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.

Agnesian Healthcare Enterprises LLC (NPI 1912972613)

Field	Value
Entity Type	Organization
Organization	Agnesian Healthcare Enterprises LLC
Address	307 Camelot Dr
City	Fond Du Lac
State	WI
ZIP	54935
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	February 17, 2006

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	10,920	$50	$546.2K
E0601	Continuous positive airway pressure (CPAP) device	6,080	$50	$298.1K
A7030	Full face mask used with positive airway pressure device, each	3,160	$90	$287.9K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	3,370	$60	$212.4K
E0562	Humidifier, heated, used with positive airway pressure device	5,090	$30	$157.9K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	3,590	$40	$136.3K
A7035	Headgear used with positive airway pressure device	5,680	$20	$130.6K
A7037	Tubing used with positive airway pressure device	5,360	$20	$117.8K
E0603	Breast pump, electric (ac and/or dc), any type	780	$140	$107.4K
A7038	Filter, disposable, used with positive airway pressure device	6,930	$10	$34.6K

Showing 1–10 of 32

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

Agnesian Healthcare Enterprises LLC — 0 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0603	Breast pump, electric (ac and/or dc), any type	8	20	540	$140	$316.8K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	16	70	4,670	$40	$311K
A7030	Full face mask used with positive airway pressure device, each	17	80	1,250	$80	$169.7K
E0601	Continuous positive airway pressure (CPAP) device	22	90	2,270	$40	$150.6K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	24	60	2,790	$20	$103.1K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	7	60	910	$50	$86.2K
E0562	Humidifier, heated, used with positive airway pressure device	20	90	1,890	$20	$72.7K
A7035	Headgear used with positive airway pressure device	9	80	1,510	$20	$52.1K
A7037	Tubing used with positive airway pressure device	8	80	1,490	$20	$51K
A7031	Face mask interface, replacement for full face mask, each	38	70	1,450	$20	$45.8K

Showing 1–10 of 32

Related Providers

Other providers that share a Tax Identification Number (TIN) with Agnesian Healthcare Enterprises LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Care United, Inc.	WI	Durable Medical Equipment & Medical Supplies	$0	$2.5M

Nearby Providers

Other providers in the same ZIP code as Agnesian Healthcare Enterprises LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Agnesian Healthcare, Inc	WI	General Acute Care Hospital	$0	$17.8M
Agnesian Healthcare Inc	WI	Family Medicine Physician	$0	$7.4M
Consultants Laboratory Of Wisconsin, LLC	WI	Clinical Medical Laboratory	$1.2M	$4.6M
Fond Du Lac County Dcp Case Management	WI	Case Management Agency	$0	$5.8M
Premier Care Of Wisconsin, LLC.	WI	Methadone Clinic	$0	$4.8M
Fond Du Lac Co Dcp Ccs Program	WI	Community/Behavioral Health Agency	$0	$4.3M
Fond Du Lac School District	WI	Local Education Agency (LEA)	$0	$2.5M
Agnesian Healthcare Inc	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.3M
City Of Fond Du Lac	WI	Land Ambulance	$325.7K	$1.5M
The Arc Of Fond Du Lac	WI	Speech-Language Pathologist	$0	$1.8M

Agnesian Healthcare Enterprises LLC — Billing Profile & Reimbursement Data

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Agnesian Healthcare Enterprises LLC — 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