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

    NPI 1437533627 · Madison, WI · Community/Behavioral Health Agency

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    Dane County Department Of Human Services is a community/behavioral health agency provider located in Madison, Wisconsin. This profile covers 0 Medicare and 3 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
    OrganizationDane County Department Of Human Services
    Address1202 Northport Dr
    CityMadison
    StateWI
    ZIP53704
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJuly 17, 2015

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

    Payer SourceTotal Paid
    Medicaid$187.1M
    Medicare$0

    Key Findings

    DANE COUNTY DEPARTMENT OF HUMAN SERVICES is effectively a single-payer Medicaid operation: there is no Medicare billing on file and the provider reports $187.1M in total Medicaid revenue. The absence of Medicare billing makes Medicaid the sole material payer in the available dataset and concentrates analytic attention on state-level behavioral health reimbursement patterns.

    Revenue concentration is extreme: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with a single code dominating overall receipts. H2017 alone represents $165.8M in revenue (88.6% of the provider's Medicaid revenue), signaling very high dependence on one service line.

    The code mix indicates the provider operates primarily as a psychosocial rehabilitation and community behavioral health services provider. H2017 (Psychosocial rehabilitation services, per 15 minutes) accounts for 1.5M claims at $111 avg paid/claim, and 99199 (other medicine services) adds 343.5K claims at $62 avg paid/claim, together forming the operational backbone of billed services.

    Competitive standing within Wisconsin is strong for the two largest codes: H2017 ranks #2 of 58 providers in-state and is labeled an "extreme outlier" at the 98th percentile, and 99199 also ranks #2 of 57 providers and is an "extreme outlier" at the 98th percentile. These ranks indicate the agency is a major statewide provider for psychosocial rehabilitation and related unspecified medicine services, with volumes far above typical state peers.

    Despite very large volumes on the top two codes, some reported codes show negligible financial impact: S9484 (Crisis intervention mental health services, per hour) appears with 709 claims but $0 avg paid/claim and $0 revenue, ranking #56 of 65 providers (14th percentile). This pattern suggests services were billed under that code without associated paid revenue in the dataset, and it does not contribute materially to total Medicaid receipts.

    Operational scale is reflected in claims volume as well as dollars: 1.5M claims for H2017 and 343.5K claims for 99199 indicate high-frequency, ongoing service delivery rather than episodic or one-off interventions. The combination of high claim counts and mid-range avg paid/claim values ($111 and $62 respectively) is consistent with routine, time-based behavioral health services billed at scale.

    The provider's NPI tenure is well-established: NPI enumerated on 2015-07-17 (~11 years ago), indicating multiple years of presence in the Medicaid ecosystem. That tenure, paired with outsized code-level volumes and rankings, supports the interpretation of an entrenched community/behavioral health agency with sustained Medicaid activity.

    From a risk and business-line perspective, the extreme revenue concentration on H2017 (88.6%) and 99199 (11.4%) means financial performance and payer policy changes that affect those codes would disproportionately affect this provider. Analysts should treat reimbursement policy, utilization audit focus, and state-level rate changes for psychosocial rehabilitation and related unspecified services as primary levers for this provider's future revenue trajectory.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2017Psychosocial rehabilitation services, per 15 minutes1,494,000$110$165.8M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.343,460$60$21.3M
    S9484Crisis intervention mental health services, per hour710$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.

    Full comparison — all codes billed, vs. Wisconsin median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2017Psychosocial rehabilitation services, per 15 minutes26057,750$100$18.9M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.26016,890$60$2.9M
    S9484Crisis intervention mental health services, per hour56707,330$60$2.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Access Community Health Centers, Inc.WIFederally Qualified Health Center (FQHC)$0$51.9M
    Dane County Human ServicesWICommunity/Behavioral Health Agency$0$37.2M
    Dane County Human ServicesWICommunity/Behavioral Health Agency$0$18.1M
    Dane County Department Of Human ServicesWICase Management Agency$0$18M
    Psychological Addiction Services LLCWIMethadone Clinic$138K$8.5M
    Care Wisconsin First, Inc.WIHealth Maintenance Organization$0$7.4M
    Teamwork Associates, IncWICase Management Agency$0$7.3M
    Dane County Human ServicesWIPublic Health or Welfare Agency$0$6.1M
    Familia Dental Madison East LLCWIDental Clinic/Center$0$5.9M
    Brianna KauerWIBehavior Analyst$0$1.8M

    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
    Dane County Department Of Human Services — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin