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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAgnesian Healthcare, Inc
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    Agnesian Healthcare, Inc — Billing Profile & Reimbursement Data

    NPI 1942274717 · Fond Du Lac, WI · Community Based Hospice Care Agency

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    Agnesian Healthcare, Inc is a community based hospice care agency provider located in Fond Du Lac, Wisconsin. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAgnesian Healthcare, Inc
    Address239 Trowbridge Dr
    CityFond Du Lac
    StateWI
    ZIP54937
    TaxonomyCommunity Based Hospice Care Agency
    NPI EnumeratedFebruary 16, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2046Hospice long term care, room and board only; per diem2,590$3,380$8.8M
    G0155Services of clinical social worker in home health or hospice settings, each 15 minutes130$0$0
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes330$0$0
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes400$0$0
    Q5002Hospice or home health care provided in assisted living facility20$0$0
    Q5004Hospice care provided in skilled nursing facility (snf)20$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2046Hospice long term care, room and board only; per diem27502,350$310$3.9M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes1350170$1$1.3K
    G0155Services of clinical social worker in home health or hospice settings, each 15 minutes84050$1$280
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes1340240$0$0
    Q5002Hospice or home health care provided in assisted living facility233020$0$0
    Q5004Hospice care provided in skilled nursing facility (snf)21020$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Agnesian Healthcare, IncWIGeneral Acute Care Hospital$0$17.8M
    Agnesian Healthcare IncWIFamily Medicine Physician$0$7.4M
    Sameer GuptaPAHematology & Oncology Physician$2.9M$0
    Agnesian Healthcare IncWIMental Health Clinic/Center (Including Community Mental Health Center)$0$2.3M
    Rahul SawlaniWIDiagnostic Radiology Physician$329.3K$29.7K
    Mary FriessWIFamily Nurse Practitioner$328K$15.8K
    Vinod AlluriTXPsychiatry Physician$187.4K$88.4K
    Garry Jean-louisWIInfectious Disease Physician$205.7K$0
    Conrad BrimhallTNDermatology Physician$189.3K$880
    Bryce BeardLARadiation Oncology Physician$178.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lakeland Care IncWIExclusive Provider Organization$0$24.7M
    In Home Health LLCWICommunity Based Hospice Care Agency$0$2.6M
    Steven SandstromWINeurology Physician$27.7K$0
    Amy GumienyWINurse Practitioner$10.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Wisconsin Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Agnesian Healthcare, Inc — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin