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 Rock (NPI 1427221837)

Field	Value
Entity Type	Organization
Organization	County Of Rock
Address	1717 Center Ave Ste 420
City	Janesville
State	WI
ZIP	53546
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 7, 2008

Payer Source	Total Paid
Medicaid	$23.1M
Medicare	$0

Key Findings

COUNTY OF ROCK reports no Medicare billing on file and $23.1M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) operation at scale within the available data. This one-sided payer mix means Medicaid policy and rate changes will likely drive most top-line financial impacts for this entity.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 99.2% of the provider's total Medicaid revenue, with one code dominating the mix. In particular, T1016 alone represents $22.2M (96.3% of Medicaid revenue), indicating the provider’s finances are heavily tied to payments for that single service.

The provider’s code mix points to an operational focus on intensive case management and child welfare supports rather than broad clinical billing. T1016 (case management, each 15 minutes) and H0042 (foster care, child, non-therapeutic, per month) together drive the vast majority of revenue, and T2028 (specialized supply, waiver) provides a smaller supportive revenue stream consistent with waiver-related supply provisioning.

T1016 volume is very high at 285.2K claims with an average paid/claim of $78; this code ranks #2 of 224 providers in-state and is labeled an extreme outlier, far above typical state volume for this code. That rank and volume profile imply the provider operates a large-scale case management program relative to peers and likely delivers frequent, short-interval service contacts.

H0042 activity (797 claims, $632 avg paid/claim, $503.7K revenue) ranks #1 of 8 providers in-state and is described as notably above typical state volume for this code, indicating COUNTY OF ROCK is a statewide leader among the small set of providers billing for non-therapeutic foster care. This suggests a specialized role in child welfare placement or case administration within Medicaid-funded foster care services.

T2028 and other supply-related codes provide modest, ancillary revenue: T2028 accounts for $160.2K (0.7% of Medicaid revenue) and ranks #5 of 42 (90th percentile, typical), while T1999, A9999, and E0700 together add limited sums. These supply and miscellaneous DME lines are unremarkable in share and likely support the primary case-management and foster-care services rather than constituting independent business lines.

The high concentration in a small set of codes creates business risk and operational dependence: significant shifts to reimbursement policy, documentation requirements, or eligibility for T1016 or H0042 could materially affect overall revenue given that the top 3 codes make up 99.2% of Medicaid receipts. Conversely, the concentration may reflect a deliberate specialization and operational efficiency in delivering high-volume case management and foster-care administration.

COUNTY OF ROCK’s NPI was enumerated on 2008-04-07 (~18 years ago), indicating a long-standing presence in the market. Combined with top-state rankings on key codes (including an extreme outlier position on T1016 and a #1 rank on H0042), this tenure supports the conclusion that the provider has an established, sustained focus on Medicaid-funded case management and child welfare services in Wisconsin.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	285,220	$80	$22.2M
H0042	Foster care, child, non-therapeutic, per month	800	$630	$503.7K
T2028	Specialized supply, not otherwise specified, waiver	1,860	$90	$160.2K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	2,260	$60	$124.4K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	680	$70	$47.6K
E0700	Safety equipment, device or accessory, any type	270	$60	$17.1K

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 Rock — 2 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	2	220	7,110	$70	$1.7M
H0042	Foster care, child, non-therapeutic, per month	1	10	270	$850	$279.5K
T2028	Specialized supply, not otherwise specified, waiver	5	40	340	$210	$188.6K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	23	60	460	$170	$177.3K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	11	60	610	$40	$97.4K
E0700	Safety equipment, device or accessory, any type	2	10	50	$50	$28.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Rock	WI	Community/Behavioral Health Agency	$0	$26.5M
Ssm Health Care Of Wisconsin, Inc.	WI	General Acute Care Hospital	$0	$8.4M
County Of Rock	WI	Community/Behavioral Health Agency	$0	$6.6M
County Of Rock	WI	Community/Behavioral Health Agency	$0	$5.7M
Rock Valley Community Programs, Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.2M
Maher Mourad	WI	Hospitalist Physician	$348.8K	$82.4K
Walgreen Co	WI	Pharmacy	$201.4K	$27.5K
Herbert Webb	WI	Optometrist	$30.4K	$132.2K
Monica Simionescu	WI	Neurology Physician	$106.8K	$46.9K
David Nelsen	WI	Dermatology Physician	$146.1K	$5.9K

County Of Rock — Billing Profile & Reimbursement Data

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County Of Rock — 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