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.

Hudson Physicians, S.c. (NPI 1770916827)

Hudson Physicians, S.c. is a multi-specialty clinic/center provider located in Hudson, Wisconsin. This profile covers 0 Medicare and 50 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	Hudson Physicians, S.c.
Address	2651 Hillcrest Dr
City	Hudson
State	WI
ZIP	54016
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	August 13, 2013

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

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

50 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…	22,070	$40	$883K
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…	30,620	$30	$857.4K
0241U	N/A	3,770	$30	$113K
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…	1,130	$80	$86.8K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	1,810	$30	$50.8K
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…	640	$50	$34.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	1,290	$20	$27K
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…	500	$50	$27K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	420	$60	$24.2K
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,…	1,200	$20	$22.7K

Showing 1–10 of 50

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

Hudson Physicians, S.c. — 2 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	74	170	720	$70	$272.7K
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.	233	260	3,590	$20	$232.2K
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…	58	1,630	270	$40	$205.3K
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…	48	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.	209	350	300	$50	$157.9K
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…	88	190	370	$60	$107.4K
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…	86	210	340	$60	$98.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	133	350	210	$60	$95.8K
0241U	N/A	22	100	990	$40	$92.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	250	300	3,190	$10	$91.3K

Showing 1–10 of 50

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Murphy	WI	Family Medicine Physician	$202.9K	$320
Robert Stoy	WI	Family Medicine Physician	$149.9K	$0
Annette Mcnallan	WI	Family Medicine Physician	$121.1K	$0
Lincoln Likness	WI	Sports Medicine (Family Medicine) Physician	$96.1K	$0
Jeffrey Cavaness	WI	Family Medicine Physician	$91.6K	$0
Eduardo Perez	WI	Neurological Surgery Physician	$46.9K	$0
Jacob Guth	MN	Physician Assistant	$33.7K	$0
Keith Bratulich	WI	Family Medicine Physician	$26.9K	$0
Peter Meyers	WI	Family Medicine Physician	$23.3K	$0
Jordan Kinstner	WI	Physician Assistant	$17.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crc Wisconsin Rd LLC	WI	Substance Abuse Rehabilitation Facility	$0	$8.6M
Consumer Direct For Wisconsin, LLC	WI	Home Health Agency	$0	$7.4M
Hudson Hospital, Inc.	WI	Critical Access Hospital	$0	$3.6M
Consumer Direct For Minnesota, LLC	WI	Home Health Agency	$0	$2.4M
St Croix Therapy Inc	WI	Physical Therapist	$0	$1.3M
Andrew Virata	WI	Anatomic Pathology & Clinical Pathology Physician	$330.7K	$0
Diana Cohen	WI	Dermatology Physician	$267.3K	$0
Walgreen Co	WI	Pharmacy	$139.7K	$10.3K
Holly Reynolds Buchen	WI	Physician Assistant	$140.9K	$0
Dan Krakora	WI	Dermatology Physician	$73.4K	$0

Hudson Physicians, S.c. — Billing Profile & Reimbursement Data

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Hudson Physicians, S.c. — 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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