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 Medical Group-fox Valley Wisconsin, Inc (NPI 1730126392)

Field	Value
Entity Type	Organization
Organization	Ascension Medical Group-fox Valley Wisconsin, Inc
Address	101 Main St
City	Neenah
State	WI
ZIP	54956
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	June 1, 2006

Payer Source	Total Paid
Medicaid	$13.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

154 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…	142,340	$40	$5.4M
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…	102,210	$30	$2.8M
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…	9,380	$60	$534.9K
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…	8,730	$60	$488.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	12,010	$30	$384.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,580	$60	$261.3K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	9,920	$30	$257.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	3,220	$60	$205.8K
3008F	No Summary found for this code	22,690	$10	$204.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,830	$50	$199.2K

Showing 1–10 of 154

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 Medical Group-fox Valley Wisconsin, Inc — 16 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

154 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	31	30	550	$240	$428.8K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	17	30	210	$310	$207.3K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	17	20	120	$280	$206.1K
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…	11	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.	45	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…	14	1,760	250	$40	$173.2K
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.	134	350	300	$50	$157.9K
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…	68	150	440	$70	$131.9K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	193	220	2,770	$20	$120.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	178	190	940	$20	$115.2K

Showing 1–10 of 154

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ascension Medical Group-fox Valley Wisconsin, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension All Saints Hospital, Inc	WI	General Acute Care Hospital	$0	$70.1M
Ascension Medical Group-southeast Wisconsin Inc	WI	Internal Medicine Physician	$0	$44.8M
Ascension Ne Wisconsin, Inc	WI	General Acute Care Hospital	$0	$19.9M
Aspirus Stevens Point Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$15.6M
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.2M
Ascension Ne Wisconsin, Inc	WI	General Acute Care Hospital	$0	$4.3M
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
Carrie Chapman	WI	Cardiovascular Disease Physician	$432.8K	$0
Patrick Mannebach	WI	Cardiovascular Disease Physician	$373.8K	$0
Simon Roselaar	WI	Cardiovascular Disease Physician	$328.7K	$0

Nearby Providers

Other providers in the same ZIP code as Ascension Medical Group-fox Valley Wisconsin, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thedacare Regional Medical Center-neenah, Inc.	WI	General Acute Care Hospital	$0	$18.3M
The Neuroscience Group Of Northeast Wisconsin Sc	WI	Neurological Surgery Physician	$0	$3.9M
Children's Hospital Of Wisconsin, Inc.	WI	Children's Hospital	$0	$3.4M
Radiology Associates Of The Fox Valley, Sc	WI	Diagnostic Radiology Physician	$0	$2.1M
Bio-medical Applications Of Wisconsin, Inc.	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.9M
Khalid Kahook	WI	Retina Specialist (Ophthalmology) Physician	$1.8M	$390
Neenah Joint School District	WI	Local Education Agency (LEA)	$0	$1.6M
Ministry Home Care, LLC.	WI	Community Based Hospice Care Agency	$0	$1.5M
Fox Valley Emergency Medicine S.c.	WI	Emergency Medicine Physician	$0	$1.5M
Rajeev Buddi	WI	Retina Specialist (Ophthalmology) Physician	$1.3M	$0

Ascension Medical Group-fox Valley Wisconsin, Inc — Billing Profile & Reimbursement Data

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Ascension Medical Group-fox Valley Wisconsin, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References