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.

Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin (NPI 1639187412)

Key Findings

Field	Value
Entity Type	Organization
Organization	Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin
Address	112 E 5th Ave
City	Antigo
State	WI
ZIP	54409
Taxonomy	Critical Access Hospital
NPI Enumerated	August 4, 2006

Payer Source	Total Paid
Medicaid	$19.6M
Medicare	$0

This provider effectively operates on a single major public payer footprint: there is no Medicare billing on file while total Medicaid revenue is $19.6M, so Medicaid constitutes the observable revenue base and any reimbursement or utilization shifts in Medicaid will disproportionately affect this hospital. The absence of Medicare billing suggests limited exposure to that payer class or data reporting under different NPIs, making Medicaid the de facto primary payer for analysts to evaluate.

Revenue concentration is high within a small set of codes: the precomputed top 3 Medicaid codes (99212, 96361, 99284) account for 42.5% of the provider's total Medicaid revenue. Those three codes individually generate $3.8M (99212), $1.9M (96361), and $1.9M (99284), indicating that a large share of Medicaid dollars flows through relatively specific service lines and creating potential revenue vulnerability if utilization or rates change for those codes.

The claims mix and top revenue codes point to a care model centered on emergency and outpatient services plus infusion and procedural support: high-volume E/M codes for outpatient visits and emergency visits (99212, 99211, 99284, 99283, 99285) appear alongside infusion/IV administration codes (96361, 96365, 96360, 96366) and substantial lab/imaging activity (74177, 70450, 87637, ). This pattern is consistent with a Critical Access Hospital providing local ED care, outpatient clinic visits, IV/infusion therapy, on-site imaging and diagnostic testing rather than a specialty- or procedure-centric tertiary center.

On competitive standing for high-volume outpatient office visits, 99212 is an extreme statewide outlier: it produces $3.8M in Medicaid revenue and ranks #5 of 687 providers in-state (99th percentile; extreme outlier), indicating an unusually large volume of low-complexity established-patient visits relative to peers. Similarly, rapid antigen/point-of-care testing for strep (87880) ranks #7 of 285 providers (98th percentile; extreme outlier), showing the facility runs much higher diagnostic test volumes for certain common outpatient diagnostics than most in-state peers.

Emergency department services show above-average but not dominant statewide positioning: 99284 ($1.9M) ranks #48 of 432 providers (89th percentile) and 99283 ($1.5M) ranks #75 of 362 providers (80th percentile), meaning the hospital is a significant regional ED participant but not an overwhelming statewide leader in moderate- or low-acuity ED visits. Higher-acuity ED visits (99285, $702.3K) sit at the 76th percentile, consistent with a steady stream of moderate-to-high acuity presentations without monopoly-level volumes.

Laboratory and imaging are meaningful ancillary revenue streams: CT abdomen/pelvis with contrast 74177 generates $631.2K (rank #50 of 223; 78th percentile) and CT head 70450 generates $450.6K (rank #56 of 221; 75th percentile). Multiplex respiratory testing (87637, $618.7K) and high-throughput SARS–CoV‑2 testing (U0003, $163.3K) are present in the top codes, and those testing codes are described as typical or unremarkable in statewide volume for this provider despite contributing materially to Medicaid revenue.

The provider's NPI tenure is long-standing: NPI enumerated 2006-08-04 (~20 years ago), which supports interpreting current utilization patterns as the output of an established local hospital operation rather than a new entrant. That longevity, combined with the Critical Access Hospital taxonomy, aligns with the observed mix of ED, outpatient visits, infusion therapy, and onsite diagnostics expected for rural hospital continuity-of-care roles.

From a risk/opportunity perspective, dependence on a narrow set of codes for a large share of Medicaid revenue (top 3 = 42.5%) plus being effectively single-payer with $19.6M in Medicaid revenue concentrates financial exposure to Medicaid policy and utilization trends. Operationally, opportunities may exist to diversify higher-margin services or negotiate network placement around the hospital's strengths (high-volume outpatient visits and infusion/ED services), but any strategy should account for the facility's Critical Access Hospital status and longstanding local role.

Medicaid: Complete Services Breakdown

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

190 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	25,760	$150	$3.8M
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.	5,750	$340	$1.9M
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.	16,940	$110	$1.9M
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.	18,070	$100	$1.7M
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.	11,600	$130	$1.5M
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…	23,840	$50	$1.2M
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.	6,150	$130	$811.4K
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.	4,880	$140	$702.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,760	$170	$631.2K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	6,010	$100	$618.7K

Showing 1–10 of 190

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

Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin — 4 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

190 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	44	140	3,200	$160	$1.1M
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.	75	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.	48	430	760	$60	$484.6K
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.	37	190	1,790	$90	$390.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	51	140	2,200	$90	$358.4K
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.	79	330	1,350	$60	$338K
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…	43	170	720	$70	$272.7K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	5	80	650	$110	$244.4K
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.	46	260	3,590	$20	$232.2K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	52	110	1,280	$90	$224.5K

Showing 1–10 of 190

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin	WI	Rural Health Clinic/Center	$0	$1.3M
Sunitha Sukumaran	NY	Hematology & Oncology Physician	$365K	$790
Rania Saleh	IL	Infectious Disease Physician	$130.7K	$139K
Andrew Huang	WI	Radiation Oncology Physician	$261.1K	$0
Balaji Shanmugam	FL	Interventional Cardiology Physician	$257.1K	$0
Ahmed El-sabbagh	MO	Geriatric Medicine (Internal Medicine) Physician	$192.6K	$0
Jeffrey Klein	WI	Diagnostic Radiology Physician	$183.1K	$0
Paul Luetmer	WI	Cardiovascular Disease Physician	$180K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Antigo	WI	Ambulance	$175.5K	$321.8K
Steve Weber	WI	Family Medicine Physician	$32.8K	$0
Todd Anderson	WI	Certified Registered Nurse Anesthetist	$13.4K	$0
Jesse Hoffmeister	WI	Speech-Language Pathologist	$5.6K	$0
Melissa Jensen	WI	Family Nurse Practitioner	$4.4K	$450

Langlade Hospital - Hotel Dieu Of St. Joseph Of Antigo Wisconsin — Billing Profile & Reimbursement Data

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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