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.

Aurora Health Care Metro, Inc. (NPI 1861447179)

Field	Value
Entity Type	Organization
Organization	Aurora Health Care Metro, Inc.
Address	2900 W Oklahoma Ave
City	Milwaukee
State	WI
ZIP	53215
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$181.9M
Medicare	$0

Key Findings

The provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file while total Medicaid revenue is $181.9M, indicating its financial footprint in the public program is concentrated entirely in Medicaid rather than split across Medicare and Medicaid. This payer mix implies contracting, utilization, and revenue risk are dominated by Medicaid policy and state-level reimbursement dynamics rather than Medicare-driven volumes or pricing.

Revenue concentration is high: the precomputed top three Medicaid codes account for 36.2% of the provider's total Medicaid revenue, so a relatively small set of services (primarily emergency-department E/M and IV fluid/infusion codes) drive more than one-third of all Medicaid dollars. That concentration suggests operational and financial sensitivity to changes in ED throughput, infusion protocols, or state coverage policies for those specific services.

The top Medicaid revenue drivers are emergency-department evaluation-and-management and IV therapy: 99283 ($13.8M, 13.4%), 99284 ($12.1M, 11.7%), and 96361 ($11.6M, 11.2%) together form the largest individual code contributions. These codes point to a high-volume ED and ancillary infusion activity (treatment for dehydration/infusion management), consistent with a general acute care hospital operating significant emergency and infusion services.

Volume metrics confirm an exceptionally high ED and acute-treatment throughput: 99283 has 184.5K claims, 99284 has 172.4K claims, and 99285 has 121.7K claims; several infusion and observation codes (96361, 96360, 96365, 96366) also appear among top earners. Those claim counts paired with the revenue shares indicate the facility processes very large patient volumes through emergency and short-infusion encounters rather than relying on high-cost, low-volume specialty drug revenue.

Competitive standing in-state is dominant for many high-volume codes: 99283 ranks #1 of 362 providers in-state (100th percentile; extreme outlier) and 96361 ranks #1 of 135 (100th percentile; extreme outlier), while other ED and infusion codes sit in the 98th–100th percentiles or are top-three ranked. This pattern shows AURORA HEALTH CARE METRO, INC. functions as a major statewide hub for emergency and infusion services, far above typical state provider volumes for these codes.

The code mix shows a broad acute-care service set beyond ED E/M and infusions: high-volume lab panels (80053, 80048, 80047, 85025, 84484), imaging (70450, 74177, 71275), and cardiac imaging (93306) appear among top Medicaid revenue codes. This breadth supports characterization as a full-service general acute care hospital that pairs high ED throughput with on-site diagnostic, laboratory, and imaging capacity to support rapid workups.

Several codes are explicitly flagged as statistical outliers or notably above typical state volume, reinforcing the provider’s atypical scale in Medicaid billing: numerous entries list "extreme outlier" and 100th-percentile rankings (for example, 99283, 96361, 97110, 97140, 84484, 80047, 71275). Those labels indicate the provider's reported volumes for those services are far above typical in-state peers and should be treated as evidence of dominant service-line scale rather than ordinary community hospital activity.

The provider has a long tenure in the NPI registry (NPI enumerated 2006-05-24, ~20 years ago), which combined with the sustained high volumes across ED, infusion, lab, and imaging codes suggests this is an established regional acute-care operation with longstanding Medicaid billing patterns rather than a recent entrant or transient facility.

Medicaid: Complete Services Breakdown

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

928 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.	184,500	$80	$13.8M
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.	172,430	$70	$12.1M
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.	83,730	$140	$11.6M
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.	121,650	$70	$8.5M
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.	127,590	$60	$7.9M
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.	302,200	$20	$5.4M
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…	154,380	$30	$4.9M
J9271	Injection, pembrolizumab, 1 mg	3,830	$1,130	$4.3M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	46,150	$80	$3.6M
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.	43,090	$80	$3.2M

Showing 1–10 of 928

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

Aurora Health Care Metro, Inc. — 25 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

928 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	43	50	8,810	$110	$2.2M
J9271	Injection, pembrolizumab, 1 mg	1	10	200	$1,270	$1.4M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	2	10	8,330	$140	$1.4M
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.	1	140	3,200	$160	$1.1M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	2	10	2,330	$400	$916.4K
P9016	Red blood cells, leukocytes reduced, each unit	3	10	750	$590	$906.4K
J2505	Injection, pegfilgrastim, 6 mg	2	10	1,220	$660	$807.2K
J2350	Injection, ocrelizumab, 1 mg	3	10	140	$3,710	$705.3K
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.	1	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.	4	430	760	$60	$484.6K

Showing 1–10 of 928

Related Providers

Other providers that share a Tax Identification Number (TIN) with Aurora Health Care Metro, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aurora Medical Group, Inc.	WI	Certified Registered Nurse Anesthetist	$2.2K	$139.2M
Aurora Psychiatric Hospital, Inc.	WI	Psychiatric Hospital	$0	$28.2M
Aurora Medical Center Of Oshkosh, Inc	WI	General Acute Care Hospital	$0	$16.4M
Aurora Health Care Central, Inc.	WI	General Acute Care Hospital	$0	$12.4M
Jeffrey Bahr	WI	Internal Medicine Physician	$3.1M	$356.4K
Aurora Medical Group, Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.2M
Aurora Health Care Metro, Inc.	WI	Clinic/Center	$0	$2.1M
Kalid Adab	WI	Hematology & Oncology Physician	$259.5K	$1.2M
Steven Port	WI	Cardiovascular Disease Physician	$506.2K	$0
Scott Moretti	WI	Ophthalmology Physician	$395.8K	$0

Nearby Providers

Other providers in the same ZIP code as Aurora Health Care Metro, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension St Francis Hospital, Inc	WI	General Acute Care Hospital	$0	$35.9M
Jeffrey Weber	WI	Gastroenterology Physician	$20.8M	$0
Sixteenth Street Community Health Centers, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$13.8M
Familia Dental Mkemitchell LLC	WI	Dental Clinic/Center	$0	$8.5M
Ermed, Sc	WI	Emergency Medicine Physician	$0	$8.1M
Midwest Nephrology Associates, S.c.	WI	Nephrology Physician	$0	$5.7M
Bright Dental 1 LLC	WI	General Practice Dentistry	$0	$4.6M
Fresenius Medical Care Midwest Dialysis, LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Sweet Smiles Milwaukee LLC	WI	General Practice Dentistry	$0	$3.7M
Milwaukee Nephrologists, S.c.	WI	Nephrology Physician	$0	$3.7M

Aurora Health Care Metro, Inc. — Billing Profile & Reimbursement Data

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Aurora Health Care Metro, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References