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 Milwaukee (NPI 1427136555)

Field	Value
Entity Type	Organization
Organization	County Of Milwaukee
Address	1230 W Cherry Street
City	Milwaukee
State	WI
ZIP	53205
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$92.3M
Medicare	$0

Key Findings

COUNTY OF MILWAUKEE is effectively a single-payer Medicaid operation: there is no Medicare billing on file and total Medicaid revenue is $92.3M. The absence of Medicare activity indicates the provider’s operational footprint and reimbursement exposure are concentrated entirely within Medicaid programs.

Revenue concentration is extreme: the top 3 Medicaid codes (S9484, S9485, T1016) account for 99.1% of this provider's total Medicaid revenue. S9484 alone represents $68.6M (74.3% of Medicaid revenue) and S9485 contributes $19.8M (21.4%), leaving T1016 with $3.1M (3.3%), which signals a narrow revenue base focused on a small set of service lines.

The code mix signals an operational emphasis on crisis and urgent behavioral health services. High-volume codes S9484 (Crisis intervention mental health services, per hour) with 1.1M claims and S9485 (Crisis intervention mental health services, per diem) with 250.3K claims dominate billing, and H2011 (Crisis intervention service, per 15 minutes) also appears in the top-line mix, indicating that crisis response and short-term intervention are the core service lines. T1016 (Case management, each 15 minutes) at 96.2K claims shows a complementary case-management role rather than broad outpatient or longitudinal therapy services.

Competitive standing in-state is dominant for crisis intervention codes: S9484 ranks #1 of 65 providers in-state (100th percentile; extreme outlier) and S9485 ranks #1 of 11 providers in-state (100th percentile; notably above typical state volume). H2011 also ranks #1 of 42 providers in-state (100th percentile; extreme outlier), reinforcing that COUNTY OF MILWAUKEE is a statewide leader — if not an outlier — in Medicaid-funded crisis services.

Other Medicaid codes are negligible relative to the crisis services footprint: H0030 (Behavioral health hotline service) accounts for $44.9K and 2K claims, while several codes (99199, H2017) show $0 reported revenue despite some claims, underlining that nearly all economic activity is captured by the crisis and case-management codes. This suggests limited diversification into other behavioral-health revenue streams.

Given the high absolute volumes reported, the provider operates at a large scale for crisis services: S9484 reports 1.1M claims at $63 avg paid/claim and S9485 reports 250.3K claims at $79 avg paid/claim. Those claim counts, combined with the $68.6M and $19.8M revenues respectively, indicate operational capacity to deliver crisis interventions at scale within the state Medicaid system.

The provider’s tenure is longstanding: the NPI was enumerated on 2006-11-02 (~20 years ago), indicating an established presence in the market and sustained Medicaid billing activity over multiple policy cycles. That longevity, paired with concentrated service lines, suggests operational specialization rather than a recently established or transient billing pattern.

From a business risk and planning perspective, the concentration (99.1% of Medicaid revenue in three codes) creates sensitivity to Medicaid policy, rate changes, or utilization-management shifts specifically impacting crisis intervention and case management codes. Any in-state reimbursement or utilization changes for S9484, S9485, or T1016 would disproportionately affect the provider’s revenue given the current code mix.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9484	Crisis intervention mental health services, per hour	1,088,750	$60	$68.6M
S9485	Crisis intervention mental health services, per diem	250,310	$80	$19.8M
T1016	Case management, each 15 minutes	96,220	$30	$3.1M
H2011	Crisis intervention service, per 15 minutes	9,760	$80	$781K
H0030	Behavioral health hotline service	2,040	$20	$44.9K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	390	$0	$0
H2017	Psychosocial rehabilitation services, per 15 minutes	480	$0	$0

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 Milwaukee — 4 of 5 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	54	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.	53	60	16,890	$60	$2.9M
S9485	Crisis intervention mental health services, per diem	1	10	2,640	$80	$2.8M
S9484	Crisis intervention mental health services, per hour	1	70	7,330	$60	$2.5M
T1016	Case management, each 15 minutes	12	220	7,110	$70	$1.7M
H2011	Crisis intervention service, per 15 minutes	1	40	550	$80	$110.4K
H0030	Behavioral health hotline service	7	40	730	$20	$22.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Milwaukee	WI	Community/Behavioral Health Agency	$0	$233.9M
County Of Milwaukee	WI	Community/Behavioral Health Agency	$0	$50.7M
Curtis Universal Ambulance Services, Inc	WI	Land Ambulance	$932.6K	$14.2M
Milwaukee County Department Of Health And Human Services	WI	Case Management Agency	$0	$11.4M
County Of Milwaukee	WI	Case Management Agency	$0	$8.1M
Matt Talbot Recovery Services, Inc.	WI	Substance Abuse Rehabilitation Facility	$0	$5.3M
Mental Health Emergency Center, Inc.	WI	Psychiatric Hospital	$0	$4.8M

County Of Milwaukee — Billing Profile & Reimbursement Data

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County Of Milwaukee — 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