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.

Aspirus Wausau Hospital, Inc. (NPI 1629179908)

Field	Value
Entity Type	Organization
Organization	Aspirus Wausau Hospital, Inc.
Address	3200 Westhill Dr Ste 1500
City	Wausau
State	WI
ZIP	54401
Taxonomy	Nephrology Physician
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 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.	39,010	$50	$1.8M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	1,290	$30	$34.7K
Q5105	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units	7,920	$1	$7.9K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	1,810	$1	$7.2K
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	4,460	$1	$4.5K
83970	Parathyroid 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.	2,050	$1	$2K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	20	$90	$1.7K
J1756	Injection, iron sucrose, 1 mg	210	$1	$420
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	2,880	$0	$0
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.	2,680	$0	$0

Showing 1–10 of 27

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

Aspirus Wausau Hospital, Inc. — 1 of 8 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

27 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.	26	120	17,840	$50	$1.2M
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.	139	260	3,590	$20	$232.2K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	103	150	450	$20	$83.1K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	21	70	660	$20	$32.6K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	117	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…	33	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…	70	240	1,180	$10	$20.7K
83970	Parathyroid 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.	27	150	570	$10	$13.7K
87340	The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.	57	130	420	$10	$12.5K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	82	130	30	$80	$8K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Aspirus Wausau Hospital, Inc.	WI	General Acute Care Hospital	$0	$16.3M
Aspirus Merrill Hospital & Clinics, Inc.	WI	Critical Access Hospital	$0	$11.1M
Aspirus Riverview Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.9M
Aspirus Wausau Hospital, Inc.	WI	Land Ambulance	$4M	$6.1M
Aspirus Wausau Hospital, Inc.	WI	Clinical Medical Laboratory	$0	$6.9M
Aspirus Riverview Hospital & Clinics, Inc.	WI	Rural Health Clinic/Center	$0	$4.7M
Deepak Sambhara	WI	Ophthalmology Physician	$4.3M	$0
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
Aspirus Eagle River Hospital & Clinics, Inc.	WI	Critical Access Hospital	$0	$3.7M

Nearby Providers

Other providers in the same ZIP code as Aspirus Wausau Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Impressions Sc	WI	Pediatric Dentistry	$0	$17.3M
Healthfirst Network Inc. F/k/a Family Planning Health Services Inc.	WI	Non-Surgical Family Planning Clinic/Center	$0	$10.2M
Aspirus Vna Home Health Inc	WI	Inpatient Hospice	$0	$3.2M
Northwest Counseling & Guidance Clinic	WI	Adolescent and Children Mental Health Clinic/Center	$0	$3M
Aspirus Wausau Hospital, Inc	WI	Emergency Medicine Physician	$0	$2.7M
Aspirus Vna Home Health Inc.	WI	Durable Medical Equipment & Medical Supplies	$0	$2.4M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Mchs Hospitals Inc	WI	Internal Medicine Physician	$122.8K	$1.8M
Children's Service Society	WI	Professional Counselor	$0	$1.5M
Kristo, Ltc	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.5M

Aspirus Wausau Hospital, Inc. — Billing Profile & Reimbursement Data

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Aspirus Wausau Hospital, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References