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.

Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St Francis (NPI 1619355351)

Field	Value
Entity Type	Organization
Organization	Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St Francis
Address	900 W Clairemont Ave
City	Eau Claire
State	WI
ZIP	54701
Taxonomy	Family Medicine Physician
NPI Enumerated	May 14, 2015

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

94 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	44,580	$30	$1.2M
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…	19,890	$40	$735.9K
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.	10,180	$50	$529.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	18,440	$20	$331.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	5,740	$50	$286.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	5,460	$50	$245.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	5,060	$40	$192.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,070	$90	$175.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	5,700	$30	$148.1K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	12,080	$10	$96.6K

Showing 1–10 of 94

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

Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St Francis — 9 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

94 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	216	260	3,590	$20	$232.2K
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…	64	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…	39	1,760	250	$40	$173.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	180	350	300	$50	$157.9K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	199	500	3,140	$20	$148.9K
H0022	Alcohol and/or drug intervention service (planned facilitation)	91	190	400	$30	$140.3K
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…	334	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.	28	260	690	$40	$133.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	191	900	410	$70	$130.4K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	190	220	2,770	$20	$120.2K

Showing 1–10 of 94

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St Francis, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis	WI	General Acute Care Hospital	$0	$5.7M
Kenneth Klein	WI	Radiation Oncology Physician	$169.3K	$0
Syed Ali	WI	Hospitalist Physician	$116.3K	$0
Ghulam Murtaza	WI	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$101.3K	$0
Olatunji Oladeji	WI	Hospitalist Physician	$86.5K	$0
Cheong Lee	IL	Vascular Surgery Physician	$69.1K	$13K
Rafal Ciecierski	HI	Nephrology Physician	$76.9K	$3.3K
Ashok Rai	WI	Hospitalist Physician	$77.6K	$1.9K
Joel Dekrey	WI	Family Medicine Physician	$78.9K	$0
Jan Stauss	WI	Diagnostic Radiology Physician	$77.2K	$50

Nearby Providers

Other providers in the same ZIP code as Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St Francis, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Hospice LLC	WI	Community Based Hospice Care Agency	$0	$25.2M
Mchs Hospitals Inc	WI	General Acute Care Hospital	$0	$12.4M
Steven Kristo	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.9M
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	Multi-Specialty Clinic/Center	$0	$7.5M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$229.3K	$5.6M
Mchs Hospitals Inc	WI	Clinic/Center	$0	$4.1M
Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.	WI	Substance Abuse Rehabilitation Facility	$0	$3.9M
Dedra Davis-wallace	WI	Pediatric Dentistry	$0	$3.6M
Caillier Clinic Ltd	WI	Clinical Neuropsychologist	$0	$3.1M
Katherine Gleason	WI	Behavior Analyst	$0	$3M

Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St Francis — 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