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.

Western Region Recovery & Wellness Consortia (NPI 1891182473)

Field	Value
Entity Type	Organization
Organization	Western Region Recovery & Wellness Consortia
Address	711 N Bridge St Rm 305
City	Chippewa Falls
State	WI
ZIP	54729
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 21, 2015

Payer Source	Total Paid
Medicaid	$83.2M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-only billing operation: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $83.2M, so payer exposure and business scale are concentrated entirely in Medicaid rather than split across Medicare and Medicaid. Analysts should treat the organization as a single-payer (Medicaid) operator when assessing reimbursement risk and network value.

Revenue concentration is extreme for Medicaid: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, signaling heavy dependence on a very small set of service lines for virtually all billed revenue. That concentration increases sensitivity to policy, rate, or coverage changes affecting those specific codes.

H2017 is the dominant revenue driver and defines the clinical footprint: H2017 (Psychosocial rehabilitation services, per 15 minutes) produced $65.4M in revenue, representing 78.6% of this provider's total Medicaid revenue, from 574K claims at an average paid amount of $114 per claim. This mix indicates the provider operates high-volume, time-based psychosocial rehabilitation programs consistent with a community/behavioral health agency model.

99199 is the secondary revenue source and signals substantial use of nonspecific billing: 99199 (other medicine services/procedures with no specific code) produced $17.8M in revenue, representing 21.4% of this provider's total Medicaid revenue, from 177.8K claims at an average paid amount of $100 per claim. The prominence of 99199 suggests frequent use of an unspecified catch-all code alongside core psychosocial rehab services, which has implications for service definition and auditability.

Competitive standing is mixed across the top codes: for H2017 the provider ranks #6 of 58 providers in-state (91th percentile; typical, unremarkable volume for this code), meaning it is a significant but not dominant statewide participant in psychosocial rehabilitation. By contrast, for 99199 the provider ranks #4 of 57 providers in-state (95th percentile; notably above typical state volume for this code), indicating a stronger relative position and above-typical activity for that nonspecific service line.

Operational implications from the claim and payment profile: very large claim counts (574K for H2017 and 177.8K for 99199) combined with time-based H2017 billing point to high-throughput, community-based program delivery and the need for substantial administrative/billing capacity to support per-15-minute documentation and claims processing. Payers should note this operational profile when evaluating utilization management, prior authorization, and documentation requirements.

Tenure and market presence: the provider’s NPI was enumerated on 2015-04-21 (~11 years ago), indicating it is an established Medicaid contractor with around a decade of operational history in the market. This tenure supports observed high-volume Medicaid relationships but does not mitigate the revenue concentration risk tied to the few dominant codes.

Analyst takeaway: WESTERN REGION RECOVERY & WELLNESS CONSORTIA is a community/behavioral health agency that is highly dependent on Medicaid revenue ($83.2M) with $65.4M (78.6%) coming from H2017 and $17.8M (21.4%) from 99199; the provider’s concentrated code mix and high-ranking position on 99199 (95th percentile) merit focused review of service definitions, documentation practices, and contractual terms by payers and network managers.

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	574,030	$110	$65.4M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	177,800	$100	$17.8M

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

Western Region Recovery & Wellness Consortia — 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	6	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.	4	60	16,890	$60	$2.9M

Nearby Providers

Other providers in the same ZIP code as Western Region Recovery & Wellness Consortia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smiles In Motion, S.c.	WI	Pediatric Dentistry	$0	$9.6M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$8.7M
St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St F	WI	General Acute Care Hospital	$0	$4.5M
Chippewa County	WI	Case Management Agency	$0	$4.2M
Chippewa Falls Area School District	WI	Local Education Agency (LEA)	$0	$2.2M
Rena Christman	WI	Dentist	$0	$1.2M
City Of Chippewa Falls	WI	Land Ambulance	$389K	$532.5K
Independent Surgery Center LLC	WI	Ambulatory Surgical Clinic/Center	$775.9K	$89.1K
Terrence Mccanna	WI	Ophthalmology Physician	$506.9K	$0
Kunle Onade	WI	Dermatology Physician	$459.1K	$0

Western Region Recovery & Wellness Consortia — Billing Profile & Reimbursement Data

Sign up for Western Region Recovery & Wellness Consortia — Billing Profile & Reimbursement Data policy alerts

Western Region Recovery & Wellness Consortia — Billing Profile & Reimbursement Data

Sign up for Western Region Recovery & Wellness Consortia — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References