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.

County Of Rock (NPI 1124434816)

Field	Value
Entity Type	Organization
Organization	County Of Rock
Address	1717 Center Ave
City	Janesville
State	WI
ZIP	53546
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 2, 2014

Payer Source	Total Paid
Medicaid	$26.5M
Medicare	$0

Key Findings

COUNTY OF ROCK has no Medicare billing on file and therefore reports no Medicare revenue; its entire reported federal billing footprint in the dataset is Medicaid-based with Total Medicaid revenue of $26.5M, making it effectively a single-payer (Medicaid) operation in this data extract. This means analyses of Medicare-based service lines or national Medicare competitive positioning are not applicable for this provider.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, indicating that a very small set of service codes drives the provider's entire Medicaid receipts. Such concentration suggests limited billing diversity and sensitivity of total revenue to changes in reimbursement or utilization of those specific codes.

The dominant code is H2017, which generates $21.8M (82.3% of the provider's Medicaid revenue) from 204.1K claims at an average paid/claim of $107. H2017 is described as psychosocial rehabilitation services billed per 15 minutes, implying the provider's operation is heavily oriented toward time-based, ongoing behavioral health programming such as day programs or frequent community-based psychosocial rehabilitation sessions.

The second code, 99199, contributes $4.7M (17.7% of Medicaid revenue) from 66K claims at an average paid/claim of $71; 99199 is a catch-all for other medicine services without a specific code. A large share of revenue from 99199 suggests substantial billing for miscellaneous or non-standardized service items — this can reflect a mix of lower-intensity interventions, locally billed procedures, or administrative/reporting practices that rely on unlisted codes.

Competitive standing within the state is modest rather than dominant for both major codes: H2017 ranks #12 of 58 providers (81th percentile; typical, unremarkable volume for this code) and 99199 ranks #9 of 57 providers (86th percentile; typical, unremarkable volume for this code). These rankings indicate COUNTY OF ROCK operates at or slightly above median activity among in-state peers for these services but is not a statewide market leader for either code.

The claim volumes themselves (204.1K claims for H2017 and 66K claims for 99199) underscore a high-frequency service model — many short units rather than fewer, higher-dollar procedures — consistent with community behavioral health delivery that bills in repeat, time-based increments. The average paid/claim levels ($107 for H2017 and $71 for 99199) further point to modest per-unit reimbursement paired with high utilization.

From a risk and operational monitoring perspective, the provider's reliance on two codes to represent 100.0% of Medicaid revenue creates vulnerability: any policy, audit, or reimbursement change affecting H2017 or 99199 would materially affect overall Medicaid revenue. Analysts should prioritize changes in state Medicaid policy or utilization trends for H2017 and the usage patterns of unlisted-code billing (99199) when modeling the provider's future revenue trajectory.

COUNTY OF ROCK's NPI was enumerated on 2014-07-02 (~12 years ago), indicating roughly a decade of operations under the current NPI; this tenure supports the interpretation that the observed billing mix (heavy H2017 and 99199 use) is an established operational pattern rather than a very recent anomaly.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	204,140	$110	$21.8M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	65,980	$70	$4.7M

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

County Of Rock — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	12	60	57,750	$100	$18.9M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	9	60	16,890	$60	$2.9M

Nearby Providers

Other providers in the same ZIP code as County Of Rock, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Rock	WI	Community/Behavioral Health Agency	$0	$23.1M
Ssm Health Care Of Wisconsin, Inc.	WI	General Acute Care Hospital	$0	$8.4M
County Of Rock	WI	Community/Behavioral Health Agency	$0	$6.6M
County Of Rock	WI	Community/Behavioral Health Agency	$0	$5.7M
Rock Valley Community Programs, Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.2M
Maher Mourad	WI	Hospitalist Physician	$348.8K	$82.4K
Walgreen Co	WI	Pharmacy	$201.4K	$27.5K
Herbert Webb	WI	Optometrist	$30.4K	$132.2K
Monica Simionescu	WI	Neurology Physician	$106.8K	$46.9K
David Nelsen	WI	Dermatology Physician	$146.1K	$5.9K

County Of Rock — Billing Profile & Reimbursement Data

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County Of Rock — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References