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    OpenPayerNPI Medicare & MedicaidWaupun Memorial Hospital
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    Waupun Memorial Hospital — Billing Profile & Reimbursement Data

    NPI 1619955838 · Fond Du Lac, WI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center

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    Waupun Memorial Hospital is a end-stage renal disease (esrd) treatment clinic/center provider located in Fond Du Lac, Wisconsin. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWaupun Memorial Hospital
    Address101 S Pioneer Rd
    CityFond Du Lac
    StateWI
    ZIP54935
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedJanuary 6, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.29,900$40$1.2M
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.590$1$1.2K
    82728The 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…590$0$0
    83540The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.1,650$0$0
    84466The lab analyst performs a test to measure the amount of transferrin in patient blood.1,650$0$0
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.40$0$0
    90653This code represents an inactivated influenza vaccine product that contains subunits of the virus and an adjuvant to enhance the immune response. The vaccine is administered via separately reportable…20$0$0
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…50$0$0
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…20$0$0
    G0008Administration of influenza virus vaccine10$0$0

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.3812017,840$50$1.2M
    82728The 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…105220580$10$21.2K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.70150570$10$13.7K
    84466The lab analyst performs a test to measure the amount of transferrin in patient blood.740280$10$6.8K
    83540The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.57210640$1$6.6K
    J0882Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)4201,960$1$6.3K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.17927080$1$3K
    G0008Administration of influenza virus vaccine16319090$1$900
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…429050$1$770
    J2916Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg320770$1$540

    Showing 1–10 of 13

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Waupun Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Waupun Memorial HospitalWICritical Access Hospital$0$6.9M
    Rahul SawlaniWIDiagnostic Radiology Physician$329.3K$29.7K
    Vinod AlluriTXPsychiatry Physician$187.4K$88.4K
    Garry Jean-louisWIInfectious Disease Physician$205.7K$0
    Bryce BeardLARadiation Oncology Physician$178.9K$0
    Neil JariwalaILPsychiatry Physician$132.4K$25.3K
    Steven MagillWIEndocrinology, Diabetes & Metabolism Physician$146.5K$0
    Yasser SalemWICardiovascular Disease Physician$138K$3K
    Marcie BergerWIClinical Cardiac Electrophysiology Physician$135.7K$0
    Xian GuWINeurology Physician$123.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Waupun Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Agnesian Healthcare, IncWIGeneral Acute Care Hospital$0$17.8M
    Agnesian Healthcare IncWIFamily Medicine Physician$0$7.4M
    Consultants Laboratory Of Wisconsin, LLCWIClinical Medical Laboratory$1.2M$4.6M
    Fond Du Lac County Dcp Case ManagementWICase Management Agency$0$5.8M
    Premier Care Of Wisconsin, LLC.WIMethadone Clinic$0$4.8M
    Fond Du Lac Co Dcp Ccs ProgramWICommunity/Behavioral Health Agency$0$4.3M
    Fond Du Lac School DistrictWILocal Education Agency (LEA)$0$2.5M
    Agnesian Healthcare IncWIMental Health Clinic/Center (Including Community Mental Health Center)$0$2.3M
    Agnesian Healthcare Enterprises LLCWIDurable Medical Equipment & Medical Supplies$0$2.2M
    City Of Fond Du LacWILand Ambulance$325.7K$1.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Waupun Memorial Hospital — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin