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    OpenPayerNPI Medicare & MedicaidDane County Human Services
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    Dane County Human Services — Billing Profile & Reimbursement Data

    NPI 1083807929 · Madison, WI · Community/Behavioral Health Agency

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    Dane County Human Services is a community/behavioral health agency provider located in Madison, Wisconsin. This profile covers 0 Medicare and 1 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
    OrganizationDane County Human Services
    Address1202 Northport Dr
    CityMadison
    StateWI
    ZIP53704
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedAugust 23, 2007

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

    Payer SourceTotal Paid
    Medicaid$18.1M
    Medicare$0

    Key Findings

    DANE COUNTY HUMAN SERVICES is recorded under the Community/Behavioral Health Agency taxonomy and has been enumerated since 2007-08-23 (~19 years ago), indicating long-standing participation in public program billing in Madison, WI. Its registration tenure suggests established operational presence in the local behavioral health ecosystem.

    This provider is effectively single-payer in scope: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $18.1M, so all documented public-pay billing activity is through Medicaid. Analysts should treat Medicare-driven insights as unavailable for this entity and focus competitive and utilization analysis on Medicaid data.

    Revenue is highly concentrated within a single service line: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, signaling extreme concentration of Medicaid receipts in a very narrow set of billed services. That concentration creates material sensitivity to reimbursement or utilization changes for those codes.

    All reported Medicaid revenue is attributable to H0039 — H0039 – Assertive community treatment, face-to-face, per 15 minutes — which shows 503.8K claims, $36 avg paid/claim, $18.1M revenue (100.0% of this provider's total Medicaid revenue). This code profile indicates the organization bills time-based, team-delivered assertive community treatment (ACT) services rather than episodic outpatient procedures.

    From a competitive-stance perspective, the provider ranks #2 of 67 in-state for H0039 and sits in the 98th percentile, a placement described in the source as notably above typical state volume for this code. That rank and percentile characterize DANE COUNTY HUMAN SERVICES as a major in-state provider of ACT services, with capacity or scale well above most peers.

    The combination of very high claim volume (503.8K claims) and a low average paid-per-claim ($36) is consistent with an operational model that is staff- and time-intensive, where revenue accrues across many short duration units. This pattern implies operational dependence on workforce capacity, scheduling efficiency, and sustained visit volume to maintain the reported $18.1M Medicaid revenue.

    Given the single-code revenue dependency (100.0% of Medicaid revenue tied to H0039) and no Medicare activity, the provider’s financial profile is exposed to reimbursement policy shifts or utilization changes affecting ACT time-based billing. For payers and analysts, monitoring state policy, rate updates, and local demand for ACT services will be central to forecasting future revenue and competitive dynamics for this entity.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0039Assertive community treatment, face-to-face, per 15 minutes503,790$40$18.1M

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0039Assertive community treatment, face-to-face, per 15 minutes27016,670$30$2.1M

    Nearby Providers

    Other providers in the same ZIP code as Dane County Human Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dane County Department Of Human ServicesWICommunity/Behavioral Health Agency$0$187.1M
    Access Community Health Centers, Inc.WIFederally Qualified Health Center (FQHC)$0$51.9M
    Dane County Human ServicesWICommunity/Behavioral Health Agency$0$37.2M
    Dane County Department Of Human ServicesWICase Management Agency$0$18M
    Psychological Addiction Services LLCWIMethadone Clinic$138K$8.5M
    Care Wisconsin First, Inc.WIHealth Maintenance Organization$0$7.4M
    Teamwork Associates, IncWICase Management Agency$0$7.3M
    Dane County Human ServicesWIPublic Health or Welfare Agency$0$6.1M
    Familia Dental Madison East LLCWIDental Clinic/Center$0$5.9M
    Brianna KauerWIBehavior Analyst$0$1.8M

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Dane County Human Services — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin