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.

Sheboygan County Health & Human Services (NPI 1750508073)

Field	Value
Entity Type	Organization
Organization	Sheboygan County Health & Human Services
Address	1011 N 8th St
City	Sheboygan
State	WI
ZIP	53081
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 19, 2007

Payer Source	Total Paid
Medicaid	$19.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused community/behavioral health agency: there is no Medicare billing on file while total Medicaid revenue is $19.3M, indicating operations and reimbursement are driven almost entirely by state Medicaid programs rather than the Medicare program. The absence of Medicare revenue makes the organization effectively a single-payer (Medicaid) billing entity in the Medicare/Medicaid mix presented.

Revenue concentration is extremely high and dominated by one service line: H2017 (Psychosocial rehabilitation services, per 15 minutes) accounts for $19.1M and 98.6% of the provider’s total Medicaid revenue, meaning nearly all Medicaid dollars flow from this single code. Two additional codes, 99199 and Q3014, together account for the remaining 1.4% of Medicaid revenue; the top-3 Medicaid codes collectively represent 100.0% of the provider’s Medicaid revenue.

The code mix suggests the provider’s primary operational focus is on intensive psychosocial rehabilitation services delivered in frequent, time-based units. H2017 is a per-15-minute psychosocial rehab code, so the $19.1M tied to that code implies sustained, recurring direct-service encounters consistent with community behavioral health programming rather than episodic medical procedures or acute-care services.

Competitive standing for the main revenue driver is modest within the state: H2017 revenue ranks #10 of 58 providers in-state and sits in the 84th percentile, which the source characterizes as typical, unremarkable volume for this code. This indicates the provider is a solid regional participant in psychosocial rehabilitation but not a dominant statewide outlier; its H2017 activity is respectable relative to peers but not exceptional.

Secondary codes are small contributors and reflect ancillary billing patterns: 99199 (other medicine services) produced $269.4K (1.4% of Medicaid revenue) and ranks #39 of 57 in-state (32nd percentile), suggesting occasional use of miscellaneous procedure coding. Q3014 (telehealth originating site facility fee) appears on record with 808 claims but $0 reported revenue and ranks #52 of 167 in-state (69th percentile), indicating telehealth site-fee activity is documented but not a material revenue source in the dataset.

The provider has an established presence: its NPI was enumerated on 2007-04-19 (~19 years ago), suggesting long-term involvement in community behavioral health services and likely stable operational history in the local market. This tenure combined with a concentrated Medicaid revenue base points to a sustained, specialized service model.

From a risk and operational review standpoint, the extreme concentration in a single code (H2017 at 98.6%) creates revenue vulnerability to changes in Medicaid policy, rate-setting, or utilization guidelines for psychosocial rehabilitation. Analysts should treat the provider as highly dependent on sustained volume of time-based psychosocial services and monitor policy or network changes that could affect H2017 reimbursement or eligibility.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	247,720	$80	$19.1M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	8,420	$30	$269.4K
Q3014	Telehealth originating site facility fee	810	$0	$0

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

Sheboygan County Health & Human Services — 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	10	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.	39	60	16,890	$60	$2.9M
Q3014	Telehealth originating site facility fee	52	170	250	$20	$44K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sheboygan County Health & Human Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sheboygan County Health & Human Services	WI	Case Management Agency	$0	$4.1M
Sheboygan County Health & Human Services	WI	Community/Behavioral Health Agency	$0	$1.9M

Nearby Providers

Other providers in the same ZIP code as Sheboygan County Health & Human Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vista Care South Dakota, LLC	WI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20M
Lakeshore Community Health Care, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$14.7M
Aurora Health Care Central, Inc.	WI	General Acute Care Hospital	$0	$12.4M
Universal Home Health Care, Inc	WI	Home Health Agency	$0	$11.6M
St. Nicholas Hospital-sisters Of The Third Order Of St Francis	WI	General Acute Care Hospital	$0	$5M
Sheboygan Area School District	WI	Local Education Agency (LEA)	$0	$3.9M
William Shows	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.9M
Hospice Advantage, LLC	WI	Community Based Hospice Care Agency	$0	$3.6M
Vista Care Colorado, LLC	WI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.2M
Progressive Beginnings, LLC	WI	Rehabilitation Clinic/Center	$0	$2.9M

Sheboygan County Health & Human Services — Billing Profile & Reimbursement Data

Sign up for Sheboygan County Health & Human Services — Billing Profile & Reimbursement Data policy alerts

Sheboygan County Health & Human Services — Billing Profile & Reimbursement Data

Sign up for Sheboygan County Health & Human Services — Billing Profile & Reimbursement Data policy alerts

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