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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFresenius Kidney Care Madison, LLC
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    Fresenius Kidney Care Madison, LLC — Billing Profile & Reimbursement Data

    NPI 1992352082 · Madison, WI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center

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    Fresenius Kidney Care Madison, LLC is a end-stage renal disease (esrd) treatment clinic/center provider located in Madison, Wisconsin. This profile covers 0 Medicare and 32 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
    OrganizationFresenius Kidney Care Madison, LLC
    Address4600 American Pkwy Ste 102
    CityMadison
    StateWI
    ZIP53718
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedAugust 22, 2019

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

    Payer SourceTotal Paid
    Medicaid$1.8M
    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.28,050$60$1.8M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)1,930$20$28.9K
    0064AN/A20$10$160
    80053The 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.220$0$0
    80069The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.1,020$0$0
    82108The lab analyst performs a quantitative measurement of the element aluminum. Most commonly the source is serum or urine. This quantitation is important in patients on kidney dialysis or medications…230$0$0
    82310The lab analyst measures the calcium level, primarily on a serum sample.50$0$0
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.30$0$0
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…580$0$0
    82746The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac…140$0$0

    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.

    Full comparison — all codes billed, vs. Wisconsin median

    32 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.4012017,840$50$1.2M
    80053The 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.2032603,590$20$232.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1773003,190$10$91.3K
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)1970660$20$32.6K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.87110390$10$27.1K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody120120230$10$25.4K
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…106220580$10$21.2K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.1362001,700$1$20.3K
    82746The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac…4990200$10$15.9K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.41150570$10$13.7K

    Showing 1–10 of 32

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Fresenius Kidney Care Madison, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fresenius Kidney Care Madison, LLCWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.6M

    Nearby Providers

    Other providers in the same ZIP code as Fresenius Kidney Care Madison, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Milwaukee Health Services System, LLCWIMethadone Clinic$211.3K$10.9M
    Evan WarnerWIOphthalmology Physician$279.5K$0
    Brian NickelWIOrthopaedic Surgery Physician$233.8K$0
    David HennessyWIOrthopaedic Surgery Physician$220.1K$0
    Gregory CooleyWIRadiation Oncology Physician$194.9K$0
    Brian GroganWISports Medicine (Orthopaedic Surgery) Physician$150.5K$0
    Fresenius Access Care Physicians Of Madison Asc LLCWIAmbulatory Surgical Clinic/Center$115.6K$0
    John FrangiskakisWICardiovascular Disease Physician$114.9K$0
    Rachel SullivanWIFamily Nurse Practitioner$110.6K$0
    Nimira JinaWIGeriatric Medicine (Internal Medicine) Physician$83.6K$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
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Fresenius Kidney Care Madison, LLC — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin