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

    NPI 1174716013 · 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 5 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$37.2M
    Medicare$0

    Key Findings

    DANE COUNTY HUMAN SERVICES is effectively a single-payer Medicaid service organization: there is no Medicare billing on file while total Medicaid revenue is $37.2M, indicating its operations and revenue base are focused almost exclusively on Medicaid-covered behavioral health and crisis services. The provider has been enumerated since 2007-08-23 (~19 years ago), giving it a long-standing presence in the Medicaid network and continuity of service in the local market.

    Revenue is highly concentrated in a small set of crisis-intervention codes: the top 3 Medicaid codes by revenue account for 98.6% of the provider's total Medicaid revenue, which underscores that crisis response and case management drive nearly all of its billings. This concentration suggests the organization’s service-line strategy is heavily oriented toward urgent behavioral health interventions rather than a broad mix of outpatient therapies.

    S9484 (Crisis intervention mental health services, per hour) is the single largest revenue driver with $26.3M (70.7% of Medicaid revenue) and 360.5K claims; the provider ranks #2 of 65 in-state and sits in the 98th percentile for this code. That combination of very high volume and a top statewide rank positions DANE COUNTY HUMAN SERVICES as a major, highly active crisis-hour services provider relative to in-state peers.

    S9485 (Crisis intervention mental health services, per diem) contributes $9.2M (24.8% of Medicaid revenue) from 123.3K claims and ranks #2 of 11 providers in-state (90th percentile). Its substantial per-diem billing alongside per-hour crisis services indicates the organization provides both time-based and day-based crisis interventions, reflecting operational capacity for multi-format crisis response.

    H2011 (Crisis intervention service, per 15 minutes) is a smaller revenue contributor at $445.1K (1.2% of Medicaid revenue) with 9.1K claims but is flagged as an "extreme outlier, far above typical state volume" and ranks #2 of 42 providers in-state (98th percentile). This atypically high usage of the 15-minute crisis intervention unit compared with peers suggests either specialized workflow that bills more frequent interval units or local demand patterns that favor shorter-unit crisis contacts.

    T1016 (Case management, each 15 minutes) and H0030 (Behavioral health hotline service) provide ancillary revenue streams: T1016 accounts for $1.2M (3.1% of Medicaid revenue) and ranks #45 of 224 providers in-state (80th percentile), indicating a typical but meaningful case-management role; H0030 contributes $72K (0.2% of Medicaid revenue) and ranks #4 of 37 (92nd percentile), showing the provider also maintains a hotline capability that is used at above-typical levels.

    Taken together, the code mix — dominated by S9484 and S9485 and supplemented by T1016, H2011, and H0030 — paints a clear business profile: DANE COUNTY HUMAN SERVICES operates primarily as a crisis and urgent behavioral health responder with embedded case management and hotline services. This concentrated service-line focus, plus nearly two decades of NPI tenure, suggests deep operational specialization in community behavioral health crisis care within Wisconsin.

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9484Crisis intervention mental health services, per hour360,470$70$26.3M
    S9485Crisis intervention mental health services, per diem123,280$80$9.2M
    T1016Case management, each 15 minutes31,370$40$1.2M
    H2011Crisis intervention service, per 15 minutes9,080$50$445.1K
    H0030Behavioral health hotline service3,270$20$72K

    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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9485Crisis intervention mental health services, per diem2102,640$80$2.8M
    S9484Crisis intervention mental health services, per hour2707,330$60$2.5M
    T1016Case management, each 15 minutes452207,110$70$1.7M
    H2011Crisis intervention service, per 15 minutes240550$80$110.4K
    H0030Behavioral health hotline service440730$20$22.1K

    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$18.1M
    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 — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin