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.

Ascension All Saints Hospital, Inc (NPI 1639123284)

Field	Value
Entity Type	Organization
Organization	Ascension All Saints Hospital, Inc
Address	3801 Spring St
City	Racine
State	WI
ZIP	53405
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$70.1M
Medicare	$0

Key Findings

ASCENSION ALL SAINTS HOSPITAL, INC reports no Medicare billing on file and $70.1M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer with Medicaid as the dominant revenue source. The absence of Medicare claims suggests payer concentration risk and that analyses of reimbursement trends and utilization should focus on Medicaid rates and policies rather than Medicare benchmarks for this entity.

Revenue concentration in Medicaid is high: the top three Medicaid codes — 99214, 99283, and 99213 — together account for 30.4% of the provider's total Medicaid revenue, indicating that outpatient and emergency evaluation-and-management (E/M) visits are primary revenue drivers. Specifically, 99214 generated $4.6M (10.8%), 99283 generated $4.2M (10.0%), and 99213 generated $4.1M (9.6%) of Medicaid revenue, signaling operational dependence on E/M throughput.

The code mix strongly reflects high ED and ambulatory activity: multiple ED E/M codes (99282, 99283, 99284, 99285) and established-patient office E/M codes (99211–99214) appear among top revenue generators, with 99283 ($4.2M) and 99284 ($3.1M) both in the top ranks. This pattern, combined with frequent IV/infusion codes (96360, 96361, 96365) and therapeutic services (97110, $2.4M), indicates the hospital operates substantial emergency, observation, infusion, and outpatient therapy capacity.

Diagnostic and laboratory testing comprises a significant ancillary revenue stream: high-volume lab codes such as 80053 ($2.1M), U0003 ($1.8M), 87491 ($1.7M), 87591 ($1.4M), 87502 ($1.3M), and 85025 ($748.6K) are all prominent, suggesting in-house or hospital-affiliated lab throughput for metabolic panels, infectious disease testing (including SARS‑CoV‑2 and STIs), and routine hematology. Several of these lab codes rank in the top 3–4 statewide (e.g., 80053 ranks #3 of 261; 87502 ranks #3 of 168), underlining laboratory scale.

Statewide competitive standing is strong across many Medicaid service lines: multiple top codes are extreme outliers or notably above typical state volume — for example, 99214 ranks #16 of 1628 (99th percentile; extreme outlier), 99213 ranks #23 of 1755 (99th percentile; extreme outlier), and 97110 ranks #7 of 631 (99th percentile; extreme outlier). These high ranks indicate the hospital is a major provider in Wisconsin for both ambulatory E/M and selected therapy/lab services.

Emergency department acuity mix is broad: the provider reports meaningful revenue across low- to high-acuity ED E/M codes (99282–99285) with 99285 at $2M (4.8%) and 99282 at $800.5K (1.9%), implying the ED manages a range of patient complexity from straightforward to high medical decision-making. This spread is consistent with a full-service acute-care hospital handling both routine and complex ED presentations.

Tenure data show the facility's NPI was enumerated on 2006-05-19 (~20 years ago), indicating long-standing enrollment in federal provider directories. That tenure supports interpretation of these volumes as established operational patterns rather than short-term anomalies.

Several specific codes show unusually high in-state volumes for otherwise common services, implying scale rather than idiosyncratic coding: U0003 (21.9K claims, $1.8M; ranks #8 of 172, 96th percentile), 87491 and 87591 (each 46.4K claims; $1.7M and $1.4M respectively; both rank #4 in-state), and 81001 (52.2K claims, $625.9K; ranks #6 of 204, 98th percentile). These patterns point to high testing throughput—particularly for infectious disease and screening panels—integrated with the hospital’s ED and outpatient workflows.

Medicaid: Complete Services Breakdown

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

622 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…	93,330	$50	$4.6M
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.	66,370	$60	$4.2M
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…	82,950	$50	$4.1M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	26,140	$140	$3.6M
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.	58,320	$50	$3.1M
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…	63,670	$40	$2.4M
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.	114,190	$20	$2.1M
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.	41,520	$50	$2M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	21,910	$80	$1.8M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	46,450	$40	$1.7M

Showing 1–10 of 622

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

Ascension All Saints Hospital, Inc — 20 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

622 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	38	50	8,810	$110	$2.2M
T1016	Case management, each 15 minutes	160	220	7,110	$70	$1.7M
J9271	Injection, pembrolizumab, 1 mg	6	10	200	$1,270	$1.4M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	6	140	3,200	$160	$1.1M
P9016	Red blood cells, leukocytes reduced, each unit	7	10	750	$590	$906.4K
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.	9	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.	9	430	760	$60	$484.6K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	12	20	320	$60	$483K
J0585	Injection, onabotulinumtoxina, 1 unit	18	30	550	$240	$428.8K
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.	14	190	1,790	$90	$390.9K

Showing 1–10 of 622

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension Medical Group-southeast Wisconsin Inc	WI	Internal Medicine Physician	$0	$44.8M
Ascension Medical Group-fox Valley Wisconsin, Inc	WI	Multi-Specialty Clinic/Center	$0	$13.4M
Lyndon Hernandez	WI	Gastroenterology Physician	$67K	$0
Deborah Cohen-smith	WI	Clinical Psychologist	$21.4K	$0
Shamin Ladhani	WI	Clinical Psychologist	$3.9K	$0

Nearby Providers

Other providers in the same ZIP code as Ascension All Saints Hospital, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Racine Tooth Town Dentistry For Kids	WI	Dental Clinic/Center	$0	$6.5M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.4M
Inder Singh	WI	Ophthalmology Physician	$272.4K	$0
Elizabeth Ralston	WI	Family Nurse Practitioner	$175.2K	$68.6K
Muhammad Sarki	WI	Interventional Cardiology Physician	$213.4K	$0
Radha Sanka	WI	Ophthalmology Physician	$211.6K	$0
Thomas Matkov	WI	Urology Physician	$138.7K	$0
Eki Drake	WI	Adult Health Nurse Practitioner	$121K	$3.7K
Shariff Attaya	WI	Clinical Cardiac Electrophysiology Physician	$92.2K	$0
Iftekhar Bader	WI	Pulmonary Disease Physician	$87.9K	$0

Ascension All Saints Hospital, Inc — Billing Profile & Reimbursement Data

Sign up for Ascension All Saints Hospital, Inc — Billing Profile & Reimbursement Data policy alerts

Ascension All Saints Hospital, Inc — Billing Profile & Reimbursement Data

Sign up for Ascension All Saints Hospital, Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References