0

Wisconsin Renal Care Group, L.L.C. — Billing Profile & Reimbursement Data

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Wisconsin Renal Care Group, L.L.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

Related Providers

Nearby Providers

Frequently Asked Questions

References