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.

Fond Du Lac Co Dcp Ccs Program (NPI 1255454047)

Field	Value
Entity Type	Organization
Organization	Fond Du Lac Co Dcp Ccs Program
Address	459 E 1st St
City	Fond Du Lac
State	WI
ZIP	54935
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 9, 2007

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

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	37,480	$110	$4M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	3,410	$90	$300.3K

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

Fond Du Lac Co Dcp Ccs Program — 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	40	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.	47	60	16,890	$60	$2.9M

Nearby Providers

Other providers in the same ZIP code as Fond Du Lac Co Dcp Ccs Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Agnesian Healthcare, Inc	WI	General Acute Care Hospital	$0	$17.8M
Agnesian Healthcare Inc	WI	Family Medicine Physician	$0	$7.4M
Consultants Laboratory Of Wisconsin, LLC	WI	Clinical Medical Laboratory	$1.2M	$4.6M
Fond Du Lac County Dcp Case Management	WI	Case Management Agency	$0	$5.8M
Premier Care Of Wisconsin, LLC.	WI	Methadone Clinic	$0	$4.8M
Fond Du Lac School District	WI	Local Education Agency (LEA)	$0	$2.5M
Agnesian Healthcare Inc	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.3M
Agnesian Healthcare Enterprises LLC	WI	Durable Medical Equipment & Medical Supplies	$0	$2.2M
City Of Fond Du Lac	WI	Land Ambulance	$325.7K	$1.5M
The Arc Of Fond Du Lac	WI	Speech-Language Pathologist	$0	$1.8M

Fond Du Lac Co Dcp Ccs Program — Billing Profile & Reimbursement Data

Sign up for Fond Du Lac Co Dcp Ccs Program — Billing Profile & Reimbursement Data policy alerts

Fond Du Lac Co Dcp Ccs Program — Billing Profile & Reimbursement Data

Sign up for Fond Du Lac Co Dcp Ccs Program — 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