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.

Lutheran Social Services Of Wisconsin And Upper Michigan, Inc. (NPI 1740355452)

Field	Value
Entity Type	Organization
Organization	Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.
Address	3136 Craig Rd
City	Eau Claire
State	WI
ZIP	54701
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	22,870	$170	$3.9M

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

Lutheran Social Services Of Wisconsin And Upper Michigan, Inc. — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	40	1,130	$660	$2.3M

Nearby Providers

Other providers in the same ZIP code as Lutheran Social Services Of Wisconsin And Upper Michigan, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Hospice LLC	WI	Community Based Hospice Care Agency	$0	$25.2M
Mchs Hospitals Inc	WI	General Acute Care Hospital	$0	$12.4M
Steven Kristo	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.9M
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	Multi-Specialty Clinic/Center	$0	$7.5M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$229.3K	$5.6M
Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis	WI	General Acute Care Hospital	$0	$5.7M
Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St Francis	WI	Family Medicine Physician	$0	$4.6M
Mchs Hospitals Inc	WI	Clinic/Center	$0	$4.1M
Dedra Davis-wallace	WI	Pediatric Dentistry	$0	$3.6M
Caillier Clinic Ltd	WI	Clinical Neuropsychologist	$0	$3.1M

Lutheran Social Services Of Wisconsin And Upper Michigan, Inc. — Billing Profile & Reimbursement Data

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Lutheran Social Services Of Wisconsin And Upper Michigan, 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

Nearby Providers

Frequently Asked Questions

References