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.

Mile Bluff Medical Center Inc (NPI 1881930527)

Field	Value
Entity Type	Organization
Organization	Mile Bluff Medical Center Inc
Address	1040 Division St
City	Mauston
State	WI
ZIP	53948
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	December 28, 2012

Payer Source	Total Paid
Medicaid	$1.6M
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
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…	19,680	$40	$747.7K
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…	10,270	$60	$585.4K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	2,420	$30	$77.4K
99203	The provider sees a new 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 provider…	490	$70	$32.8K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	390	$70	$28.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	810	$40	$28.3K
0012A	N/A	290	$40	$10.4K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	140	$70	$9.4K
0011A	N/A	310	$30	$7.6K
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…	450	$10	$4.5K

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

Mile Bluff Medical Center Inc — 1 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

27 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…	129	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…	68	1,760	250	$40	$173.2K
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…	175	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…	148	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…	234	350	210	$60	$95.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	179	690	160	$60	$90.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	153	200	200	$60	$64.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	32	90	120	$50	$45K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	86	120	90	$50	$45K
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…	111	140	300	$20	$43.8K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mile Bluff Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mile Bluff Medical Center Inc	WI	General Acute Care Hospital	$0	$6.6M
Vrunda Patel	WI	Cardiovascular Disease Physician	$160.6K	$0
Ariel Bodker	MO	Cardiovascular Disease Physician	$144.6K	$0
Blake Fleeman	WI	Clinical Cardiac Electrophysiology Physician	$114.6K	$170
Thomas Teelin	WI	Cardiovascular Disease Physician	$80K	$1.1K
Barrett Kenny	WI	Cardiovascular Disease Physician	$74.2K	$0
Parag Tipnis	WI	Cardiovascular Disease Physician	$69.8K	$0
David Lewis	WI	Interventional Cardiology Physician	$68.4K	$0
Nicole Reilly	WI	Cardiovascular Disease Physician	$66.7K	$0
Peter Mason	WI	Cardiovascular Disease Physician	$66K	$0

Nearby Providers

Other providers in the same ZIP code as Mile Bluff Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Juneau County	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.8M
Mauston Area Ambulance Association Inc	WI	Land Ambulance	$210.2K	$404.8K
Juneau County	WI	Public Health or Welfare Agency	$10.4K	$45.4K
Ling Zhong	WI	Physician Assistant	$20.9K	$0
David Lenninger	WI	Certified Registered Nurse Anesthetist	$18.7K	$0

Mile Bluff Medical Center Inc — Billing Profile & Reimbursement Data

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Mile Bluff Medical Center 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