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.

Bellin Memorial Hospital Inc. (NPI 1891740585)

Key Findings

Field	Value
Entity Type	Organization
Organization	Bellin Memorial Hospital Inc.
Address	744 S Webster Ave
City	Green Bay
State	WI
ZIP	54301
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$29.2M
Medicare	$0

This provider effectively operates as a Medicaid‑focused hospital: Medicare revenue is listed as none while total Medicaid revenue is $29.2M, indicating the facility’s billing footprint is concentrated in Medicaid payers. The provider’s NPI has been enumerated since 2006-05-23 (~20 years ago), confirming long tenure in the market but limited diversification across federal payer channels.

Revenue concentration is meaningful within a few emergency department codes: the precomputed top‑3 Medicaid codes account for 25.6% of this provider’s Medicaid revenue, and those top three are 99283 ($1.7M, 9.6%), 99282 ($1.6M, 8.8%), and 99284 ($1.3M, 7.2%). This clustering shows that a roughly quarter share of Medicaid revenue is driven by ED evaluation and management visits, highlighting ED throughput as a core revenue driver.

The code mix indicates a high-volume emergency department and short‑stay/observation operation: 99282–99284 are the largest individual contributors, and G0378 (hospital observation service, per hour) appears with 18K claims for $432.6K (2.4%) and ranks #3 of 96 providers in-state (98th percentile; notably above typical state volume). Together these codes point to substantial ED visits plus observation bed utilization as central service lines.

Laboratory and infectious‑disease testing are a major revenue stream and an area of exceptional volume relative to peers. Notably, 87633 is $1.1M (6.2%) and ranks #1 of 38 providers in-state (100th percentile; extreme outlier, far above typical state volume), 87631 is $496K (2.7%) and ranks #2 of 79 (99th percentile; extreme outlier), 87635 is $988.6K (5.5%) at the 98th percentile, and U0003 is $775.4K (4.3%)—together these items show outsized state‑level activity in multiplex and SARS‑CoV‑2 nucleic acid testing.

Imaging, endoscopy, and procedure lines contribute material secondary revenue consistent with a full‑service acute hospital. Examples include 80053 (CMP) at $1.3M (7.2%, 95th percentile), 74177 (CT abdomen/pelvis) $585.2K (3.2%, 95th percentile), 70450 (CT head) $451.9K (2.5%, 93rd percentile), 43239 (EGD with biopsy) $431K (2.4%), and 45380 (colon biopsy) $281.6K (1.6%). These figures support a mix of diagnostic imaging and invasive outpatient procedures on campus.

Infusion and in‑hospital therapeutic services are an identifiable revenue component, suggesting significant ED/infusion throughput: 96365 ($930.1K, 5.2%, 96th percentile), 96361 ($894.6K, 5.0%), and 96366 ($441.3K, 2.4%, 94th percentile) together indicate frequent IV medication and fluid administration. The presence of high ranks for these codes implies the hospital treats substantial acute presentations that require IV therapy.

Competitive standing within the state is strong for multiple service lines: several high‑revenue codes rank in the 90th percentile or above (for example 99282 at the 98th percentile and 80053 at the 95th percentile), and multiple lab codes are described as "extreme outlier" or near that level. This pattern characterizes the provider as a major statewide performer for ED visits, high‑throughput lab testing, imaging, and certain procedural services rather than a modest participant.

Operational risk is concentrated: reliance on Medicaid for the entirety of recorded public payer revenue (no Medicare billing on file) combined with heavy dependence on ED E/M and high‑volume lab tests means the provider’s revenue is vulnerable to Medicaid rate or utilization policy changes and to shifts in testing demand. Given the top‑3 codes already account for 25.6% of Medicaid revenue, changes affecting ED visit reimbursement or lab testing payment could disproportionately affect overall revenue stability.

Medicaid: Complete Services Breakdown

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

437 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.	31,590	$60	$1.7M
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.	24,020	$70	$1.6M
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.	28,360	$50	$1.3M
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.	65,100	$20	$1.3M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	3,790	$300	$1.1M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	22,990	$40	$988.6K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	15,760	$60	$930.1K
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.	9,130	$100	$894.6K
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…	15,340	$50	$797.5K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	12,920	$60	$775.4K

Showing 1–10 of 437

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

Bellin Memorial Hospital Inc. — 10 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

437 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	30	140	3,200	$160	$1.1M
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.	24	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.	25	430	760	$60	$484.6K
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.	4	190	1,790	$90	$390.9K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	36	40	150	$530	$381.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	7	140	2,200	$90	$358.4K
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.	80	330	1,350	$60	$338K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	17	170	720	$70	$272.7K
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.	13	260	3,590	$20	$232.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	16	190	620	$40	$226.6K

Showing 1–10 of 437

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bellin Memorial Hospital Inc	WI	Family Medicine Physician	$0	$19.8M
Bellin Psychiatric Center Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.1M
Debbie Lim	WI	Rheumatology Physician	$1.8M	$0
Kevan Lewis	WI	MOHS-Micrographic Surgery Physician	$1.2M	$0
Riley Smyth	WI	Diagnostic Radiology Physician	$805.1K	$320
Michael Avery	WI	Rheumatology Physician	$681.6K	$0
Terence Ryan	MI	Family Medicine Physician	$441.3K	$0
James Lee	CA	Cardiovascular Disease Physician	$373.1K	$0
Aaron Gould	IL	Diagnostic Radiology Physician	$126.2K	$209.3K
Trudi Parker	MN	Diagnostic Radiology Physician	$317.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Vincent Hospital-hospital Sisters-third Order Of St Francis	WI	General Acute Care Hospital	$0	$19.6M
County Of Brown	WI	Community/Behavioral Health Agency	$0	$12.8M
Hha Of Wisconsin, LLC	WI	Home Health Agency	$0	$5.6M
City Of Green Bay Office Of Comptroller	WI	Land Ambulance	$613K	$3.7M
Cerebral Palsy, Inc.	WI	Rehabilitation Clinic/Center	$0	$4M
Innovative Wisconsin, LLC	WI	Community/Behavioral Health Agency	$0	$3.8M
Almost Family Personal Care, LLC	WI	Nursing Care Agency	$0	$3.1M
Renal Life Link Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.8M
St Vincent Hospital-hospital Sisters-third Order Of St Francis	WI	Clinical Medical Laboratory	$0	$2.6M
La Sante Wisconsin Inc.	WI	Durable Medical Equipment & Medical Supplies	$0	$2.3M

Bellin Memorial Hospital 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