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 Outagamie (NPI 1629138995)

Field	Value
Entity Type	Organization
Organization	County Of Outagamie
Address	320 S. Walnut St.
City	Appleton
State	WI
ZIP	54911
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	December 9, 2006

Payer Source	Total Paid
Medicaid	$45.5M
Medicare	$0

Key Findings

COUNTY OF OUTAGAMIE is a Mental Health Clinic/Center with $45.5M in lifetime Medicaid revenue and none (no Medicare billing on file), indicating an essentially single-payer Medicaid footprint rather than a mixed Medicare/Medicaid practice profile. Its NPI was enumerated 2006-12-09 (~20 years ago), signaling an established, long-running community behavioral health provider in APPLETON, WI.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 89.8% of this provider’s Medicaid revenue, with H2017 alone representing the majority of receipts. This concentration implies the organization’s operations are centered on a small set of intensive behavioral health service lines rather than a broad outpatient medical practice.

H2017 drives the business model — H2017 produced $32.3M (71.1% of Medicaid revenue) and 404K claims — aligning the provider with large-scale psychosocial rehabilitation delivery. In state comparisons it ranks #7 of 58 (89th percentile) and is described as a typical, unremarkable volume for this code, suggesting the provider’s scale for psychosocial rehab is large but not an extreme statistical outlier versus peers.

T1016 is the second major revenue source, generating $6.1M (13.5% of Medicaid revenue) and 76.8K claims, which reflects significant case management activity as part of the provider’s service mix. It ranks #18 of 224 (92th percentile) and is characterized as a typical, unremarkable volume for this code, consistent with a steady operational emphasis on care coordination.

H0039 (assertive community treatment) contributes $2.3M (5.1% of Medicaid revenue) and 123K claims, indicating substantial investment in outreach-based, face-to-face team services. It ranks #4 of 67 (95th percentile) but is likewise labeled a typical, unremarkable volume for this code, pointing to a competitive statewide position in ACT without being an anomalous outlier.

Two codes stand out as higher-than-typical relative to state peers: A9999 (miscellaneous DME) is ranked #5 of 56 (93th percentile; notably above typical state volume) with $601.2K revenue, and 99443 is ranked #2 of 86 (99th percentile; notably above typical state volume) with $48.3K revenue. These flags suggest the provider bills disproportionately for certain miscellaneous supplies or services compared with peers, which may reflect local programmatic choices or state-specific billing patterns.

Operationally, the code mix (H2017, T1016, H0039 plus crisis-intervention codes like S9484/S9485 appearing in the top lines) paints a picture of a community mental health center focused on psychosocial rehabilitation, case management, assertive community treatment, and crisis response rather than traditional office-based medical management. The presence of high-volume, time-based behavioral codes and crisis services implies program models built around long-duration, community-delivered interventions.

From a competitive standpoint within Wisconsin this provider is a major Medicaid participant for its core behavioral health services: it ranks in high percentiles for several top codes (for example, H0039 at the 95th percentile and T1016 at the 92th percentile), showing strong statewide presence for team-based and case-management services even though many volumes are labeled as typical rather than exceptional. Combined with its absence of Medicare billing, COUNTY OF OUTAGAMIE should be viewed as an established, Medicaid-oriented community behavioral health provider with concentrated service lines dominating its revenue base.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	404,000	$80	$32.3M
T1016	Case management, each 15 minutes	76,840	$80	$6.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	123,030	$20	$2.3M
S9484	Crisis intervention mental health services, per hour	57,210	$40	$2M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	3,340	$180	$601.2K
T1017	Targeted case management, each 15 minutes	8,940	$50	$473.7K
T2028	Specialized supply, not otherwise specified, waiver	1,340	$330	$440.6K
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…	10,660	$20	$234.5K
S5190	Wellness assessment, performed by non-physician	900	$200	$180.9K
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…	4,980	$40	$174.2K

Showing 1–10 of 22

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 Outagamie — 2 of 21 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	7	60	57,750	$100	$18.9M
S9485	Crisis intervention mental health services, per diem	6	10	2,640	$80	$2.8M
S9484	Crisis intervention mental health services, per hour	8	70	7,330	$60	$2.5M
H0039	Assertive community treatment, face-to-face, per 15 minutes	4	70	16,670	$30	$2.1M
T1017	Targeted case management, each 15 minutes	18	90	3,130	$100	$2M
T1016	Case management, each 15 minutes	18	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…	125	1,630	270	$40	$205.3K
T2028	Specialized supply, not otherwise specified, waiver	6	40	340	$210	$188.6K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	5	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…	1,159	1,760	250	$40	$173.2K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with County Of Outagamie, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yogesh Pareek	WI	Psychiatry Physician	$25.8K	$0
Randy Kerswill	WI	Neurology Physician	$17.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thedacare Regional Medical Center - Appleton, Inc.	WI	General Acute Care Hospital	$0	$11.5M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$0	$9.4M
Mooring Programs, Inc	WI	Substance Abuse Rehabilitation Facility	$0	$7.3M
Appleton Area School District	WI	Local Education Agency (LEA)	$0	$5.6M
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$1.4M
Richard Santa Cruz	WI	Cardiovascular Disease Physician	$477.8K	$0
David Anderla	WI	Family Medicine Physician	$402K	$0
Toni Jo Neal	WI	Foot & Ankle Surgery Podiatrist	$241.6K	$0
Mac Weninger	WI	Physical Medicine & Rehabilitation Physician	$215.7K	$0
Ameer Kabour	WI	Cardiovascular Disease Physician	$202.9K	$0

County Of Outagamie — Billing Profile & Reimbursement Data

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County Of Outagamie — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References