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.

Inclusa Inc (NPI 1952844334)

Field	Value
Entity Type	Organization
Organization	Inclusa Inc
Address	3349 Church St Ste 1
City	Stevens Point
State	WI
ZIP	54481
Taxonomy	Health Maintenance Organization
NPI Enumerated	December 2, 2016

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	11,920	$60	$738.9K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	18,430	$40	$644.9K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	13,130	$50	$643.1K
A0100	Non-emergency transportation; taxi	6,000	$110	$636K
T2028	Specialized supply, not otherwise specified, waiver	7,940	$70	$524K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	5,550	$90	$504.9K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	4,950	$90	$445.5K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	9,800	$40	$421.3K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	3,060	$80	$242K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	2,030	$110	$225.2K

Showing 1–10 of 36

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

Inclusa 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	1	10	3,880	$80	$382.7K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	1	10	7,740	$60	$371.8K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	3	10	1,150	$240	$302.8K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	1	10	5,680	$60	$257K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	1	10	4,240	$40	$251.7K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	1	10	3,060	$80	$241.8K
A0110	Non-emergency transportation and bus, intra or inter state carrier	3	10	3,740	$80	$240.5K
A0100	Non-emergency transportation; taxi	3	10	5,280	$30	$234K
T2028	Specialized supply, not otherwise specified, waiver	1	40	340	$210	$188.6K
T4541	Incontinence product, disposable underpad, large, each	2	10	4,260	$50	$187.7K

Showing 1–10 of 36

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Clinica De Los Campesinos, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$24.3M
County Of Portage	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.9M
Aspirus Stevens Point Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$15.6M
Brittany Printz	WI	Behavior Analyst	$0	$5.2M
Stevens Point Area Public School District	WI	Local Education Agency (LEA)	$0	$3.1M
Emily Paschen	WI	Behavior Analyst	$0	$2.9M
Lincare Inc	WI	Durable Medical Equipment & Medical Supplies	$0	$2.2M
Northwest Counseling & Guidance Clinic	WI	Adolescent and Children Mental Health Clinic/Center	$0	$2M
Aspirus Stevens Point Hospital & Clinics, Inc.	WI	General Practice Physician	$0	$2M
County Of Portage	WI	Land Ambulance	$390.6K	$786K

Inclusa Inc — Billing Profile & Reimbursement Data

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Inclusa 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

Nearby Providers

Frequently Asked Questions

References