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.

Family Health Center Of Marshfield Inc (NPI 1851632111)

Field	Value
Entity Type	Organization
Organization	Family Health Center Of Marshfield Inc
Address	1307 N Saint Joseph Ave
City	Marshfield
State	WI
ZIP	54449
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 12, 2013

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

66 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…	31,300	$50	$1.6M
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…	17,710	$30	$566.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	5,650	$60	$327.5K
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…	1,610	$60	$90.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,150	$60	$65.4K
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…	820	$60	$45K
H0022	Alcohol and/or drug intervention service (planned facilitation)	2,600	$20	$44.2K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	470	$90	$44.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	290	$140	$39.8K
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…	540	$70	$36.7K

Showing 1–10 of 66

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

Family Health Center Of Marshfield Inc — 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

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	34	40	930	$100	$214.5K
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…	43	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…	78	1,760	250	$40	$173.2K
H0022	Alcohol and/or drug intervention service (planned facilitation)	39	190	400	$30	$140.3K
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…	618	630	2,500	$20	$135.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	149	150	440	$70	$131.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	42	90	280	$50	$110.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	97	790	400	$40	$109.6K
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…	74	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…	49	210	340	$60	$98.9K

Showing 1–10 of 66

Related Providers

Other providers that share a Tax Identification Number (TIN) with Family Health Center Of Marshfield Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Center Of Marshfield Inc	WI	Dental Clinic/Center	$0	$20.4M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$8.7M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$5.8M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$3.8M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$3.7M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$3.4M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$2.7M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$2.3M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$1.9M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$1.6M

Nearby Providers

Other providers in the same ZIP code as Family Health Center Of Marshfield Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mchs Hospitals Inc	WI	Rural Acute Care Hospital	$0	$45.3M
Marshfield Clinic Inc	WI	Clinic/Center	$526.8K	$19.6M
Mchs Hospitals Inc	WI	Clinic/Center	$0	$11.8M
Marriage & Family Health Services, Ltd.	WI	Adolescent and Children Mental Health Clinic/Center	$0	$2.6M
Mchs Hospitals Inc	WI	Land Ambulance	$1.4M	$987.9K
School District Of Marshfield	WI	Local Education Agency (LEA)	$0	$1.7M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M
City Of Marshfield	WI	Land Ambulance	$200K	$484.6K
Lori Bents	WI	Chiropractor	$27.4K	$399.4K
Yan Guo	WI	Ophthalmology Physician	$318.7K	$0

Family Health Center Of Marshfield Inc — Billing Profile & Reimbursement Data

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Family Health Center Of Marshfield 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