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.

Core Treatment Services, Inc. (NPI 1659912319)

Field	Value
Entity Type	Organization
Organization	Core Treatment Services, Inc.
Address	3 Riverview Dr
City	Manitowoc
State	WI
ZIP	54220
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 3, 2019

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	5,230	$770	$4M
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…	5,490	$30	$186.6K
H0005	Alcohol and/or drug services; group counseling by a clinician	6,080	$10	$54.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	540	$50	$24.9K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	210	$50	$10.6K

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

Core Treatment Services, Inc. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	7	40	1,130	$660	$2.3M
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…	100	790	400	$40	$109.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	43	70	260	$70	$46.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	8	90	670	$20	$42.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	64	370	60	$60	$21.5K

Nearby Providers

Other providers in the same ZIP code as Core Treatment Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manitowoc Co Human Services Dept	WI	Community/Behavioral Health Agency	$0	$18.8M
Lakeshore Community Health Care, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$9.2M
Holy Family Memorial Inc	WI	General Acute Care Hospital	$0	$5M
Manitowoc Public School District	WI	Local Education Agency (LEA)	$0	$2.4M
Clint Rau	WI	Pediatric Dentistry	$0	$2.2M
Homecare Health Services Inc	WI	Home Health Agency	$0	$1.8M
Kelli Hutchens	WI	Dermatopathology (Pathology) Physician	$1.7M	$23.6K
Forefront Dermatology, S.c.	WI	Dermatopathology Physician	$0	$1.6M
City Of Manitowoc	WI	Land Ambulance	$417.9K	$1M
Douglas Hansen	WI	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$2.9K

Core Treatment Services, Inc. — Billing Profile & Reimbursement Data

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Core Treatment Services, Inc. — 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