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 Milwaukee (NPI 1194144873)

Field	Value
Entity Type	Organization
Organization	County Of Milwaukee
Address	1230 W Cherry Street
City	Milwaukee
State	WI
ZIP	53205
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 10, 2014

Payer Source	Total Paid
Medicaid	$233.9M
Medicare	$0

Key Findings

COUNTY OF MILWAUKEE has no Medicare billing on file and reports $233.9M in lifetime Medicaid revenue, making its public payment profile effectively single-payer (Medicaid) at the scale reported. This concentration means analyses of its commercial or Medicare exposure will be limited by lack of billed activity in those programs.

Revenue for this provider is extremely concentrated: the precomputed top 3 Medicaid codes account for 100.0% of its total Medicaid revenue, with H2017 representing 86.5% and 99199 representing 13.5% of Medicaid dollars. That concentration indicates the organization’s financial performance in Medicaid is driven almost entirely by a very small set of service lines.

The code mix and volumes point to a core operational focus on psychosocial rehabilitation: H2017 (Psychosocial rehabilitation services, per 15 minutes) accounts for 2.1M claims at $98 avg paid/claim and $202.4M revenue. High unit volumes billed in 15-minute increments are consistent with a service delivery model built around frequent, short-duration behavioral health encounters and intensive community-based rehab programming.

99199 (Use this code to report other medicine services or procedures for which there is no specific code available) constitutes 533.7K claims at $59 avg paid/claim and $31.5M revenue, suggesting substantial use of an unspecified/other-services category in the provider’s billing. The large claim count for 99199 implies either a diverse set of ancillary activities that lack specific codes or routine reliance on a catch-all code to bill nonstandard service elements.

On statewide competitive standing the provider is a dominant outlier: it ranks #1 of 58 providers in-state for H2017 and #1 of 57 for 99199, both described as 100th percentile and extreme outliers far above typical state volume for these codes. Those ranks support characterizing COUNTY OF MILWAUKEE as a major, high-volume statewide provider of the specific services represented by these codes rather than a modest participant.

S9484 (Crisis intervention mental health services, per hour) is effectively immaterial to revenue: 1.5K claims are reported with a $0 avg paid/claim and $0 revenue, and the provider ranks #51 of 65 in-state for this code with typical, unremarkable volume. Crisis intervention does not appear to be a meaningful Medicaid revenue driver for this entity based on the reported data.

The provider’s NPI was enumerated on 2014-04-10 (~12 years ago), and the listed taxonomy is Community/Behavioral Health Agency; tenure and taxonomy align with the observed Medicaid service mix focused on psychosocial rehabilitation and community behavioral health. This longevity supports that the billing pattern is an established operational profile rather than a transient anomaly.

From a payer and financial-management perspective, the extreme revenue concentration in a small number of codes creates exposure to rate changes or policy revisions affecting H2017 and 99199; payers and analysts should treat reimbursements tied to those specific codes as the primary levers of financial impact. Given the provider’s statewide dominance in those codes, contract negotiations, utilization review, and capacity planning efforts should prioritize those service lines.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	2,065,340	$100	$202.4M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	533,690	$60	$31.5M
S9484	Crisis intervention mental health services, per hour	1,500	$0	$0

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 Milwaukee — 2 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	1	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.	1	60	16,890	$60	$2.9M
S9484	Crisis intervention mental health services, per hour	51	70	7,330	$60	$2.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Milwaukee	WI	Community/Behavioral Health Agency	$0	$92.3M
County Of Milwaukee	WI	Community/Behavioral Health Agency	$0	$50.7M
Curtis Universal Ambulance Services, Inc	WI	Land Ambulance	$932.6K	$14.2M
Milwaukee County Department Of Health And Human Services	WI	Case Management Agency	$0	$11.4M
County Of Milwaukee	WI	Case Management Agency	$0	$8.1M
Matt Talbot Recovery Services, Inc.	WI	Substance Abuse Rehabilitation Facility	$0	$5.3M
Mental Health Emergency Center, Inc.	WI	Psychiatric Hospital	$0	$4.8M

County Of Milwaukee — Billing Profile & Reimbursement Data

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County Of Milwaukee — 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