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.

Lisa Kruse (NPI 1891923777)

Field	Value
Entity Type	Individual
Organization	Lisa Kruse
Address	4602 Eastpark Blvd
City	Madison
State	WI
ZIP	53718
Taxonomy	Orthopaedic Hand Surgery Physician
NPI Enumerated	June 30, 2009

Payer Source	Total Paid
Medicare	$46.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	50	$290	$13.2K
26055	Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…	50	$170	$9.2K
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…	110	$60	$7.2K
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…	140	$50	$6.4K
99204	The provider sees a new 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 provider…	60	$90	$5.3K
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…	40	$60	$2.1K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	70	$30	$1.9K
20600	In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	50	$30	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Lisa Kruse — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64721	15	80	30	$390	$12.3K
99214	3,577	9,800	80	$70	$9.2K
26055	5	60	30	$280	$8.8K
99213	1,581	9,380	60	$50	$4.7K
99204	440	3,390	30	$100	$3.7K
99203	929	2,820	30	$60	$2.4K
20550	12	150	30	$30	$1.2K
20600	9	80	20	$30	$920

Nearby Providers

Other providers in the same ZIP code as Lisa Kruse, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$211.3K	$10.9M
Fresenius Kidney Care Madison, LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
Evan Warner	WI	Ophthalmology Physician	$279.5K	$0
Brian Nickel	WI	Orthopaedic Surgery Physician	$233.8K	$0
David Hennessy	WI	Orthopaedic Surgery Physician	$220.1K	$0
Gregory Cooley	WI	Radiation Oncology Physician	$194.9K	$0
Brian Grogan	WI	Sports Medicine (Orthopaedic Surgery) Physician	$150.5K	$0
Fresenius Access Care Physicians Of Madison Asc LLC	WI	Ambulatory Surgical Clinic/Center	$115.6K	$0
John Frangiskakis	WI	Cardiovascular Disease Physician	$114.9K	$0
Rachel Sullivan	WI	Family Nurse Practitioner	$110.6K	$0

Lisa Kruse — Billing Profile & Reimbursement Data

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Lisa Kruse — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References