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.

Washington County Wisconsin (NPI 1609801778)

Field	Value
Entity Type	Organization
Organization	Washington County Wisconsin
Address	333 E. Washington Street
City	West Bend
State	WI
ZIP	53095
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	28,710	$110	$3.3M
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…	5,780	$40	$225.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	6,110	$30	$189.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,460	$100	$144.2K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	430	$110	$49.4K
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…	2,080	$20	$37.4K
Q3014	Telehealth originating site facility fee	2,970	$10	$26.7K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	220	$120	$25.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	50	$50	$2.3K
99205	The provider sees a new 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 provider…	40	$40	$1.8K

Showing 1–10 of 13

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

Washington County Wisconsin — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	49	220	7,110	$70	$1.7M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	178	1,630	270	$40	$205.3K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	38	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…	430	1,760	250	$40	$173.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	246	900	410	$70	$130.4K
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…	95	790	400	$40	$109.6K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	41	60	610	$40	$97.4K
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…	316	350	210	$60	$95.8K
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…	166	170	110	$80	$62.4K
Q3014	Telehealth originating site facility fee	22	170	250	$20	$44K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Washington County Mental Health Center	WI	Community/Behavioral Health Agency	$0	$22.1M
St. Josephs Community Hospital Of West Bend Inc.	WI	General Acute Care Hospital	$0	$5.8M
Lifestar Emergency Medical Services, LLC	WI	Land Ambulance	$1.5M	$2.9M
West Bend Joint School District #1	WI	Local Education Agency (LEA)	$0	$2M
City Of West Bend	WI	Land Ambulance	$312.6K	$810K
Spine Solutions Of West Bend LLC	WI	Ambulatory Surgical Clinic/Center	$543.2K	$0
Nausheen Abbas	WI	Ophthalmology Physician	$355.7K	$0
West Bend Surgery Center LLC	WI	Ambulatory Surgical Clinic/Center	$261K	$3.3K
Mark Nunag	WI	Nephrology Physician	$241.7K	$0
Abdel Hai Alqwasmi	WI	Hematology & Oncology Physician	$181.6K	$0

Washington County Wisconsin — Billing Profile & Reimbursement Data

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Washington County Wisconsin — 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