Pierce County Dept of Human Services

Pierce County Dept of Human Services was paid $1.07M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is T1016, Case management, each 15 minutes — 99% of everything it billed.

33Billing provider infoPIERCE COUNTY DEPT OF HUMAN SERVICES
ELLSWORTH, WI 54011

33aNPI1770659658assigned 11/24/2006

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$1.07M

24GClaims9,979

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in Wisconsin

Rank by total paid#85 of 179

Median peer was paid$988K

This provider vs. median1.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	648	$119K
2019	739	$122K
2020	863	$85K
2021	1,532	$109K
2022	1,733	$159K
2023	2,155	$211K
2024incomplete	2,309	$262K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1016	Case management, each 15 minutes	99%	9,798	5,438	$1.06M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	<1%	181	177	$6K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBICHA, REGINALD (DIRECTOR)