Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidFw Consulting Dhfs LLC
    Ask Trek AI about this page

    Fw Consulting Dhfs LLC — Billing Profile & Reimbursement Data

    NPI 1700174901 · Madison, WI · Supports Brokerage Agency

    Customize your policy alerts

    Sign up for Fw Consulting Dhfs LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Fw Consulting Dhfs LLC is a supports brokerage agency provider located in Madison, Wisconsin. This profile covers 0 Medicare and 17 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFw Consulting Dhfs LLC
    Address2921 Landmark Pl Ste 300
    CityMadison
    StateWI
    ZIP53713
    TaxonomySupports Brokerage Agency
    NPI EnumeratedJuly 21, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$77.5M
    Medicare$0

    Key Findings

    FW CONSULTING DHFS LLC is effectively a single-payer Medicaid operator: there is no Medicare billing on file, and lifetime Medicaid revenue on file is $77.5M. The practice NPI was enumerated on 2011-07-21 (~15 years ago), indicating an established presence in the state Medicaid market.

    Revenue is highly concentrated in a small set of respite and waiver service codes: the precomputed top-3 Medicaid codes account for 69.6% of this provider's total Medicaid revenue. The three leading line items are T1005 ($28.1M, 36.3% of Medicaid revenue), S5150 ($14M, 18.1%), and S9125 ($11.8M, 15.3%), which together dominate the firm’s Medicaid receipts.

    The code mix points to a business built around high-volume, home- and community-based respite services and waiver support: T1005 (respite care services, up to 15 minutes), S5150 (unskilled respite care per 15 minutes), and S9125 (respite care in the home, per diem) are the largest contributors by revenue. Significant T2040 activity (financial management, self-directed, waiver; $5.1M reported) and other waiver/attendant codes indicate the provider also supports self-directed waiver arrangements and day-to-day in-home assistance.

    FW CONSULTING DHFS LLC is a dominant statewide player for multiple codes: T1005 ranks #1 of 22 providers in-state at the 100th percentile (labeled an extreme outlier), S9125 ranks #1 of 13 providers in-state at the 100th percentile (extreme outlier), and S5150 ranks #2 of 27 providers at the 96th percentile (notably above typical state volume). Additional #1 rankings include T2040 (1 of 9, 100th percentile) and S5151 (1 of 15, 100th percentile), reinforcing a pattern of market leadership in waiver and respite services.

    High service volume is evident in the claims counts for the largest codes, supporting the revenue profile: T1005 shows 384.8K claims, S5150 shows 171.3K claims, and S9125 shows 54K claims. These volumes, coupled with per-claim averages reported (for example $73/claim for T1005 and $219/claim for S9125), imply operational scale in delivering frequent, short-interval in-home supports.

    Ancillary code patterns broaden the picture of operations beyond straight respite: S0215 (non-emergency transportation; mileage) reports 12.4K claims and $347.6K revenue while ranking #3 of 195 providers in-state at the 99th percentile (extreme outlier), and home-visit codes like 99600 (21K claims, $2.3M) and 99509 (22.8K claims, $2.3M) reflect substantial in-person home care activity. These supplementary lines suggest the provider supports logistics and direct-care touchpoints that accompany large-scale home- and community-based services.

    The combination of very high concentration in a few respite/waiver codes and multiple top-state rankings creates both strengths and sensitivities: specialization gives FW CONSULTING DHFS LLC clear leverage and scale in waiver/respite service delivery, but the provider’s financial profile is materially exposed to policy, rate, or utilization shifts that affect T1005, S5150, and S9125. For payers and contracting teams, the provider is a logical partner for waiver and respite capacity but merits monitoring for shifts in utilization stemming from regulatory or programmatic changes.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1005Respite care services, up to 15 minutes384,790$70$28.1M
    S5150Unskilled respite care, not hospice; per 15 minutes171,260$80$14M
    S9125Respite care, in the home, per diem53,960$220$11.8M
    T2040Financial management, self-directed, waiver; per 15 minutes91,860$60$5.1M
    S5151Unskilled respite care, not hospice; per diem24,330$210$5M
    T2017Habilitation, residential, waiver; 15 minutes35,270$80$2.7M
    S5125Attendant care services; per 15 minutes23,990$100$2.4M
    99600Use 99600 to report a home visit service or procedure that does not have a specific code.20,980$110$2.3M
    99509A 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.22,790$100$2.3M
    T2027Specialized childcare, waiver; per 15 minutes23,930$60$1.3M

    Showing 1–10 of 17

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    17 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1005Respite care services, up to 15 minutes1204,180$90$3.3M
    S5150Unskilled respite care, not hospice; per 15 minutes2302,010$90$2.1M
    S9125Respite care, in the home, per diem1101,400$240$1.9M
    T2040Financial management, self-directed, waiver; per 15 minutes11015,320$60$1.5M
    S5151Unskilled respite care, not hospice; per diem1202,030$280$1.1M
    S5108Home care training to home care client, per 15 minutes31010,250$90$828.9K
    99600Use 99600 to report a home visit service or procedure that does not have a specific code.4302,580$90$784K
    T2017Habilitation, residential, waiver; 15 minutes230820$110$605.6K
    S5110Home care training, family; per 15 minutes8102,400$170$584.2K
    T2027Specialized childcare, waiver; per 15 minutes1104,210$60$518.7K

    Showing 1–10 of 17

    Nearby Providers

    Other providers in the same ZIP code as Fw Consulting Dhfs LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Exact Sciences Laboratories, LLCWIClinical Medical Laboratory$299.3M$276.5M
    Family Support And Resource CenterWICase Management Agency$0$14.4M
    Addiction Services And Pharmacotherapy, ScWIMethadone Clinic$200.2K$7.4M
    United Cerebral Palsy Of Greater Dane CountyWIEarly Intervention Provider Agency$0$7.1M
    Fresenius Kidney Care Madison, LLCWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.6M
    Planned Parenthood Of WisconsinWIAmbulatory Family Planning Facility$0$3.5M
    Bio-medical Applications Of Wisconsin, Inc.WIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.1M
    Night Owl Support Systems, LLCWIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$2.9M
    University Of Wisconsin System Non PayrollWIAdult Mental Health Clinic/Center$0$2.6M
    Wisconsin Dialysis, Inc.WIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Wisconsin Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Fw Consulting Dhfs LLC — 11 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin