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.

Fort Healthcare, Inc. (NPI 1811916281)

Fort Healthcare, Inc. is a general acute care hospital provider located in Fort Atkinson, Wisconsin. This profile covers 0 Medicare and 237 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	Fort Healthcare, Inc.
Address	611 Sherman Ave E
City	Fort Atkinson
State	WI
ZIP	53538
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

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

237 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.	14,010	$60	$798.8K
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…	12,420	$60	$757.5K
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.	6,860	$90	$596.8K
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.	12,490	$50	$574.7K
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…	16,140	$20	$371.2K
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.	7,880	$40	$299.6K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	2,350	$120	$279.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	5,160	$50	$268.1K
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.	23,550	$10	$259.1K
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…	26,810	$10	$241.3K

Showing 1–10 of 237

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

Fort Healthcare, Inc. — 0 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

237 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.	38	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.	63	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.	64	430	760	$60	$484.6K
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.	75	190	1,790	$90	$390.9K
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.	26	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.	58	330	1,350	$60	$338K
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…	41	170	720	$70	$272.7K
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	6	10	570	$400	$269.3K
G0481	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…	6	20	510	$70	$255.3K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	17	80	650	$110	$244.4K

Showing 1–10 of 237

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph's Health Services, Inc.	WI	Critical Access Hospital	$0	$3.9M
Fort Healthcare Inc	WI	Rural Health Clinic/Center	$0	$1.4M
Casey Mcroy	ID	Diagnostic Radiology Physician	$648.3K	$0
Thomas Reher	SD	Diagnostic Radiology Physician	$540.8K	$0
Mariah Siddiqui	IL	Diagnostic Radiology Physician	$97.1K	$426K
Jane Maksimovic	IL	Diagnostic Radiology Physician	$103.5K	$375.4K
Michael Fazio	IL	Diagnostic Radiology Physician	$294.3K	$184.3K
Indraneel Gowdar	IL	Diagnostic Radiology Physician	$117.3K	$279.6K
Edward Borman	WI	Diagnostic Radiology Physician	$286.6K	$0
Jedidiah Schlung	WA	Diagnostic Radiology Physician	$286.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
School District Of Fort Atkinson	WI	Local Education Agency (LEA)	$0	$1.5M
Rock River Community Clinic, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$1.5M
Opportunities, Inc. Of Jefferson County	WI	Developmentally Disabled Services Day Training Agency	$0	$1.3M
City Of Fort Atkinson	WI	Land Ambulance	$166.1K	$87.7K
Walgreen Co	WI	Pharmacy	$175.2K	$27K
Catherine Lee	WI	Ophthalmology Physician	$194.9K	$0
Pain Centers Of Wisconsin - Fort Atkinson, LLC	WI	Interventional Pain Medicine Physician	$101.7K	$0
Paul Schuppner	WI	Orthopaedic Surgery Physician	$96.1K	$0
Matthew Bliss	WI	Orthopaedic Hand Surgery Physician	$74.9K	$0
Robert Glinert	WI	Dermatology Physician	$74.5K	$0

Fort Healthcare, 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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