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.

County Of La Crosse (NPI 1366508897)

Field	Value
Entity Type	Organization
Organization	County Of La Crosse
Address	300 4th St N
City	La Crosse
State	WI
ZIP	54601
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 29, 2006

Payer Source	Total Paid
Medicaid	$85M
Medicare	$0

Key Findings

COUNTY OF LA CROSSE has no Medicare billing on file and reports $85M in Medicaid revenue, making it effectively a Medicaid-focused provider for the payers who will evaluate its profile. The absence of Medicare activity means analyses of its performance should be centered on Medicaid utilization and state-level comparisons.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 92.9% of the provider's Medicaid revenue, driven by H2017 ($60.8M, 71.5%), T1016 ($9.4M, 11.1%), and 99199 ($8.8M, 10.3%). This concentration indicates the bulk of financial exposure and program risk for payers is tied to a small set of behavioral-health service lines.

H2017 (Psychosocial rehabilitation services, per 15 minutes) dominates the billing mix with 614K claims at $99 avg paid/claim, totaling $60.8M and representing 71.5% of Medicaid revenue; this pattern is consistent with an operation that delivers time-based, community psychosocial rehabilitation as its core service offering. The per-15-minute billing profile and very large claim count align with an organization structured around frequent, short-interval outpatient or community-based psychosocial interventions.

T1016 (Case management, each 15 minutes) and 99199 (other medicine services) together constitute roughly 21.4% of Medicaid revenue ($9.4M and $8.8M respectively) and show high utilization: 113.4K claims for T1016 and 186.4K claims for 99199. Both codes are labeled "notably above typical" in-state (T1016 ranks #11 of 224, 96th percentile; 99199 ranks #3 of 57, 96th percentile), which positions the provider as a major statewide participant in case management and in reporting uncoded/other behavioral medicine procedures.

Crisis-related services and ancillary supply billing appear as secondary lines: S9484 (crisis intervention, per hour) generated $4.8M (61.4K claims, $78 avg) and is described as typical/unremarkable statewide, while A9999 (miscellaneous DME) is a small revenue stream ($560.3K) but ranks #2 of 56 providers in-state at the 98th percentile (labeled notably above typical). The mix suggests a primary focus on psychosocial rehabilitation and case management with supplemental crisis response capacity and an unusually high state ranking for miscellaneous DME despite its small share.

Traditional E/M office visits are a negligible part of the billing picture: 99214 ($37.5K), 99215 ($18.7K), and 99213 ($3.2K) together account for an immaterial fraction of Medicaid revenue. This supports the conclusion that clinical medical visits are not a material revenue driver and that the provider operates primarily as a community/behavioral health services organization rather than a conventional medical outpatient practice.

From a competitive-stance perspective, the provider is a major Medicaid player for case management and uncoded behavioral services (T1016 and 99199 are in the 96th percentile statewide and described as notably above typical), while its leadership in psychosocial rehabilitation (H2017) is large in absolute terms ($60.8M, rank #4 of 58, 95th percentile) but characterized in the data as typical/unremarkable for that code. For payers evaluating network capacity or contracting leverage in Wisconsin behavioral health, COUNTY OF LA CROSSE represents significant Medicaid volume concentrated in a few behavioral service lines that merit focused management.

The provider's NPI was enumerated on 2006-12-29 (approximately 20 years ago), indicating a long-tenured Medicaid presence in the market; that tenure combined with high-volume, concentrated code usage suggests operational stability in delivering community behavioral health and case management services over time.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	614,020	$100	$60.8M
T1016	Case management, each 15 minutes	113,360	$80	$9.4M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	186,380	$50	$8.8M
S9484	Crisis intervention mental health services, per hour	61,380	$80	$4.8M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	4,030	$140	$560.3K
T1017	Targeted case management, each 15 minutes	6,300	$40	$264.4K
H2011	Crisis intervention service, per 15 minutes	2,630	$70	$191.7K
T2028	Specialized supply, not otherwise specified, waiver	710	$220	$159.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,790	$20	$37.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	690	$30	$18.7K

Showing 1–10 of 15

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

County Of La Crosse — 3 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	4	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.	3	60	16,890	$60	$2.9M
S9484	Crisis intervention mental health services, per hour	7	70	7,330	$60	$2.5M
T1017	Targeted case management, each 15 minutes	25	90	3,130	$100	$2M
T1016	Case management, each 15 minutes	11	220	7,110	$70	$1.7M
A0110	Non-emergency transportation and bus, intra or inter state carrier	4	10	3,740	$80	$240.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	419	1,630	270	$40	$205.3K
T2028	Specialized supply, not otherwise specified, waiver	14	40	340	$210	$188.6K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	2	60	460	$170	$177.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	935	1,760	250	$40	$173.2K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gundersen Lutheran Medical Center Inc	WI	General Acute Care Hospital	$0	$74.3M
Mayo Clinic Health System-southwest Wisconsin Region, Inc.	WI	General Acute Care Hospital	$0	$13.4M
Gundersen Clinic Ltd	WI	Clinic/Center	$0	$10.1M
Mayo Clinic Health System-southwest Wisconsin Region, Inc.	WI	Multi-Specialty Clinic/Center	$0	$8.8M
Riverfront Activities Center Inc	WI	Developmentally Disabled Services Day Training Agency	$0	$7.2M
La Crosse County Human Services	WI	Community/Behavioral Health Agency	$0	$3.3M
School District Of La Crosse	WI	Local Education Agency (LEA)	$0	$2.8M
Gundersen Lutheran Medical Center, Inc.	WI	Air Ambulance	$0	$2M
Chileda Institute, Inc	WI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$1.9M
Driftless Recovery Services, Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.4M

County Of La Crosse — 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