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.

Manitowoc Co Human Services Dept (NPI 1679705966)

Field	Value
Entity Type	Organization
Organization	Manitowoc Co Human Services Dept
Address	926 S 8th St
City	Manitowoc
State	WI
ZIP	54220
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 20, 2009

Payer Source	Total Paid
Medicaid	$18.8M
Medicare	$0

Key Findings

MANITOWOC CO HUMAN SERVICES DEPT has no Medicare billing on file and reports Medicaid as its sole payer source of material scale, with total Medicaid revenue of $18.8M. This makes the organization effectively single-payer in the available claims data rather than a mixed Medicare/Medicaid operator.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with H2017 representing 85.3% and 99199 representing 14.7% of Medicaid revenue. That concentration means a very small set of service lines drives the entire reported Medicaid top-line.

The dominant code, H2017 (Psychosocial rehabilitation services, per 15 minutes), accounts for $16.1M of revenue on 120.7K claims with an average paid/claim of $133. This mix indicates the provider operates a high-volume, unit-based psychosocial rehabilitation service model consistent with its Community/Behavioral Health Agency taxonomy and suggests intensive community behavioral-health programming delivered in short time increments.

The second code, 99199 (other medicine services or procedures for which there is no specific code), generated $2.8M on 31.3K claims with an average paid/claim of $88. Use of 99199 at this scale points to reliance on a catch-all billing pathway for services not captured by specific procedure codes, implying either program components that lack dedicated codes or administrative bundling of diverse activities under an unspecified code.

Competitive standing within the state is modest: H2017 ranks #21 of 58 providers in-state (65th percentile) and 99199 ranks #19 of 57 providers in-state (68th percentile). Both codes are described as typical, unremarkable volume for this code among peers, indicating MANITOWOC CO HUMAN SERVICES DEPT is a routine, not dominant, participant in these service lines statewide.

Operational throughput is high: 120.7K H2017 claims and 31.3K 99199 claims reflect a service delivery model reliant on very large claim counts rather than high-dollar individual encounters. This pattern is consistent with frequent, short-duration behavioral health contacts and administrative use of unspecified procedure coding.

The provider’s NPI was enumerated on 2009-08-20 (~17 years ago), indicating a long-tenured presence in the market. This tenure supports established relationships with state Medicaid programs and provides context for the large accumulated Medicaid volume.

Because nearly all reported Medicaid revenue is concentrated in H2017 and 99199, the provider’s financial performance is sensitive to changes in reimbursement, coding guidance, or audit scrutiny for psychosocial rehabilitation and unspecified-service billing; analysts should monitor state policy and rate updates affecting H2017 and guidance on use of 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	120,710	$130	$16.1M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	31,340	$90	$2.8M

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

Manitowoc Co Human Services Dept — 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	21	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.	19	60	16,890	$60	$2.9M

Nearby Providers

Other providers in the same ZIP code as Manitowoc Co Human Services Dept, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Core Treatment Services, Inc.	WI	Community/Behavioral Health Agency	$0	$4.3M
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

Manitowoc Co Human Services Dept — Billing Profile & Reimbursement Data

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Manitowoc Co Human Services Dept — 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