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 1497819510)

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	December 21, 2006

Payer Source	Total Paid
Medicaid	$50.7M
Medicare	$0

Key Findings

This entity reports Total Medicaid revenue of $50.7M and has no Medicare billing on file (Total Medicare revenue: none), indicating it functions effectively as a single-payer Medicaid provider at scale rather than a mixed Medicare/Medicaid operator. The absence of Medicare activity means comparisons and competitive assessments should focus on Medicaid program lines and state-level peers.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, with H0039 alone representing $50.6M (99.9% of Medicaid revenue) and S5170 accounting for $55.9K (0.1%). This concentration shows that almost all billed Medicaid dollars flow from a very narrow set of services, creating a focused but potentially exposure-prone revenue base.

H0039 (Assertive community treatment, face-to-face, per 15 minutes) is the operational centerpiece: the provider reported 1.7M claims and an average paid amount of $30 per claim for H0039. That claim volume and the per-15-minute reimbursement structure are consistent with intensive, high-frequency community-based behavioral health delivery (ACT-style services) and imply substantial staffing and outreach infrastructure to support continuous, face-to-face contacts.

On competitive standing for H0039, this provider ranks #1 of 67 in-state and is described as an "extreme outlier, far above typical state volume for this code" (100th percentile). That ranking characterizes the provider as the dominant statewide performer for this service code and suggests market leadership or a centralized county-level role in delivering ACT services in Wisconsin.

S5170 (Home delivered meals, per meal) is a negligible revenue contributor by comparison: 230 claims, $243 avg paid/claim, $55.9K revenue, ranking #8 of 24 providers in-state (70th percentile) with a typical, unremarkable volume for the code. The small scale of S5170 relative to H0039 indicates meal delivery is a marginal ancillary service rather than a strategic revenue driver.

Tenure is long-standing: the NPI was enumerated on 2006-12-21 (~20 years ago), which supports the interpretation of an established operational presence in the county behavioral health ecosystem. Long enumeration combined with high-volume H0039 billing suggests sustained delivery of Medicaid behavioral health services over many years.

The operational and financial profile—very high-volume, per-15-minute billing concentrated in H0039 and near-total Medicaid revenue dependence—creates sensitivity to Medicaid policy, rate changes, and programmatic shifts that affect assertive community treatment reimbursement. Because H0039 dominates receipts, any changes to that codes coverage or payment methodology could have outsized budgetary impact on this provider.

Given the absence of Medicare billing, this providers patient and payer mix appears focused on Medicaid populations and on intensive community behavioral health services; it has limited exposure to Medicare revenue streams or elderly/disabled fee-for-service Medicare case mix. Analysts should therefore treat Medicaid policy, state-level behavioral health program decisions, and H0039 utilization patterns as the primary drivers of the providers financial and service-line outlook.

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 Code	Description	Claims	Avg Paid	Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	1,687,910	$30	$50.6M
S5170	Home delivered meals, including preparation; per meal	230	$240	$55.9K

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 — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	1	70	16,670	$30	$2.1M
S5170	Home delivered meals, including preparation; per meal	8	20	120	$110	$32.3K

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	$92.3M
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