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.

Douglas County (NPI 1508854464)

Field	Value
Entity Type	Organization
Organization	Douglas County
Address	1316 N 14th St
City	Superior
State	WI
ZIP	54880
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	October 13, 2005

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	7,040	$340	$2.4M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	330	$310	$103.3K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	300	$150	$45.6K
T1017	Targeted case management, each 15 minutes	1,010	$20	$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

Douglas County — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	73	90	3,130	$100	$2M
T1016	Case management, each 15 minutes	113	220	7,110	$70	$1.7M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	31	60	460	$170	$177.3K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	49	60	610	$40	$97.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Mary's Hospital Of Superior	WI	Critical Access Hospital	$0	$13.4M
Lake Superior Community Health Center	WI	Federally Qualified Health Center (FQHC)	$0	$4.9M
Lake Superior Community Health Center	WI	Federally Qualified Health Center (FQHC)	$0	$4.2M
Elisha Zavodnik	WI	Behavior Analyst	$0	$4.1M
Brightwater Health Dba Human Development Center	WI	Community/Behavioral Health Agency	$0	$3.4M
St. Mary's Hospital Of Superior	WI	Critical Access Hospital Clinic/Center	$0	$1.6M
The Creative Counseling Group	WI	Mental Health Counselor	$0	$1.2M
Walgreen Co	WI	Pharmacy	$245.3K	$54.3K
John Yoon	WI	Ophthalmology Physician	$153.8K	$0
Anna Greiner	WI	Physician Assistant	$29.2K	$0

Douglas County — Billing Profile & Reimbursement Data

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Douglas County — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References