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    OpenPayerNPI Medicare & MedicaidSheboygan County Health & Human Services
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    Sheboygan County Health & Human Services — Billing Profile & Reimbursement Data

    NPI 1326172594 · Sheboygan, WI · Community/Behavioral Health Agency

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    Sheboygan County Health & Human Services is a community/behavioral health agency provider located in Sheboygan, Wisconsin. This profile covers 0 Medicare and 5 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
    OrganizationSheboygan County Health & Human Services
    Address1011 N 8th St
    CitySheboygan
    StateWI
    ZIP53081
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedMarch 16, 2007

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

    Payer SourceTotal Paid
    Medicaid$1.9M
    Medicare$0

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9484Crisis intervention mental health services, per hour16,380$50$868K
    T1016Case management, each 15 minutes9,540$50$467.5K
    S9485Crisis intervention mental health services, per diem4,970$80$417.7K
    H2011Crisis intervention service, per 15 minutes1,430$90$134.4K
    H0030Behavioral health hotline service1,290$20$24.5K

    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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9485Crisis intervention mental health services, per diem3102,640$80$2.8M
    S9484Crisis intervention mental health services, per hour19707,330$60$2.5M
    T1016Case management, each 15 minutes982207,110$70$1.7M
    H2011Crisis intervention service, per 15 minutes940550$80$110.4K
    H0030Behavioral health hotline service1240730$20$22.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sheboygan County Health & Human Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sheboygan County Health & Human ServicesWICommunity/Behavioral Health Agency$0$19.3M
    Sheboygan County Health & Human ServicesWICase Management Agency$0$4.1M

    Nearby Providers

    Other providers in the same ZIP code as Sheboygan County Health & Human Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vista Care South Dakota, LLCWIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$20M
    Lakeshore Community Health Care, IncWIFederally Qualified Health Center (FQHC)$0$14.7M
    Aurora Health Care Central, Inc.WIGeneral Acute Care Hospital$0$12.4M
    Universal Home Health Care, IncWIHome Health Agency$0$11.6M
    St. Nicholas Hospital-sisters Of The Third Order Of St FrancisWIGeneral Acute Care Hospital$0$5M
    Sheboygan Area School DistrictWILocal Education Agency (LEA)$0$3.9M
    William ShowsWIOrthodontics and Dentofacial Orthopedics Dentistry$0$3.9M
    Hospice Advantage, LLCWICommunity Based Hospice Care Agency$0$3.6M
    Vista Care Colorado, LLCWIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$3.2M
    Progressive Beginnings, LLCWIRehabilitation Clinic/Center$0$2.9M

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Sheboygan County Health & Human Services — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin