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.

Beloit Health System Inc (NPI 1679616361)

Beloit Health System Inc is a general practice physician provider located in Beloit, Wisconsin. This profile covers 0 Medicare and 124 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Beloit Health System Inc
Address	1905 E Huebbe Pkwy
City	Beloit
State	WI
ZIP	53511
Taxonomy	General Practice Physician
NPI Enumerated	February 14, 2007

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

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

124 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	65,040	$20	$1.5M
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…	45,560	$30	$1.5M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,770	$50	$305.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,450	$60	$249K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,080	$130	$140.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,140	$60	$119.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,690	$60	$106.4K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	660	$120	$80.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	1,700	$40	$66.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	5,470	$10	$54.7K

Showing 1–10 of 124

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

Beloit Health System Inc — 3 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

124 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	32	1,630	270	$40	$205.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	38	120	400	$180	$186.8K
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…	29	1,760	250	$40	$173.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	51	60	1,280	$50	$160.9K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	326	500	3,140	$20	$148.9K
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…	356	630	2,500	$20	$135.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	50	150	440	$70	$131.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	223	900	410	$70	$130.4K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	29	30	1,140	$60	$116.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	477	790	400	$40	$109.6K

Showing 1–10 of 124

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beloit Health System Inc	WI	General Acute Care Hospital	$0	$22.7M
Beloit Health System Inc	WI	Renal Dialysis Technician	$0	$2M
John Kapoor	CA	Internal Medicine Physician	$812.8K	$575.1K
Jason Friedrichs	FL	Ophthalmology Physician	$695K	$0
Anupama Upadhyay	IA	Psychiatry Physician	$31.6K	$560.4K
Charles Sweeney	IL	Nephrology Physician	$297.6K	$157.4K
James Starr	MI	Internal Medicine Physician	$210.9K	$0
Paul Segal	WI	Dermatology Physician	$192.2K	$830
Eric Xanthopoulos	WI	Radiation Oncology Physician	$186K	$0
Ioannis Karkatzounis	WI	Hospitalist Physician	$84.4K	$97.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Systems, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$14.2M
Orthodontic Experts Of Wisconsin, LLC	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.4M
School District Of Beloit	WI	Local Education Agency (LEA)	$0	$2.8M
City Of Beloit	WI	Paramedic	$333.3K	$1.6M
Southern Wisconsin Emergency Associates Sc	WI	Emergency Medicine Physician	$0	$1.7M
Orthomidwest Surgery Center Beloit, LLC	WI	Ambulatory Surgical Clinic/Center	$415.3K	$0
Jennifer Taylor	WI	Nurse Practitioner	$185.9K	$39.7K
Walgreen Co	WI	Pharmacy	$138.3K	$55.6K
Leonard Egbujiobi	WI	Cardiovascular Disease Physician	$176.5K	$0
Charles Laham	WI	Cardiovascular Disease Physician	$123.8K	$1.2K

Beloit Health System 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

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