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.

Fiscal Assistance Of Dane County, Inc. (NPI 1568619484)

Field	Value
Entity Type	Organization
Organization	Fiscal Assistance Of Dane County, Inc.
Address	124 W Holum St
City	De Forest
State	WI
ZIP	53532
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	August 21, 2008

Payer Source	Total Paid
Medicaid	$43.2M
Medicare	$0

Key Findings

FISCAL ASSISTANCE OF DANE COUNTY, INC. is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $43.2M in lifetime Medicaid revenue. This concentration exposes the organization’s revenue to Medicaid policy and rate changes rather than Medicare dynamics, so payers should treat its performance as Medicaid-centric.

Revenue is heavily concentrated in a small set of service codes: the precomputed top 3 Medicaid codes by revenue account for 78.5% of this provider's total Medicaid revenue. Those top three are S5150 ($22.7M, 52.5% of total), T1005 ($6.4M, 14.9% of total), and T2040 ($4.8M, 11.1% of total), indicating most dollars come from respite and self-directed waiver services.

The code mix points to a business model focused on home- and community-based respite and self-directed waiver support. S5150 (Unskilled respite care, not hospice; per 15 minutes), T1005 (Respite care services, up to 15 minutes), and T2040 (Financial management, self-directed, waiver; per 15 minutes) together suggest the provider delivers high-volume, short-interval personal care and waiver support rather than episodic clinical procedures.

FISCAL ASSISTANCE is a statewide market leader for S5150: it ranks #1 of 27 providers in-state (100th percentile) and is labeled an extreme outlier, far above typical state volume for this code. The provider’s S5150 revenue of $22.7M and 294.4K claims indicate dominant scale in unskilled respite per-15-minute billing within Wisconsin, which has competitive implications for peers bidding for similar waiver populations.

The provider is also an outlier on 99509 (home health/ADL visits): it ranks #1 of 30 providers in-state (100th percentile) with $2.2M in revenue and 30.7K claims, another indication of unusually large volume in home-visit ADL support. This separate dominance on 99509 reinforces that the organization operates at significant scale for in-home assistance services, not just respite.

Several other codes show substantial but more typical in-state participation and add operational breadth: T1005 ($6.4M, rank #3 of 22, 90th percentile, typical), T2040 ($4.8M, rank #2 of 9, 88th percentile, typical), S9125 ($2.9M, rank #3 of 13, 83th percentile, typical), and S5108 ($1M, rank #2 of 5, 75th percentile, typical). Together these indicate the provider’s service mix spans respite (per 15 minutes and per diem), financial management under waivers, and homecare training—consistent with a broad waiver and HCBS service line.

Operational intensity is reflected in very high claim counts for the top codes—e.g., 294.4K claims for S5150, 91.8K for T1005, and 65.5K for T2040—implying substantial ongoing workforce and administrative throughput to deliver largely short-interval, in-home services. Payers and network managers should expect this provider to require capacity-focused credentialing, billing reconciliation, and oversight processes that match high-frequency, low-unit-value encounters.

The provider’s NPI has been enumerated since 2008-08-21 (~18 years ago), indicating a long-tenured presence in the Medicaid market. Combined with its rank‑1 positions and extreme-outlier status on key codes, this tenure suggests an established operational niche in Wisconsin’s waiver/respite and in-home support ecosystem rather than a recent entrant or small boutique operator.

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	294,430	$80	$22.7M
T1005	Respite care services, up to 15 minutes	91,800	$70	$6.4M
T2040	Financial management, self-directed, waiver; per 15 minutes	65,550	$70	$4.8M
S9125	Respite care, in the home, per diem	12,690	$230	$2.9M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	30,730	$70	$2.2M
S5108	Home care training to home care client, per 15 minutes	12,200	$80	$1M
S5151	Unskilled respite care, not hospice; per diem	3,600	$230	$835.4K
S5125	Attendant care services; per 15 minutes	14,690	$50	$719.8K
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	13,210	$50	$594.4K
T2017	Habilitation, residential, waiver; 15 minutes	5,760	$60	$328.3K

Showing 1–10 of 14

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

Fiscal Assistance Of Dane County, Inc. — 2 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1005	Respite care services, up to 15 minutes	3	20	4,180	$90	$3.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	1	30	2,010	$90	$2.1M
S9125	Respite care, in the home, per diem	3	10	1,400	$240	$1.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	2	10	15,320	$60	$1.5M
S5151	Unskilled respite care, not hospice; per diem	6	20	2,030	$280	$1.1M
S5108	Home care training to home care client, per 15 minutes	2	10	10,250	$90	$828.9K
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	6	30	2,580	$90	$784K
T2017	Habilitation, residential, waiver; 15 minutes	8	30	820	$110	$605.6K
T2027	Specialized childcare, waiver; per 15 minutes	2	10	4,210	$60	$518.7K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1	30	1,050	$100	$359.1K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Fiscal Assistance Of Dane County, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Deforest Area School District	WI	Local Education Agency (LEA)	$0	$1.3M

Fiscal Assistance Of Dane County, Inc. — Billing Profile & Reimbursement Data

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Fiscal Assistance Of Dane County, Inc. — 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