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.

Marathon County (NPI 1306968391)

Field	Value
Entity Type	Organization
Organization	Marathon County
Address	400 E Thomas St
City	Wausau
State	WI
ZIP	54403
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	April 3, 2007

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	63,920	$80	$5M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	3,280	$100	$334.1K
H0041	Foster care, child, non-therapeutic, per diem	380	$840	$317.2K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1,720	$130	$230.3K
T2028	Specialized supply, not otherwise specified, waiver	130	$230	$29.4K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	120	$40	$5.2K
T2036	Therapeutic camping, overnight, waiver; each session	30	$130	$4.3K
T2037	Therapeutic camping, day, waiver; each session	50	$40	$2.4K
S5190	Wellness assessment, performed by non-physician	20	$120	$2.4K

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

Marathon County — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	24	220	7,110	$70	$1.7M
H0041	Foster care, child, non-therapeutic, per diem	2	10	530	$1,880	$993.7K
T2037	Therapeutic camping, day, waiver; each session	18	20	200	$500	$420.2K
T2028	Specialized supply, not otherwise specified, waiver	30	40	340	$210	$188.6K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	6	60	460	$170	$177.3K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	15	60	610	$40	$97.4K
S5190	Wellness assessment, performed by non-physician	22	20	130	$190	$95.9K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	12	20	180	$30	$23.2K
T2036	Therapeutic camping, overnight, waiver; each session	1	10	30	$500	$16K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Human Services Board Serving North Central Heatlh Care Facility	WI	Multi-Specialty Clinic/Center	$0	$74.1M
Primary Connection Health Care, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$11.5M
Human Services Board Serving North Central Health Care Facility	WI	Multi-Specialty Clinic/Center	$0	$9.4M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$110.8K	$8.7M
Arbor Mental Health Center	WI	Clinical Psychologist	$0	$5.2M
Deepak Sambhara	WI	Ophthalmology Physician	$4.3M	$0
Human Services Board Serving North Central Heatlh Care Facility	WI	Multi-Specialty Clinic/Center	$0	$3.2M
Wausau School District	WI	Local Education Agency (LEA)	$0	$2.8M
City Of Wausau	WI	Land Ambulance	$397K	$1.8M
Milwaukee Health Services System, LLC	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.6M

Marathon County — Billing Profile & Reimbursement Data

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Marathon County — 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