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.

Eau Claire County Dept. Of Human Services (NPI 1225483126)

Field	Value
Entity Type	Organization
Organization	Eau Claire County Dept. Of Human Services
Address	721 Oxford Ave
City	Eau Claire
State	WI
ZIP	54703
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 28, 2016

Payer Source	Total Paid
Medicaid	$32.9M
Medicare	$0

Key Findings

EAU CLAIRE COUNTY DEPT. OF HUMAN SERVICES bills almost exclusively to Medicaid, reporting $32.9M in lifetime Medicaid revenue and no Medicare billing on file. Its taxonomy as a Community/Behavioral Health Agency aligns with the service mix reflected in claims data, so the organization operates primarily in publicly financed behavioral health and community support services.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with H2017 alone accounting for $30.1M (91.4%) and 99199 accounting for $2.8M (8.6%). This concentration indicates that a very small set of service codes drive essentially all of the provider’s Medicaid income.

The dominant code, H2017 (Psychosocial rehabilitation services, per 15 minutes), has extremely high utilization: 248.7K claims at a $121 avg paid/claim totaling $30.1M. This pattern suggests the organization delivers large volumes of time-based psychosocial rehabilitation sessions, consistent with a high-throughput, community-based program model that bills by unit time.

The second code, 99199 (other medicine services/procedures), represents 49.8K claims at a $57 avg paid/claim totaling $2.8M and is an unspecified catch-all code. Substantial use of 99199 indicates frequent billing for services that lack a more specific procedure code, which may reflect ancillary or miscellaneous interventions packaged alongside primary psychosocial services.

In statewide competitive terms the provider is an above-median participant for its top codes but not an outlier: H2017 ranks #9 of 58 providers in-state (86th percentile) and is described in the data as "typical, unremarkable volume for this code," while 99199 ranks #12 of 57 (80th percentile) and is also characterized as typical. Together these ranks imply the organization is a meaningful regional provider of psychosocial rehab services—a solid, upper-tier performer statewide—but not a dominant statewide monopoly for these codes.

Operationally, the very large claim counts (248.7K for H2017 and 49.8K for 99199) signal a high-frequency service delivery model with significant staffing and scheduling demands driven by time-based encounters. The combination of high unit counts and per-15-minute billing emphasizes the importance of utilization management and encounter documentation to revenue flow.

The heavy dependence on a small set of Medicaid codes creates both risk and opportunity: any reimbursement policy, rate adjustment, or coding guideline change affecting H2017 or 99199 would disproportionately impact the provider’s $32.9M Medicaid revenue. Conversely, the clear service footprint around psychosocial rehabilitation points to opportunities to formalize or expand billable service lines with more-specific procedure codes or alternative revenue streams to reduce concentration.

The provider has an established enrollment history with its NPI enumerated on 2016-04-28 (~10 years ago), indicating a multi-year operating presence in the state Medicaid market; combined with the concentrated code mix, this tenure suggests a sustained, specialized programmatic focus rather than a newly formed billing pattern.

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	248,730	$120	$30.1M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	49,810	$60	$2.8M

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

Eau Claire County Dept. Of Human Services — 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	9	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.	12	60	16,890	$60	$2.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	General Acute Care Hospital	$0	$16.8M
Eau Claire County Department Of Human Services	WI	Case Management Agency	$0	$10.1M
Ucp Of West Central Wisconsin	WI	Case Management Agency	$0	$7M
Hha Of Wisconsin, LLC	WI	Home Health Agency	$0	$3.2M
Eau Claire County Department Of Human Services	WI	Community/Behavioral Health Agency	$0	$2.7M
Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.	WI	Substance Abuse Rehabilitation Facility	$0	$2.5M
Eau Claire County Department Of Human Services	WI	Community/Behavioral Health Agency	$0	$2.3M
Zachary Wilson	WI	Radiation Oncology Physician	$562.9K	$0
Charles Bingham	WI	Endocrinology, Diabetes & Metabolism Physician	$428.8K	$0
Melissa Hart	WI	Anatomic Pathology & Clinical Pathology Physician	$187.2K	$59.6K

Eau Claire County Dept. Of Human Services — Billing Profile & Reimbursement Data

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Eau Claire County Dept. Of Human Services — Billing Profile & Reimbursement Data

Sign up for Eau Claire County Dept. Of Human Services — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References