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    OpenPayerNPI Medicare & MedicaidHuman Services Board Serving North Central Heatlh …
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    Human Services Board Serving North Central Heatlh Care Facility — Billing Profile & Reimbursement Data

    NPI 1952423808 · Wausau, WI · Multi-Specialty Clinic/Center

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    Human Services Board Serving North Central Heatlh Care Facility is a multi-specialty clinic/center provider located in Wausau, Wisconsin. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHuman Services Board Serving North Central Heatlh Care Facility
    Address2400 Marshall St Ste A
    CityWausau
    StateWI
    ZIP54403
    TaxonomyMulti-Specialty Clinic/Center
    NPI EnumeratedApril 4, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$74.1M
    Medicare$0

    Key Findings

    HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEATLH CARE FACILITY is a Multi-Specialty Clinic/Center based in WAUSAU, WI with an NPI enumerated on 2007-04-04 (~19 years ago), indicating nearly two decades of registered activity in state Medicaid programs. The entity’s public billing profile shows a long-tenured provider footprint but limited payer diversity in the claims data available.

    This provider has no Medicare billing on file and reports Total Medicaid revenue of $74.1M, making its active payer footprint effectively single-payer (Medicaid) in the available data. The absence of Medicare revenue on file means analyses of cross-payer diversification or Medicare-driven service lines are not supported by the dataset.

    Revenue concentration is extreme within the Medicaid portfolio: the top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue. H2017 alone comprises $71.7M (96.8% of Medicaid revenue), 99199 contributes $2.4M (3.2%), and Q3014 accounts for $0 (0.0%), highlighting a highly concentrated revenue base.

    Operationally the billing mix points to a behavioral health and psychosocial rehabilitation focus: H2017 (Psychosocial rehabilitation services, per 15 minutes) appears as the dominant service with 658K claims at $109 avg paid/claim producing $71.7M in revenue. The scale of 15-minute unit billing (658K claims) implies ongoing delivery of short-interval psychosocial rehabilitation contacts at significant operational scale.

    Despite its dominant share of Medicaid revenue, the statistical characterization supplied for H2017 is paradoxical: H2017 ranks #3 of 58 providers in-state (96th percentile) but is labeled as "typical, unremarkable volume for this code." This indicates that while the provider is among the top in rank for H2017 statewide, the vendor-supplied benchmarking language treats the observed volume as within expected distribution for high-volume psychosocial rehabilitation providers.

    The secondary Medicaid revenue stream is 99199 (Use this code to report other medicine services or procedures for which there is no specific code available), with 61K claims at $39 avg paid/claim yielding $2.4M. 99199 ranks #10 of 57 providers in-state (84th percentile) and is also described as "typical, unremarkable volume for this code," suggesting reliance on miscellaneous or catch-all procedure reporting as a modest, but nontrivial, adjunct to the primary service line.

    Telehealth originating-site activity is minimal in revenue terms: Q3014 shows 58 claims with $0 avg paid/claim and $0 revenue, ranking #121 of 167 providers in-state (27th percentile) and labeled "typical, unremarkable volume for this code." This pattern indicates either non-reimbursed originating-site billing or very limited reimbursable telehealth originating-site activity under Medicaid for this provider.

    From a risk and strategic perspective, the provider's Medicaid dependence and extreme revenue concentration (H2017 = 96.8% of Medicaid revenue; top 3 = 100.0%) create vulnerability to reimbursement policy changes or programmatic shifts affecting psychosocial rehabilitation billing. The large operational footprint implied by 658K H2017 claims signals capacity and scale in behavioral health delivery, but also means that any material change to how H2017 is paid or authorized would disproportionately affect the provider’s financial position.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    H2017Psychosocial rehabilitation services, per 15 minutes658,010$110$71.7M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.61,000$40$2.4M
    Q3014Telehealth originating site facility fee60$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.

    Full comparison — all codes billed, vs. Wisconsin median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2017Psychosocial rehabilitation services, per 15 minutes36057,750$100$18.9M
    99199Use this code to report other medicine services or procedures for which there is no specific code available.106016,890$60$2.9M
    Q3014Telehealth originating site facility fee121170250$20$44K

    Nearby Providers

    Other providers in the same ZIP code as Human Services Board Serving North Central Heatlh Care Facility, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Primary Connection Health Care, Inc.WIFederally Qualified Health Center (FQHC)$0$11.5M
    Human Services Board Serving North Central Health Care FacilityWIMulti-Specialty Clinic/Center$0$9.4M
    Milwaukee Health Services System, LLCWIMethadone Clinic$110.8K$8.7M
    Marathon CountyWIPublic Health or Welfare Agency$0$6M
    Arbor Mental Health CenterWIClinical Psychologist$0$5.2M
    Deepak SambharaWIOphthalmology Physician$4.3M$0
    Human Services Board Serving North Central Heatlh Care FacilityWIMulti-Specialty Clinic/Center$0$3.2M
    Wausau School DistrictWILocal Education Agency (LEA)$0$2.8M
    City Of WausauWILand Ambulance$397K$1.8M
    Milwaukee Health Services System, LLCWIMental Health Clinic/Center (Including Community Mental Health Center)$0$1.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Wisconsin Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Human Services Board Serving North Central Heatlh Care Facility — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin