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.

Sbh-green Bay LLC (NPI 1922556778)

Field	Value
Entity Type	Organization
Organization	Sbh-green Bay LLC
Address	1351 Ontario Rd
City	Green Bay
State	WI
ZIP	54311
Taxonomy	Psychiatric Hospital
NPI Enumerated	September 21, 2016

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9480	Intensive outpatient psychiatric services, per diem	2,550	$190	$479.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	27,250	$10	$299.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,010	$60	$252.6K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	450	$160	$71.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	3,020	$20	$63.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	4,390	$10	$52.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	1,240	$40	$43.2K
H2012	Behavioral health day treatment, per hour	1,390	$30	$41.7K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1,420	$20	$31.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	700	$10	$9.8K

Showing 1–10 of 14

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

Sbh-green Bay LLC — 4 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2012	Behavioral health day treatment, per hour	37	50	8,810	$110	$2.2M
S9480	Intensive outpatient psychiatric services, per diem	3	10	2,990	$110	$418.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	520	690	160	$60	$90.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	28	110	270	$50	$87.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	135	170	240	$20	$68.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	103	170	110	$80	$62.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	240	420	$10	$58.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	42	120	90	$50	$45K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	2	10	480	$70	$35.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	7	370	60	$60	$21.5K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sbh-green Bay LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yogesh Pareek	WI	Psychiatry Physician	$25.8K	$0
Lori Brownshield	IA	Psychiatric/Mental Health Nurse Practitioner	$25.7K	$0

Nearby Providers

Other providers in the same ZIP code as Sbh-green Bay LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Lund	WI	Clinical Psychologist	$0	$77.1M
Baycare Aurora, LLC	WI	General Acute Care Hospital	$0	$25.4M
County Of Brown	WI	Clinic/Center	$0	$21.1M
Caravel Autism Health, LLC	WI	Behavior Analyst	$0	$18.5M
County Of Brown	WI	Community/Behavioral Health Agency	$0	$8.2M
Visiting Nurse Association Of Wisconsin, Inc.	WI	Home Infusion Therapy Pharmacy	$0	$5M
Baycare Clinic LLP	WI	Emergency Medicine Physician	$0	$3.6M
County Of Brown	WI	Case Management Agency	$0	$3.3M
Aegis Group Inc	WI	Land Ambulance	$1.2M	$1.6M
Visiting Nurse Association Of Wisconsin, Inc	WI	Home Health Agency	$0	$2.7M

Sbh-green Bay LLC — Billing Profile & Reimbursement Data

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Sbh-green Bay LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References