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    OpenPayerNPI Medicare & MedicaidCounty Of Brown
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    County Of Brown — Billing Profile & Reimbursement Data

    NPI 1386713352 · Green Bay, WI · Clinic/Center

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    County Of Brown is a clinic/center provider located in Green Bay, 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
    OrganizationCounty Of Brown
    Address3150 Gershwin Drive
    CityGreen Bay
    StateWI
    ZIP54311
    TaxonomyClinic/Center
    NPI EnumeratedNovember 6, 2006

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

    Payer SourceTotal Paid
    Medicaid$21.1M
    Medicare$0

    Key Findings

    COUNTY OF BROWN operates effectively as a Medicaid-focused clinic: there is no Medicare billing on file and its lifetime reported Medicaid revenue is $21.1M, indicating it is functionally a single-payer provider in the available data. This payer concentration means Medicaid policy and rate changes will disproportionately affect the organization’s finances.

    Revenue is highly concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with H2017 alone contributing $17.8M (84.4% of Medicaid revenue) and 99199 contributing $3.3M (15.6%). That concentration exposes the provider to earnings volatility if reimbursement or utilization for those specific codes shifts.

    The code mix identifies the operation’s primary service line: H2017 (Psychosocial rehabilitation services, per 15 minutes) accounts for the bulk of activity and revenue, with 193.7K claims at a $92 avg paid/claim for $17.8M in revenue. The high claim count coupled with the code’s 15-minute unit structure suggests a high-volume, short-unit-duration service delivery model consistent with a clinic/center providing repeated psychosocial rehabilitation sessions.

    The secondary revenue stream is dominated by 99199 (other medicine services), which produced 84.6K claims at a $39 avg paid/claim for $3.3M in revenue. Heavy use of an unspecified “other” medicine code can reflect a portfolio of miscellaneous billable services or reliance on catch-all coding for procedures without specific codes; either way, this further indicates a breadth of lower-paid, high-volume services.

    State-level competitive standing is mixed: for H2017 the provider ranks #14 of 58 in-state (77th percentile) and for 99199 it ranks #8 of 57 (88th percentile), but both are labeled in the data as "typical, unremarkable volume" for those codes. In plain terms, COUNTY OF BROWN is above median for these services in Wisconsin and among the stronger participants for 99199, yet its activity levels are not characterized as extreme or uniquely dominant.

    The reimbursement profile shows modest per-unit payments ($92 for H2017 and $39 for 99199) so overall revenue is driven by scale rather than high margins per encounter. Operationally, that means financial performance is sensitive to changes in utilization rates and to small shifts in unit reimbursement, and sustaining revenue depends on maintaining high visit volumes.

    The provider has a long-established billing presence: NPI was enumerated on 2006-11-06 (~20 years ago), indicating multi-year operational tenure that may support stable relationships with state Medicaid programs and local referral sources. This longevity, combined with concentrated Medicaid revenue, suggests organizational experience in serving behavioral/rehabilitation populations under public programs.

    Given the combination of single-payer dependence, extreme revenue concentration in H2017 and 99199, and a volume-driven reimbursement model, the provider faces operational risk if Medicaid coverage or rates for these codes change. Conversely, the established scale in psychosocial rehab services positions COUNTY OF BROWN to leverage efficiency or programmatic expansions within Medicaid, but any strategic shift into Medicare would require developing new billable services since no Medicare billing is on file.

    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 minutes193,650$90$17.8M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.84,580$40$3.3M

    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 minutes146057,750$100$18.9M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.86016,890$60$2.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric LundWIClinical Psychologist$0$77.1M
    Baycare Aurora, LLCWIGeneral Acute Care Hospital$0$25.4M
    Caravel Autism Health, LLCWIBehavior Analyst$0$18.5M
    County Of BrownWICommunity/Behavioral Health Agency$0$8.2M
    Visiting Nurse Association Of Wisconsin, Inc.WIHome Infusion Therapy Pharmacy$0$5M
    Baycare Clinic LLPWIEmergency Medicine Physician$0$3.6M
    County Of BrownWICase Management Agency$0$3.3M
    Aegis Group IncWILand Ambulance$1.2M$1.6M
    Visiting Nurse Association Of Wisconsin, IncWIHome Health Agency$0$2.7M
    Orthopedic Surgery Center Of Green Bay, LLCWIAmbulatory Surgical Clinic/Center$2M$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
    County Of Brown — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin