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.

Kingly Community Resource Center (NPI 1881133627)

Field	Value
Entity Type	Organization
Organization	Kingly Community Resource Center
Address	4200 N Holton St
City	Milwaukee
State	WI
ZIP	53212
Taxonomy	Case Management Agency
NPI Enumerated	February 13, 2017

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	26,470	$50	$1.4M
H1004	Prenatal care, at-risk enhanced service; follow-up home visit	140	$30	$3.7K

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

Kingly Community Resource Center — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	52	220	7,110	$70	$1.7M
H1004	Prenatal care, at-risk enhanced service; follow-up home visit	21	30	210	$30	$16K

Nearby Providers

Other providers in the same ZIP code as Kingly Community Resource Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension Medical Group-southeast Wisconsin Inc	WI	Internal Medicine Physician	$0	$44.8M
Cleanslate Medical Group Of Wisconsin, Sc	WI	Addiction Medicine (Internal Medicine) Physician	$0	$17.1M
Milwaukee Health Services, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$9.4M
Christopher Mcaboy	WI	Dentist	$0	$9M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$149.9K	$7.3M
Planned Parenthood Of Wi, Inc	WI	Ambulatory Family Planning Facility	$0	$4.8M
Fortunate Futures	WI	Case Management Agency	$0	$4.6M
Outreach Community Health Centers, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$3.8M
Children's Medical Group	WI	Pediatrics Physician	$0	$3.6M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.4M

Kingly Community Resource Center — Billing Profile & Reimbursement Data

Sign up for Kingly Community Resource Center — Billing Profile & Reimbursement Data policy alerts

Kingly Community Resource Center — Billing Profile & Reimbursement Data

Sign up for Kingly Community Resource Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References