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.

Dane County Department Of Human Services (NPI 1396938270)

Field	Value
Entity Type	Organization
Organization	Dane County Department Of Human Services
Address	1202 Northport Dr
City	Madison
State	WI
ZIP	53704
Taxonomy	Case Management Agency
NPI Enumerated	August 23, 2007

Payer Source	Total Paid
Medicaid	$18M
Medicare	$0

Key Findings

DANE COUNTY DEPARTMENT OF HUMAN SERVICES is effectively a Medicaid-focused provider with no Medicare billing on file and $18M in total Medicaid revenue. The absence of Medicare billing combined with its Case Management Agency taxonomy suggests its services are concentrated on state-funded care coordination and waiver/foster care programs rather than Medicare-billed clinical services.

Revenue is highly concentrated in a small set of codes: the top three Medicaid codes (T1016, T1017, H0041) account for 91.7% of the provider’s Medicaid revenue. T1016 alone generates $10.4M (57.8% of Medicaid revenue), T1017 generates $4.4M (24.6%), and H0041 generates $1.7M (9.3%), indicating operations built around case management, targeted case management, and foster care per diems.

The code mix (T1016, T1017, H0041) reinforces a business model centered on case management and child welfare services: T1016 and T1017 are billed in 15-minute increments for general and targeted case management, while H0041 is foster care, child, non-therapeutic, per diem. This combination aligns with a county human services agency providing ongoing care coordination and custodial placements rather than episodic medical procedures or durable clinical services.

Statewide competitive standing varies by service line. For T1016 the provider ranks #15 of 224 in-state (94th percentile) and for T1017 ranks #6 of 87 (94th percentile), indicating strong volume relative to many peers for core case management work even as the dataset characterizes those volumes as "typical, unremarkable." For H0041 the provider ranks #1 of 2 in-state (100th percentile), reflecting dominance for foster care per diem billing within a very small peer set.

Several secondary revenue streams are present but materially smaller than the top three. Examples include S5150 (unskilled respite care) with $355.9K (2.0% of Medicaid revenue), S5165 (home modifications) with $291.7K (1.6%), and T2028 (specialized supply, waiver) with $263.3K (1.5%), showing the agency also bills waiver-related supplies and supportive services alongside case management.

Some line items show high unit payments or concentrated peer positions that suggest occasional high-cost interventions. S5165 has a high average paid/claim of $3838 and ranks #3 of 4 providers in-state (33th percentile), indicating infrequent but costly home modification claims; S5115 (home care training, non-family) is $72.2K in revenue but ranks #1 of 2 in-state (100th percentile), highlighting leadership in narrow, low-volume service categories.

The provider’s enrollment tenure is long-standing: the NPI was enumerated on 2007-08-23 (~19 years ago), which supports interpretation of observed patterns as established operational behavior rather than a new entrant effect. This longevity, together with concentrated Medicaid revenue, suggests stable involvement in county-level case management and child welfare programs.

While the agency is a major Medicaid participant for its core codes, the overall portfolio outside the top three is diversified across many small-dollar codes (e.g., A9999, E1399, G0176, T2013) each representing under 1% of total Medicaid revenue. That distribution implies reliance on volume and continuity in core case management and foster care billing to sustain total revenue, with supplemental revenue from supplies, therapy sessions, and waiver-specific services.

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
T1016	Case management, each 15 minutes	84,630	$120	$10.4M
T1017	Targeted case management, each 15 minutes	69,260	$60	$4.4M
H0041	Foster care, child, non-therapeutic, per diem	680	$2,470	$1.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	970	$370	$355.9K
S5165	Home modifications; per service	80	$3,840	$291.7K
T2028	Specialized supply, not otherwise specified, waiver	1,240	$210	$263.3K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	1,430	$160	$230.8K
E1399	Durable medical equipment, miscellaneous	620	$160	$99.2K
S5115	Home care training, non-family; per 15 minutes	240	$300	$72.2K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	550	$110	$58.7K

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

Dane County Department Of Human Services — 2 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
S5150	Unskilled respite care, not hospice; per 15 minutes	17	30	2,010	$90	$2.1M
T1017	Targeted case management, each 15 minutes	6	90	3,130	$100	$2M
T1016	Case management, each 15 minutes	15	220	7,110	$70	$1.7M
H0041	Foster care, child, non-therapeutic, per diem	1	10	530	$1,880	$993.7K
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	27	50	670	$120	$361.8K
S5165	Home modifications; per service	3	10	170	$1,930	$320.7K
T2028	Specialized supply, not otherwise specified, waiver	8	40	340	$210	$188.6K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	13	60	460	$170	$177.3K
T2013	Habilitation, educational, waiver; per hour	6	10	460	$150	$118.8K
E1902	Communication board, non-electronic augmentative or alternative communication device	2	10	110	$380	$102.5K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dane County Department Of Human Services	WI	Community/Behavioral Health Agency	$0	$187.1M
Access Community Health Centers, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$51.9M
Dane County Human Services	WI	Community/Behavioral Health Agency	$0	$37.2M
Dane County Human Services	WI	Community/Behavioral Health Agency	$0	$18.1M
Psychological Addiction Services LLC	WI	Methadone Clinic	$138K	$8.5M
Care Wisconsin First, Inc.	WI	Health Maintenance Organization	$0	$7.4M
Teamwork Associates, Inc	WI	Case Management Agency	$0	$7.3M
Dane County Human Services	WI	Public Health or Welfare Agency	$0	$6.1M
Familia Dental Madison East LLC	WI	Dental Clinic/Center	$0	$5.9M
Brianna Kauer	WI	Behavior Analyst	$0	$1.8M

Dane County Department Of Human Services — Billing Profile & Reimbursement Data

Sign up for Dane County Department Of Human Services — Billing Profile & Reimbursement Data policy alerts

Dane County Department Of Human Services — Billing Profile & Reimbursement Data

Sign up for Dane County Department Of Human Services — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References