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 Door-door County Library (NPI 1245265693)

Field	Value
Entity Type	Organization
Organization	County Of Door-door County Library
Address	421 Nebraska St
City	Sturgeon Bay
State	WI
ZIP	54235
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	67,630	$100	$6.5M
T1016	Case management, each 15 minutes	19,350	$110	$2.2M
H0039	Assertive community treatment, face-to-face, per 15 minutes	50,960	$30	$1.7M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	16,890	$80	$1.3M
T1017	Targeted case management, each 15 minutes	2,040	$80	$171.3K
S9484	Crisis intervention mental health services, per hour	2,000	$50	$91.9K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	40	$590	$24.3K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	130	$120	$16.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	660	$20	$12.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	430	$20	$7.8K

Showing 1–10 of 16

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 Door-door County Library — 0 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	28	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.	29	60	16,890	$60	$2.9M
S9484	Crisis intervention mental health services, per hour	49	70	7,330	$60	$2.5M
H0039	Assertive community treatment, face-to-face, per 15 minutes	20	70	16,670	$30	$2.1M
T1017	Targeted case management, each 15 minutes	58	90	3,130	$100	$2M
T1016	Case management, each 15 minutes	66	220	7,110	$70	$1.7M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	720	1,630	270	$40	$205.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	661	1,760	250	$40	$173.2K
H0022	Alcohol and/or drug intervention service (planned facilitation)	159	190	400	$30	$140.3K
H2011	Crisis intervention service, per 15 minutes	36	40	550	$80	$110.4K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as County Of Door-door County Library, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Door County Memorial Hospital	WI	Critical Access Hospital	$0	$7.5M
Door County Memorial Hospital	WI	Dental Clinic/Center	$0	$1.5M
County Of Door-door County Library	WI	Land Ambulance	$405.9K	$237.6K
Cathleen Keltgen	WI	Chiropractor	$74K	$383.2K
Diane Thaler	WI	Dermatology Physician	$194K	$0
Wisconsin Cvs Pharmacy, L.L.C.	WI	Pharmacy	$146.8K	$2.4K
Bradley Burkart	WI	Podiatrist	$108.9K	$6.6K
Kurt Harris	WI	Diagnostic Radiology Physician	$98.9K	$0
John Paulsen	WI	Optometrist	$70.5K	$0
Annika Paulsen	WI	Optometrist	$68.6K	$0

County Of Door-door County Library — Billing Profile & Reimbursement Data

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County Of Door-door County Library — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References