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    OpenPayerNPI Medicare & MedicaidKenosha County Department Of Human Services
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    Kenosha County Department Of Human Services — Billing Profile & Reimbursement Data

    NPI 1285827667 · Kenosha, WI · Community/Behavioral Health Agency

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    Kenosha County Department Of Human Services is a community/behavioral health agency provider located in Kenosha, Wisconsin. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationKenosha County Department Of Human Services
    Address8600 Sheridan Road
    CityKenosha
    StateWI
    ZIP53143
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedAugust 20, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$63M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-only operation: there is no Medicare billing on file and its reported lifetime Medicaid revenue is $63M. The absence of Medicare activity indicates payer exposure and reporting are concentrated entirely in the Medicaid program rather than split across Medicare/Medicaid.

    Revenue for this organization is highly concentrated in a very narrow set of Medicaid codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with H2017 alone representing $57.9M (92.0%) of the $63M total. That level of concentration means changes to reimbursement, authorization rules, or utilization for H2017 would materially affect the provider's overall receipts.

    The code mix points squarely to a community behavioral-health service model centered on time-based psychosocial rehabilitation: H2017 (psychosocial rehabilitation services, per 15 minutes) is dominant with 579K claims and an average paid per claim of $100. This pattern is consistent with programmatic delivery of frequent, short-duration sessions typical of community/behavioral health agencies rather than episodic acute-care procedures.

    A secondary revenue stream is built on 99199 (other medicine services), which accounts for $5.1M (8.0%) of Medicaid revenue from 140.8K claims at an average paid per claim of $36. The high claim count but comparatively low average payment per claim suggests many lower-intensity or miscellaneous billed interactions that supplement the core psychosocial-rehabilitation workflow.

    State-level competitive standing is notable but not extreme: for H2017 the provider ranks #5 of 58 providers in-state (93th percentile) and for 99199 it ranks #5 of 57 providers in-state (93th percentile); both entries are labeled in the data as "typical, unremarkable volume for this code." In plain terms, the provider sits among higher-volume peers statewide for its principal codes but its activity is within the expected peer distribution rather than an outlier.

    Operational and payer-strategy implications follow directly from mix and tenure: with nearly all revenue tied to time-based psychosocial rehab codes, the provider is vulnerable to policy or rate changes affecting H2017 and related billing practices. The NPI has been enumerated since 2007-08-20 (~19 years ago), indicating an established local presence that may align with long-running community programs and contractual relationships.

    Given the billing profile, analysts should treat program integrity and utilization-management levers for psychosocial rehabilitation as the primary areas of interest; any review of contracts, encounter documentation, or utilization trends should prioritize H2017 and the large volume of short-duration encounters that generate the 579K claims. Monitoring shifts in the proportion of H2017 to miscellaneous codes like 99199 will be important for assessing operational changes or payer-policy impacts.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    H2017Psychosocial rehabilitation services, per 15 minutes579,020$100$57.9M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.140,760$40$5.1M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2017Psychosocial rehabilitation services, per 15 minutes56057,750$100$18.9M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.56016,890$60$2.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kenosha County Department Of Human ServicesWICommunity/Behavioral Health Agency$0$8.5M
    Professional Services GroupWIMental Health Clinic/Center (Including Community Mental Health Center)$0$7M
    Froedtert South, Inc.WIFamily Medicine Physician$0$5.3M
    Kenosha Community Health Center, IncWIFederally Qualified Health Center (FQHC)$0$4.1M
    Kenosha County Department Of Human ServicesWICommunity/Behavioral Health Agency$0$2.6M
    Professional Services Group, Inc.WIMental Health Clinic/Center (Including Community Mental Health Center)$0$1.6M
    Ljh Ambulance, IncWILand Ambulance$756.8K$565.7K
    Jennifer StropkeyWINurse Practitioner$405.7K$0
    Mohsin GhadialiWIDiagnostic Radiology Physician$155.6K$17.4K
    Raaid MuseitifWIInterventional Cardiology Physician$144.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Wisconsin Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Kenosha County Department Of Human Services — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin