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.

Racine County Ccs (NPI 1285039578)

Field	Value
Entity Type	Organization
Organization	Racine County Ccs
Address	1717 Taylor Ave
City	Racine
State	WI
ZIP	53403
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 29, 2014

Payer Source	Total Paid
Medicaid	$16.8M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file and all reported federal fee-for-service activity is Medicaid-based, with total Medicaid revenue of $16.8M. The absence of any Medicare revenue suggests the organization’s patient population and service contracts are concentrated in the Medicaid ecosystem rather than traditional Medicare-covered services.

Revenue concentration is extremely high: the precomputed top-3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue. Two codes dominate the mix — H2017 contributes $14.1M (84.4% of Medicaid revenue) and 99199 contributes $2.6M (15.6% of Medicaid revenue) — indicating a very narrow set of billable services drives nearly all cash flow.

The service-line mix is consistent with a community behavioral health agency focused on high-volume, time-based psychosocial rehabilitation: H2017 is listed as Psychosocial rehabilitation services, per 15 minutes and appears to be the primary service line (109.7K claims at $129 avg paid/claim). The second code, 99199 (other medicine services or procedures without a specific code), accounts for substantial ancillary or miscellaneous medical reporting (53.6K claims at $49 avg paid/claim), suggesting the organization also bills a large volume of non-specific or catch-all procedures alongside structured rehab sessions.

Competitive standing within the state is mixed by code: H2017 ranks #23 of 58 providers (61th percentile) and is described in the data as typical, unremarkable volume for this code, indicating a modest-to-moderate presence for psychosocial rehabilitation compared with peers. By contrast, 99199 ranks #11 of 57 providers (82th percentile) and — despite being labeled typical, unremarkable volume for this code in the dataset — reflects a comparatively stronger statewide position for miscellaneous medicine services.

The reported claim volumes imply a high-frequency operational model: 109.7K claims for H2017 and 53.6K claims for 99199 point to intensive, repeated service delivery and a sizable administrative workload to process short-interval, time-based encounters. The average payments per claim ($129 for H2017 and $49 for 99199) further indicate that overall revenue is driven by volume rather than high per-encounter reimbursement.

Tenure and enrollment history show this NPI has been enumerated since 2014-10-29 (~12 years ago), which suggests an established presence in the market and potential stability in provider operations and contract relationships within Medicaid. This duration supports the interpretation that the current billing mix is a sustained operating pattern rather than a transient reporting artifact.

From a risk-and-opportunity perspective, the extreme concentration in a small number of codes creates both efficiency and vulnerability: specializing in H2017-driven psychosocial rehabilitation likely enables operational efficiency and expertise, but the provider’s financial exposure is tightly linked to Medicaid policy and reimbursement for those specific codes. Any changes to coverage rules, unit definitions for H2017 (per 15 minutes), or audits targeting broad-use codes like 99199 could have outsized revenue impact due to the narrow billing base.

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	109,680	$130	$14.1M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	53,550	$50	$2.6M

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

Racine County Ccs — 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	23	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.	11	60	16,890	$60	$2.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Racine County Human Services Department	WI	Community/Behavioral Health Agency	$0	$7.1M
City Of Racine	WI	Land Ambulance	$397.8K	$4.8M
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$3.3M
Racine County Human Services Department	WI	Community/Behavioral Health Agency	$0	$2.8M
Nicolet Derose	WI	Pediatric Dentistry	$0	$1.7M
Racine County Opportunity Center, Inc.	WI	Voluntary or Charitable Agency	$0	$1.5M
Village Of Mount Pleasant	WI	Land Ambulance	$332.4K	$767.3K
Kimberly Schwerdtfeger	WI	Nurse Practitioner	$151.3K	$0
Deborah Cohen-smith	WI	Clinical Psychologist	$21.4K	$0
Lakeview Pharmacy In Racine Sc	WI	Community/Retail Pharmacy	$7.3K	$0

Racine County Ccs — Billing Profile & Reimbursement Data

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Racine County Ccs — 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