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 Monroe (NPI 1881813152)

Field	Value
Entity Type	Organization
Organization	County Of Monroe
Address	210 West Oak St.
City	Sparta
State	WI
ZIP	54656
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 25, 2007

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	21,140	$110	$2.4M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	3,870	$210	$824.7K
S9484	Crisis intervention mental health services, per hour	6,610	$50	$304.2K
T2028	Specialized supply, not otherwise specified, waiver	860	$310	$267.1K
T1005	Respite care services, up to 15 minutes	840	$280	$232.4K
S5190	Wellness assessment, performed by non-physician	910	$250	$225.8K
H0039	Assertive community treatment, face-to-face, per 15 minutes	6,570	$20	$105.2K
T1017	Targeted case management, each 15 minutes	2,350	$40	$91.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	890	$70	$63.3K
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…	2,280	$20	$41K

Showing 1–10 of 16

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 Monroe — 0 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1005	Respite care services, up to 15 minutes	14	20	4,180	$90	$3.3M
S9484	Crisis intervention mental health services, per hour	34	70	7,330	$60	$2.5M
H0039	Assertive community treatment, face-to-face, per 15 minutes	48	70	16,670	$30	$2.1M
T1017	Targeted case management, each 15 minutes	56	90	3,130	$100	$2M
S9125	Respite care, in the home, per diem	12	10	1,400	$240	$1.9M
T1016	Case management, each 15 minutes	64	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…	355	1,630	270	$40	$205.3K
T2028	Specialized supply, not otherwise specified, waiver	12	40	340	$210	$188.6K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	4	60	460	$170	$177.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	394	500	3,140	$20	$148.9K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayo Clinic Health System-southwest Wisconsin Region, Inc.	WI	Critical Access Hospital	$0	$8.4M
Chiropractic Place LLC	WI	Chiropractor	$0	$1.8M
Sparta Area Ambulance Service Ltd	WI	Land Ambulance	$333.3K	$634.6K
Kelly Seib	WI	Geriatric Medicine (Internal Medicine) Physician	$87.9K	$0
County Of Monroe	WI	Primary Care Clinic/Center	$27.3K	$34.9K
Heidi Stenerson	WI	Nurse Practitioner	$32.1K	$0
Zachary April	WI	Family Medicine Physician	$30.1K	$0
Christina Deboer-collins	WI	Family Medicine Physician	$18.5K	$0

County Of Monroe — Billing Profile & Reimbursement Data

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County Of Monroe — 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