Medicare Revenue Report Card 2026
Wisconsin
24K Medicare providers analyzed
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I just reviewed the 2026 Medicare Revenue Report Card for Wisconsin. Key findings: - Overall Grade: F - Estimated Missed Revenue: $9.1M - Low adoption of care management programs (CCM, RPM, BHI, AWV) The data comes directly from CMS public records — every medical practice can see exactly how much revenue they're leaving on the table. See the full Wisconsin report card:
https://npixray.com/reports/states/wisconsin
Total Providers
24K
in Wisconsin
Total Medicare Payment
$1252.7M
Avg Payment / Provider
$51K
Est. Missed Revenue
$9.1M
across all providers
Care Management Program Adoption
How Wisconsin providers compare to the national average in adopting revenue-generating care management programs.
CCM
Chronic Care Management
$62/patient/mo potential revenue
RPM
Remote Patient Monitoring
$120/patient/mo potential revenue
BHI
Behavioral Health Integration
$50/patient/mo potential revenue
AWV
Annual Wellness Visits
$175/visit potential revenue
Wisconsin Trend Signals
Revenue per Provider
$51,330
-35.6% vs benchmark · national avg $79,744
Provider Market Share
2.1% of US
+3.8% vs benchmark · 24,405 providers
CCM Adoption
0.0%
-100.0% vs benchmark · national 2.4%
RPM Adoption
0.0%
-100.0% vs benchmark · national 1.1%
AWV Completion
0.0%
-100.0% vs benchmark · national 7.8%
E&M Coding Distribution
How Wisconsin providers distribute evaluation and management visits compared to the national benchmark. Higher 99214/99215 rates indicate thorough documentation and appropriate complexity coding.
99213
Level 3
33.0%
National: 31.2%
99214
Level 4
34.0%
National: 56.4%
99215
Level 5
33.0%
National: 9.3%
Top Specialties in Wisconsin
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 3,640 | $16K |
| Physician Assistant | 2,359 | $13K |
| Family Practice | 2,027 | $32K |
| Physical Therapist in Private Practice | 1,403 | $21K |
| Internal Medicine | 1,248 | $50K |
| Chiropractic | 1,238 | $11K |
| Emergency Medicine | 893 | $28K |
| Anesthesiology | 737 | $10K |
| Diagnostic Radiology | 732 | $66K |
| Optometry | 633 | $22K |
| Certified Registered Nurse Anesthetist (CRNA) | 615 | $6K |
| Hospitalist | 553 | $33K |
| Mass Immunizer Roster Biller | 506 | $44K |
| General Surgery | 432 | $19K |
| Orthopedic Surgery | 414 | $50K |
| Psychiatry | 345 | $18K |
| Ambulance Service Provider | 323 | $194K |
| Licensed Clinical Social Worker | 318 | $11K |
| Ophthalmology | 303 | $268K |
| Cardiology | 289 | $72K |
City Report Cards in Wisconsin
Milwaukee
Madison
Green Bay
La Crosse
Eau Claire
Appleton
Waukesha
Wausau
Marshfield
Kenosha
Sheboygan
Janesville
Wauwatosa
Oshkosh
Fond Du Lac
Menomonee Falls
West Allis
Brookfield
Neenah
Mequon
Top 20 Providers in Wisconsin
Highest-volume Medicare providers by total payment.
| Provider | Patients | Medicare $ |
|---|---|---|
| Exact Sciences Laboratories, Llc | 600,418 | $299.3M |
| Jeffrey WeberM.D. | 1,171 | $20.8M |
| A2cl Services, Llc | 103,859 | $19.0M |
| Bell Ambulance, Inc. | 8,220 | $5.9M |
| Nicholas TosiMD | 1,134 | $4.9M |
| Deepak SambharaM.D. | 767 | $4.3M |
| Aspirus Wausau Hospital, Inc | 2,908 | $4.0M |
| Madison Surgery Center, Inc. | 1,125 | $3.6M |
| Sharath RajaM.D. | 966 | $3.3M |
| Superior Air-Ground Ambulance Services Of Wisconsin, Inc | 6,127 | $3.1M |
| Jeffrey BahrM.D. | 67,851 | $3.1M |
| Wisconsin Diagnostic Laboratories Llc | 5,737 | $2.3M |
| Amol KulkarniMD | 1,211 | $2.1M |
| City Of Madison | 3,145 | $2.0M |
| Orthopedic Surgery Center Of Green Bay, Llc | 154 | $2.0M |
| Dean Health Systems, Inc. | 1,169 | $2.0M |
| Douglas HempelM.D. | 526 | $1.9M |
| Khalid KahookM.D., | 602 | $1.8M |
| Debbie LimM.D. | 364 | $1.8M |
| Dean Health Systems, Inc. | 639 | $1.8M |
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