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 Idaho for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Idaho 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. Idaho (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.

Washburn County Department Of Health And Human Services (NPI 1134322530)

Field	Value
Entity Type	Organization
Organization	Washburn County Department Of Health And Human Services
Address	110 4th Ave W
City	Shell Lake
State	ID
ZIP	54871
Taxonomy	Case Management Agency
NPI Enumerated	June 6, 2007

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	17,930	$90	$1.6M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	580	$120	$69K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	210	$140	$28.9K
T1017	Targeted case management, each 15 minutes	400	$60	$25.3K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

Claims Volume vs. Idaho Distribution

Washburn County Department Of Health And Human Services — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	125	190	1,060	$60	$221.8K
T1016	Case management, each 15 minutes	1	60	420	$70	$76.2K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1	10	580	$120	$68.7K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	1	10	130	$110	$14.5K

Nearby Providers

Other providers in the same ZIP code as Washburn County Department Of Health And Human Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Soar Services, Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.2M
David Colvin	WI	Family Medicine Physician	$275.6K	$0
Alexander Eggen	WI	Physical Therapist	$64.3K	$0

Washburn County Department Of Health And Human Services — Billing Profile & Reimbursement Data

Sign up for Washburn County Department Of Health And Human Services — Billing Profile & Reimbursement Data policy alerts

Washburn County Department Of Health And Human Services — Billing Profile & Reimbursement Data

Sign up for Washburn County Department Of Health And Human Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References