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    OpenPayerNPI Medicare & MedicaidMetro Care Home Medical Center, Inc.
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    Metro Care Home Medical Center, Inc. — Billing Profile & Reimbursement Data

    NPI 1639148398 · Milwaukee, WI · Parenteral & Enteral Nutrition Supplies (DME)

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    Metro Care Home Medical Center, Inc. is a parenteral & enteral nutrition supplies (dme) provider located in Milwaukee, Wisconsin. This profile covers 0 Medicare and 22 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
    OrganizationMetro Care Home Medical Center, Inc.
    Address9225 N 76th St
    CityMilwaukee
    StateWI
    ZIP53223
    TaxonomyParenteral & Enteral Nutrition Supplies (DME)
    NPI EnumeratedMarch 15, 2006

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

    Payer SourceTotal Paid
    Medicaid$3.1M
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each6,120$90$526.6K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each7,970$70$517.8K
    A4520Incontinence garment, any type, (e.g., brief, diaper), each6,470$80$491.4K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each6,620$60$417.1K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each2,750$90$258.8K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each4,240$40$169.5K
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each640$260$164K
    T4523Adult sized disposable incontinence product, brief/diaper, large, each1,400$80$114.6K
    T4537Incontinence product, protective underpad, reusable, bed size, each1,040$80$87.4K
    T4524Adult sized disposable incontinence product, brief/diaper, extra large, each800$100$76K

    Showing 1–10 of 22

    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

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each3103,880$80$382.7K
    T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each2107,740$60$371.8K
    A4520Incontinence garment, any type, (e.g., brief, diaper), each1103,440$80$266.4K
    T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each2105,680$60$257K
    T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each3104,240$40$251.7K
    T4541Incontinence product, disposable underpad, large, each3104,260$50$187.7K
    T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each210240$90$157.2K
    T4523Adult sized disposable incontinence product, brief/diaper, large, each3101,590$80$117.9K
    T1999Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"5660610$40$97.4K
    T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each110170$220$67.5K

    Showing 1–10 of 22

    Nearby Providers

    Other providers in the same ZIP code as Metro Care Home Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan KnutsenWIDentist$0$5.4M
    Quality Assurance Staffing Inc.WIHome Health Agency$0$4.9M
    Fresenius Medical Care Midwest Dialysis, LLCWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.4M
    Pain Management & Treatment Center, S.c.WISpecialist$0$3.1M
    Pmtc Surgery Center, IncWIAmbulatory Surgical Clinic/Center$55.8K$2.5M
    Children's Medical GroupWIPediatrics Physician$0$2.4M
    North Shore Fire DepartmentWILand Ambulance$466.8K$1.8M
    Pamela Thomas-kingWIPain Medicine (Anesthesiology) Physician$90.8K$73.2K
    Shalonda MylesWIPsychiatric/Mental Health Nurse Practitioner$46.3K$0

    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
    1 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Metro Care Home Medical Center, Inc. — 5 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin