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 Sauk (NPI 1538339742)

Field	Value
Entity Type	Organization
Organization	County Of Sauk
Address	505 Broadway St
City	Baraboo
State	WI
ZIP	53913
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 4, 2008

Payer Source	Total Paid
Medicaid	$59.7M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and $59.7M in lifetime Medicaid revenue, making COUNTY OF SAUK effectively a Medicaid-focused operation rather than a dual-payer provider. Analysts should treat this profile as single-payer dominant with all material billing risk and utilization concentrated in Medicaid.

Revenue is extremely concentrated: the precomputed top 3 codes account for 100.0% of the provider's Medicaid revenue, with H2017 alone representing 78.7% ($46.9M) and 99199 representing 21.3% ($12.7M). This concentration means a very small set of services drives the entire Medicaid book of business.

The code mix indicates a behavioral health operational model: H2017 (Psychosocial rehabilitation services, per 15 minutes) is the principal revenue driver, consistent with high-volume, time-based psychosocial rehabilitation programs common to community/behavioral health agencies. The sizeable use of 99199 (other medicine services or procedures with no specific code) suggests the provider also bills a range of ancillary or program-specific services that lack dedicated CPT/HCPCS descriptors.

Competitive standing within the state is meaningful but not dominant: H2017 ranks #8 of 58 in-state (88th percentile; typical, unremarkable volume for this code), indicating an upper-tier presence for that service line, while 99199 ranks #6 of 57 (91th percentile; typical, unremarkable volume for this code), placing the provider among the higher-volume reporters for non‑specific medicine services. Overall, the provider is an important regional player for these Medicaid services but not an outsize statewide monopolist.

Operational intensity is high: H2017 appears on 352.8K claims with an average paid per claim of $133, and 99199 appears on 128.6K claims with an average paid per claim of $99. These claim counts and per-claim payment levels are consistent with frequent, time‑based service delivery and substantial program throughput rather than infrequent high-cost procedures.

The provider has an established NPI tenure, enumerated on 2008-03-04 (~18 years ago), which supports interpretations of a stable, long-running community behavioral health operation rather than a recently emerging provider. That longevity may correlate with entrenched service lines and payer relationships in the state Medicaid market.

Despite the heavy revenue concentration, neither top code is flagged as an outlier in plain-English labels: both H2017 and 99199 are described as "typical, unremarkable volume for this code," suggesting the provider's pattern is large-scale but statistically within expected state-level norms. For payers and auditors, the high concentration is noteworthy for contract and utilization focus but does not by itself imply atypical coding behavior.

For payer strategy and contracting, the absence of Medicare activity means network decisions and utilization management should prioritize Medicaid program design and oversight. Given that H2017 drives roughly three quarters of Medicaid revenue, payers might prioritize rate negotiation, program monitoring, and capacity planning around psychosocial rehabilitation services and the ancillary services captured under 99199.

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
H2017	Psychosocial rehabilitation services, per 15 minutes	352,820	$130	$46.9M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	128,620	$100	$12.7M

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 Sauk — 0 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
H2017	Psychosocial rehabilitation services, per 15 minutes	8	60	57,750	$100	$18.9M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	6	60	16,890	$60	$2.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Croix Hospice, LLC	WI	Community Based Hospice Care Agency	$0	$13.7M
Ssm Health Care Of Wisconsin Inc	WI	General Acute Care Hospital	$0	$9.8M
School District Of Baraboo	WI	Local Education Agency (LEA)	$0	$1.3M
County Of Sauk	WI	Community/Behavioral Health Agency	$0	$1.3M
Baraboo District Ambulance Service	WI	Land Ambulance	$491.6K	$487.4K
Dells-delton Ems Commission	WI	Land Ambulance	$230.8K	$458.9K
Morgan Fulton	WI	Nurse Practitioner	$407.1K	$0
Walgreen Co	WI	Pharmacy	$223.6K	$31.3K
Gregory Sovinski	WI	Ophthalmology Physician	$163.5K	$0
Randy Krszjzaniek	WI	Family Medicine Physician	$133.2K	$0

County Of Sauk — Billing Profile & Reimbursement Data

Sign up for County Of Sauk — Billing Profile & Reimbursement Data policy alerts

County Of Sauk — Billing Profile & Reimbursement Data

Sign up for County Of Sauk — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References