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.

Orthopaedic Hospital Of Wisconsin, LLC (NPI 1669584983)

Field	Value
Entity Type	Organization
Organization	Orthopaedic Hospital Of Wisconsin, LLC
Address	475 W River Woods Pkwy
City	Glendale
State	WI
ZIP	53212
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	26,460	$20	$502.8K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	20,130	$10	$281.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	11,810	$20	$177.2K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,100	$60	$70.5K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	2,260	$30	$65.5K
29848	The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.	100	$510	$52.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	3,220	$20	$51.5K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	1,250	$40	$47.3K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	170	$200	$35.3K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	300	$70	$20.3K

Showing 1–10 of 44

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

Orthopaedic Hospital Of Wisconsin, LLC — 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

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	30	630	2,500	$20	$135.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	23	260	690	$40	$133.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	108	260	750	$40	$99K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	50	220	640	$30	$90.6K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	12	240	770	$20	$70.6K
80047	The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…	18	40	470	$20	$57.6K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	28	80	420	$40	$54K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	81	90	180	$80	$50.9K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	26	70	140	$80	$43.4K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	18	120	240	$30	$39.4K

Showing 1–10 of 44

Related Providers

Other providers that share a Tax Identification Number (TIN) with Orthopaedic Hospital Of Wisconsin, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Sreechandra Donepudi	AZ	Diagnostic Radiology Physician	$273.4K	$52.6K
Yao Chen	WI	Diagnostic Radiology Physician	$143.4K	$96K
Christopher Nelson	OK	Diagnostic Radiology Physician	$193.8K	$0
Steven Shaba	TN	Diagnostic Radiology Physician	$144.3K	$38.4K
John Anderson	CO	Diagnostic Radiology Physician	$167.3K	$0
Greg Watchmaker	WI	Orthopaedic Hand Surgery Physician	$144.8K	$0
Jon Mather	TN	Diagnostic Radiology Physician	$144.4K	$130
Gaurav Sharan	TX	Diagnostic Radiology Physician	$138.6K	$0
Lee Rogers	TN	Diagnostic Radiology Physician	$105.4K	$0

Nearby Providers

Other providers in the same ZIP code as Orthopaedic Hospital Of Wisconsin, LLC, 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
Cleanslate Medical Group Of Wisconsin, Sc	WI	Addiction Medicine (Internal Medicine) Physician	$0	$17.1M
Milwaukee Health Services, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$9.4M
Christopher Mcaboy	WI	Dentist	$0	$9M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$149.9K	$7.3M
Planned Parenthood Of Wi, Inc	WI	Ambulatory Family Planning Facility	$0	$4.8M
Fortunate Futures	WI	Case Management Agency	$0	$4.6M
Outreach Community Health Centers, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$3.8M
Children's Medical Group	WI	Pediatrics Physician	$0	$3.6M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.4M

Orthopaedic Hospital Of Wisconsin, LLC — Billing Profile & Reimbursement Data

Sign up for Orthopaedic Hospital Of Wisconsin, LLC — Billing Profile & Reimbursement Data policy alerts

Orthopaedic Hospital Of Wisconsin, LLC — Billing Profile & Reimbursement Data

Sign up for Orthopaedic Hospital Of Wisconsin, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References