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.

Milwaukee County Department On Aging Care Management Organization (NPI 1932253267)

Field	Value
Entity Type	Organization
Organization	Milwaukee County Department On Aging Care Management Organization
Address	310 W Wisconsin Ave
City	Milwaukee
State	WI
ZIP	53203
Taxonomy	Health Maintenance Organization
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$59.9M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and reports Total Medicaid revenue of $59.9M, making it effectively a single-payer (Medicaid-focused) operation. Its NPI was enumerated on 2007-01-23 (~19 years ago), indicating long-standing participation in state Medicaid programs.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 93.1% of this provider's total Medicaid revenue, driven overwhelmingly by T1017 (Targeted case management). The three top codes are T1017 ($53.1M, 88.7% of Medicaid revenue), S5130 ($1.4M, 2.4%), and T2020 ($1.2M, 2.0%).

The code mix indicates an operational focus on care coordination and waiver habilitation services rather than episodic medical procedures: T1017 (Targeted case management, each 15 minutes) dominates revenue, while S5130 (Homemaker service) and T2020 (Day habilitation, waiver; per diem) point to home- and community-based services and day habilitation/long-term service supports. This profile is consistent with an HMO-like care management organization that primarily bills for care coordination and waiver services.

T1017 is a state-level strength: the provider reports 131.2K claims, $405 avg paid/claim, and $53.1M revenue for T1017, ranking #3 of 87 providers in-state (98th percentile). Note that the dataset labels this as "typical, unremarkable volume for this code," but the rank and dollar concentration nonetheless make the provider a leading in-state reporter of targeted case management.

Transportation-related codes show very high claim volume even though they represent a small share of revenue: S0215 (Non-emergency transportation; mileage, per mile) has 20.8K claims and $726.3K revenue and ranks #1 of 195 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), while T2003 (Non-emergency transportation; encounter/trip) has 18.2K claims and $856.6K revenue and ranks #51 of 260 (81th percentile; typical, unremarkable volume for this code). The extreme outlier status of S0215 suggests an operational emphasis on reimbursable mileage or a large transportation fleet/coordination role.

Beyond the top code, the provider registers above-average state rankings on several habilitation and supported-employment codes: T2019 (supported employment) reports $705.7K revenue and ranks #2 of 20 (95th percentile; typical, unremarkable volume), and T2021 (day habilitation per 15 minutes) reports $770.2K revenue and ranks #4 of 38 (92th percentile; typical, unremarkable volume). These placements indicate competitive strength within waiver habilitation service lines across multiple code families.

The concentration of nearly nine-tenths of Medicaid dollars in a single code (T1017 at 88.7%) creates financial and operational sensitivity to policy or rate changes affecting targeted case management; any reimbursement adjustment or audit focus on T1017 would materially affect the provider's Medicaid revenue. Given the narrow revenue base, diversification into additional waiver or non-transportation services appears limited by current billing patterns.

There are additional coding-level outliers that merit operational review: T2007 (Transportation waiting time) reports 2.2K claims, $12 avg paid/claim, $26.4K revenue and ranks #1 of 17 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). The simultaneous presence of multiple "extreme outlier" labels (S0215 and T2007) around transportation suggests the provider either operates high-volume transport services or systematically bills waiting/mileage units at a rate that is unusual statewide.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	131,230	$410	$53.1M
S5130	Homemaker service, nos; per 15 minutes	6,580	$220	$1.4M
T2020	Day habilitation, waiver; per diem	1,330	$890	$1.2M
T2003	Non-emergency transportation; encounter/trip	18,230	$50	$856.6K
T2021	Day habilitation, waiver; per 15 minutes	3,970	$190	$770.2K
S0215	Non-emergency transportation; mileage, per mile	20,750	$40	$726.3K
T2019	Habilitation, supported employment, waiver; per 15 minutes	2,150	$330	$705.7K
S5102	Day care services, adult; per diem	470	$630	$299.1K
S5136	Companion care, adult (e.g., iadl/adl); per diem	210	$850	$181.7K
T2014	Habilitation, prevocational, waiver; per diem	730	$200	$143K

Showing 1–10 of 18

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

Milwaukee County Department On Aging Care Management Organization — 3 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	3	90	3,130	$100	$2M
S9125	Respite care, in the home, per diem	11	10	1,400	$240	$1.9M
T2020	Day habilitation, waiver; per diem	4	10	590	$650	$949.6K
S5136	Companion care, adult (e.g., iadl/adl); per diem	8	10	270	$100	$449.7K
T2021	Day habilitation, waiver; per 15 minutes	4	40	340	$200	$441.5K
S5130	Homemaker service, nos; per 15 minutes	6	60	870	$130	$346.7K
S5102	Day care services, adult; per diem	4	10	370	$240	$311.8K
T2019	Habilitation, supported employment, waiver; per 15 minutes	2	20	240	$270	$235.5K
T2014	Habilitation, prevocational, waiver; per diem	3	10	370	$420	$228K
T2018	Habilitation, supported employment, waiver; per diem	2	10	790	$280	$225.6K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Milwaukee County Department On Aging Care Management Organization, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vivent Health Inc	WI	Case Management Agency	$0	$5.9M
Wisconsin Renal Care Group, L.L.C.	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.3M
Alpha Care Health Services Of Wi, Inc.	WI	Home Health Agency	$0	$1.7M
Yvonne Strauss	WI	Physical Therapist	$49.5K	$0

Milwaukee County Department On Aging Care Management Organization — Billing Profile & Reimbursement Data

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Milwaukee County Department On Aging Care Management Organization — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References