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 Winnebago (NPI 1508960675)

Field	Value
Entity Type	Organization
Organization	County Of Winnebago
Address	220 Washington Ave
City	Oshkosh
State	WI
ZIP	54901
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 11, 2006

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	175,910	$40	$6.5M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	13,420	$50	$617.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	14,210	$10	$184.7K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	1,460	$120	$176.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	5,320	$20	$106.4K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	640	$120	$74.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,450	$40	$57.9K
90899	Use 90899 to report psychiatric services or procedures that do not have a specific code.	500	$110	$53.7K
H0039	Assertive community treatment, face-to-face, per 15 minutes	1,010	$50	$45.6K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	200	$110	$21.8K

Showing 1–10 of 16

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 Winnebago — 3 of 15 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	58	70	16,670	$30	$2.1M
T1017	Targeted case management, each 15 minutes	79	90	3,130	$100	$2M
T1016	Case management, each 15 minutes	8	220	7,110	$70	$1.7M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	25	60	460	$170	$177.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	226	1,760	250	$40	$173.2K
H0022	Alcohol and/or drug intervention service (planned facilitation)	140	190	400	$30	$140.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	37	790	400	$40	$109.6K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	17	60	610	$40	$97.4K
S5190	Wellness assessment, performed by non-physician	21	20	130	$190	$95.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	264	350	210	$60	$95.8K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clarity Care, Inc	WI	In Home Supportive Care Agency	$0	$14.7M
Winnebago Dept Of Human Svc	WI	Community/Behavioral Health Agency	$0	$11M
Nova Counseling Services Inc.	WI	Substance Abuse Rehabilitation Facility	$0	$4.7M
Winnebago Co Dept Of Human Svc	WI	Community/Behavioral Health Agency	$0	$2.9M
Genesis Behavioral Services, Inc	WI	Substance Abuse Rehabilitation Facility	$0	$2.3M
City Of Oshkosh	WI	Land Ambulance	$403.4K	$1.9M
Winnebago Co Dept Of Human Svc	WI	Community/Behavioral Health Agency	$0	$1.9M
Biotech X-ray Inc	WI	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$401.9K	$65.4K
Mary Friess	WI	Family Nurse Practitioner	$328K	$15.8K
Kristin Beougher	WI	Family Medicine Physician	$44.5K	$0

County Of Winnebago — Billing Profile & Reimbursement Data

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County Of Winnebago — 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