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.

David Stalheim (NPI 1841244217)

Field	Value
Entity Type	Individual
Organization	David Stalheim
Address	604 County Road T
City	Marinette
State	WI
ZIP	54143
Taxonomy	Chiropractor
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicare	$45.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	1,690	$30	$45.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

David Stalheim — 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. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98941	9	1,050	270	$30	$9.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with David Stalheim, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fulcrum Health, Inc.	MN	Exclusive Provider Organization	$0	$10.1M
Grant Williams	WI	Chiropractor	$20.5K	$213.9K
Matthew Betterton	IA	Chiropractor	$40.9K	$121.9K
Robert Swenson	WI	Chiropractor	$8.4K	$141.6K
Alan Weber	WI	Chiropractor	$43.5K	$102.3K
Christopher Wood	MN	Chiropractor	$48.8K	$72.7K
Mikhail Kirnus	ND	Cardiovascular Disease Physician	$117.9K	$0
Ryan Swenson	SD	Chiropractor	$25.5K	$77.4K
Tiffany Thiesse	SD	Chiropractor	$15.3K	$85.2K
Gregory Gruba	SD	Chiropractor	$19.7K	$73K

Nearby Providers

Other providers in the same ZIP code as David Stalheim, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aurora Medical Center Bay Area, Inc	WI	General Acute Care Hospital	$0	$9.7M
Oconto Hospital & Medical Center Inc	WI	Rural Health Clinic/Center	$0	$4.2M
County Of Marinette	WI	Community/Behavioral Health Agency	$0	$4M
County Of Marinette	WI	Community Health Clinic/Center	$0	$2M
County Of Marinette	WI	Case Management Agency	$0	$1.8M
Aurora Medical Center Bay Area, Inc	WI	Land Ambulance	$0	$1.6M
Oconto Hospital & Medical Center, Inc.	WI	Ambulatory Surgical Clinic/Center	$235.5K	$5.5K
Nicholas Grimm	WI	Physician Assistant	$164.3K	$0
Yasser Salem	WI	Cardiovascular Disease Physician	$138K	$3K
Andrew Barker	WI	Physical Therapist	$103.5K	$0

David Stalheim — Billing Profile & Reimbursement Data

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David Stalheim — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References