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.

Beloit Health System Inc (NPI 1881770998)

Field	Value
Entity Type	Organization
Organization	Beloit Health System Inc
Address	1969 W Hart Rd
City	Beloit
State	WI
ZIP	53511
Taxonomy	Renal Dialysis Technician
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$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.

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	29,960	$50	$1.5M
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	5,460	$80	$437K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	6,280	$10	$81.7K
J1756	Injection, iron sucrose, 1 mg	3,660	$10	$22K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	9,750	$0	$0
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	3,470	$0	$0
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	180	$0	$0
82310	The lab analyst measures the calcium level, primarily on a serum sample.	3,760	$0	$0
82374	The lab analyst measures the carbon dioxide, primarily in serum. Most of the carbon dioxide in blood exists as bicarbonate with much of the balance as carbonic acid.	3,450	$0	$0
82565	The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	3,460	$0	$0

Showing 1–10 of 27

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

Beloit Health System Inc — 0 of 4 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	37	120	17,840	$50	$1.2M
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	3	10	5,460	$60	$222.7K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	205	300	3,190	$10	$91.3K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	88	150	450	$20	$83.1K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	46	120	230	$10	$25.4K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	61	220	580	$10	$21.2K
83735	The lab analyst performs a test to measure the amount of magnesium in a patient specimen.	165	200	1,700	$1	$20.3K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	33	150	570	$10	$13.7K
82565	The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	24	170	690	$10	$12.9K
87340	The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.	37	130	420	$10	$12.5K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beloit Health System Inc	WI	General Acute Care Hospital	$0	$22.7M
Beloit Health System Inc	WI	General Practice Physician	$0	$4.9M
John Kapoor	CA	Internal Medicine Physician	$812.8K	$575.1K
Jason Friedrichs	FL	Ophthalmology Physician	$695K	$0
Anupama Upadhyay	IA	Psychiatry Physician	$31.6K	$560.4K
Charles Sweeney	IL	Nephrology Physician	$297.6K	$157.4K
James Starr	MI	Internal Medicine Physician	$210.9K	$0
Paul Segal	WI	Dermatology Physician	$192.2K	$830
Eric Xanthopoulos	WI	Radiation Oncology Physician	$186K	$0
Ioannis Karkatzounis	WI	Hospitalist Physician	$84.4K	$97.7K

Nearby Providers

Other providers in the same ZIP code as Beloit Health System Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Systems, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$14.2M
Orthodontic Experts Of Wisconsin, LLC	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.4M
School District Of Beloit	WI	Local Education Agency (LEA)	$0	$2.8M
City Of Beloit	WI	Paramedic	$333.3K	$1.6M
Southern Wisconsin Emergency Associates Sc	WI	Emergency Medicine Physician	$0	$1.7M
Orthomidwest Surgery Center Beloit, LLC	WI	Ambulatory Surgical Clinic/Center	$415.3K	$0
Jennifer Taylor	WI	Nurse Practitioner	$185.9K	$39.7K
Walgreen Co	WI	Pharmacy	$138.3K	$55.6K
Leonard Egbujiobi	WI	Cardiovascular Disease Physician	$176.5K	$0
Charles Laham	WI	Cardiovascular Disease Physician	$123.8K	$1.2K

Beloit Health System 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