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.

Mayo Clinic Health System-southwest Wisconsin Region, Inc. (NPI 1801874227)

Field	Value
Entity Type	Organization
Organization	Mayo Clinic Health System-southwest Wisconsin Region, Inc.
Address	700 West Ave S
City	La Crosse
State	WI
ZIP	54601
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 5, 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.

381 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	17,350	$60	$1.1M
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…	16,300	$70	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	59,590	$20	$953.5K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	8,130	$90	$740.2K
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.	26,620	$20	$612.3K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	12,020	$50	$588.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	14,450	$40	$534.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,380	$80	$332.7K
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…	19,460	$20	$291.9K
87507	The lab analyst performs a test to detect 12 to 25 types or subtypes of a pathogen, such as Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia, that affects the gastrointestinal…	900	$290	$261.9K

Showing 1–10 of 381

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

Mayo Clinic Health System-southwest Wisconsin Region, Inc. — 1 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

381 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	33	140	3,200	$160	$1.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	46	360	1,550	$70	$614.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	66	430	760	$60	$484.6K
J0178	Injection, aflibercept, 1 mg	11	10	660	$500	$479.6K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	18	20	340	$90	$462K
J0585	Injection, onabotulinumtoxina, 1 unit	22	30	550	$240	$428.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	51	190	1,790	$90	$390.9K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	31	40	150	$530	$381.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	28	140	2,200	$90	$358.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	32	330	1,350	$60	$338K

Showing 1–10 of 381

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mayo Clinic Health System-southwest Wisconsin Region, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayo Clinic	MN	Clinical Medical Laboratory	$12.2M	$15.2M
Mayo Clinic Health System-southeast Minnesota Region	MN	Multi-Specialty Clinic/Center	$0	$13.7M
Mayo Clinic Health System-southwest Wisconsin Region, Inc.	WI	Multi-Specialty Clinic/Center	$0	$8.8M
Mayo Clinic Health System-southwest Wisconsin Region, Inc.	WI	Critical Access Hospital	$0	$8.4M
Annie Casta	FL	Family Medicine Physician	$4.2M	$0
Paula Gill	WI	Hematology & Oncology Physician	$997.3K	$0
Abigail Stockham	MN	Radiation Oncology Physician	$757.3K	$0
Peter Reichert	MN	Diagnostic Radiology Physician	$656.3K	$0
John Hennessee	OK	Psychiatry Physician	$415.1K	$5.3K
Yolanda Garces	MN	Radiation Oncology Physician	$419.3K	$0

Nearby Providers

Other providers in the same ZIP code as Mayo Clinic Health System-southwest Wisconsin Region, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of La Crosse	WI	Community/Behavioral Health Agency	$0	$85M
Gundersen Lutheran Medical Center Inc	WI	General Acute Care Hospital	$0	$74.3M
Gundersen Clinic Ltd	WI	Clinic/Center	$0	$10.1M
Riverfront Activities Center Inc	WI	Developmentally Disabled Services Day Training Agency	$0	$7.2M
La Crosse County Human Services	WI	Community/Behavioral Health Agency	$0	$3.3M
School District Of La Crosse	WI	Local Education Agency (LEA)	$0	$2.8M
Gundersen Lutheran Medical Center, Inc.	WI	Air Ambulance	$0	$2M
Chileda Institute, Inc	WI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$1.9M
Driftless Recovery Services, Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.4M
Cindy Calderon	WI	Ophthalmology Physician	$897.7K	$4.1K

Mayo Clinic Health System-southwest Wisconsin Region, 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