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.

University Of Wisconsin Medical Foundation, Inc (NPI 1598784555)

University Of Wisconsin Medical Foundation, Inc is a multi-specialty clinic/center provider located in Middleton, Wisconsin. This profile covers 0 Medicare and 268 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	University Of Wisconsin Medical Foundation, Inc
Address	7974 Uw Health Court
City	Middleton
State	WI
ZIP	53562
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	July 19, 2006

Payer Source	Total Paid
Medicaid	$15.2M
Medicare	$0

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

268 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…	80,820	$30	$2.5M
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…	112,900	$20	$2.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	30,530	$40	$1.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	28,940	$30	$897.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	17,130	$40	$633.7K
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.	14,110	$40	$550.2K
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…	5,450	$90	$496.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	97,090	$10	$485.4K
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.	13,780	$30	$385.8K
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…	76,400	$10	$382K

Showing 1–10 of 268

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

University Of Wisconsin Medical Foundation, Inc — 13 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

268 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	2	10	1,270	$3,820	$4.8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	79	360	1,550	$70	$614.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	23	430	760	$60	$484.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	130	190	1,790	$90	$390.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	13	330	1,350	$60	$338K
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…	12	30	1,050	$70	$320.9K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	4	10	1,090	$120	$277.4K
95951	N/A	7	10	380	$200	$271.9K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	13	20	830	$140	$245.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	38	80	650	$110	$244.4K

Showing 1–10 of 268

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wisconsin Hospitals And Clinics Authority	WI	General Acute Care Hospital	$0	$120M
University Of Wisconsin System Non Payroll	WI	Clinical Medical Laboratory	$0	$4M
St. Joseph's Health Services, Inc.	WI	Critical Access Hospital	$0	$3.9M
Anil Rama Rao	AZ	Anatomic Pathology & Clinical Pathology Physician	$1.3M	$0
Noemi Brunner	WI	Diagnostic Radiology Physician	$35.1K	$739.2K
Nevein Ibrahim	IL	Diagnostic Radiology Physician	$668.4K	$0
Wisconsin Sleep, Inc	WI	Sleep Disorder Diagnostic Clinic/Center	$146.7K	$507.4K
Michael Ip	CA	Ophthalmology Physician	$635.3K	$0
Gordon Crabtree	WI	Ophthalmology Physician	$618.1K	$2.2K
Thomas Reher	SD	Diagnostic Radiology Physician	$540.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chartwell Midwest Wisconsin, LLC	WI	Home Infusion Therapy Pharmacy	$0	$8M
Chartwell Midwest Wisconsin, LLC	WI	Oxygen Equipment & Supplies (DME)	$0	$5.1M
Middleton-cross Plains Area School District	WI	Contractor	$0	$2.2M
City Of Middleton	WI	Land Ambulance	$245.1K	$265.7K
Jonathan Chang	WI	Ophthalmology Physician	$448.5K	$0
Jennifer Larson	WI	Ophthalmology Physician	$294.5K	$0
Walgreen Co	WI	Pharmacy	$213.2K	$5.1K
Costco Wholesale Corporation	WI	Community/Retail Pharmacy	$187.2K	$0
Walgreen Co	WI	Pharmacy	$177.5K	$3.1K
Travis Rumery	WI	Ophthalmology Physician	$169.8K	$0

University Of Wisconsin Medical Foundation, 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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