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.

Independent Physicians Of Wisconsin, LLC (NPI 1871975920)

Independent Physicians Of Wisconsin, LLC is a internal medicine physician provider located in Milwaukee, Wisconsin. This profile covers 0 Medicare and 139 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	Independent Physicians Of Wisconsin, LLC
Address	5434 W Capitol Dr Ste 3
City	Milwaukee
State	WI
ZIP	53216
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 25, 2015

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

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

139 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…	86,660	$40	$3.5M
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…	64,540	$30	$1.8M
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…	5,840	$50	$292.1K
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…	1,250	$110	$139.7K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	9,720	$10	$87.5K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	3,770	$20	$82.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	970	$60	$58.2K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	5,320	$10	$53.2K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	5,800	$10	$52.2K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	2,210	$20	$48.7K

Showing 1–10 of 139

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

Independent Physicians Of Wisconsin, LLC — 6 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

139 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	18	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…	30	1,760	250	$40	$173.2K
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.	287	350	300	$50	$157.9K
76775	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. Kidneys, urinary bladder, and aorta). This particular CPT code is used when the…	7	10	370	$60	$146.5K
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…	383	630	2,500	$20	$135.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	171	260	690	$40	$133.8K
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…	52	150	440	$70	$131.9K
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…	131	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…	84	210	340	$60	$98.9K
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…	18	350	210	$60	$95.8K

Showing 1–10 of 139

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brett Rhode	WI	Ophthalmology Physician	$796.4K	$0
Kamal Amin	WI	Nephrology Physician	$246.2K	$1.4K
Awais Siddique	WI	Vascular & Interventional Radiology Physician	$175.9K	$0
Waleed Najeeb	WI	Pulmonary Disease Physician	$107.3K	$0
NPI 1134129380	—	—	$91.5K	$0
Brian Wolter	WI	Family Medicine Physician	$34.7K	$0
Timothy Allen	WI	Family Medicine Physician	$24.2K	$0
Hector Lopez	WI	Family Medicine Physician	$24K	$0
Maqbool Arshad	WI	Pulmonary Disease Physician	$22.5K	$0
Julie Waisbren	WI	Internal Medicine Physician	$13.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samir Mullick Md Sc	WI	Pediatrics Physician	$0	$11.4M
Planned Parenthood Of Wisconsin, Inc	WI	Ambulatory Family Planning Facility	$0	$10.6M
Trinity Home Health Care Inc.	WI	Home Health Agency	$0	$10.5M
Familia Dental Mkemidtown LLC	WI	General Practice Dentistry	$0	$7.4M
Milwaukee Dental Group Sc	WI	General Practice Dentistry	$0	$7.3M
Ahmed Elhamady	WI	Dentist	$0	$5.4M
Children's Medical Group	WI	Pediatrics Physician	$0	$4.6M
Fresenius Medical Care Midwest Dialysis, LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M
Blake Dialysis LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.3M
Children's Medical Group	WI	Dentist	$0	$3M

Independent Physicians Of Wisconsin, LLC — Billing Profile & Reimbursement Data

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Independent Physicians Of Wisconsin, LLC — 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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