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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCounty Of Muskegon
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    County Of Muskegon — Billing Profile & Reimbursement Data

    NPI 1003914946 · Muskegon, MI · Mental Health Clinic/Center (Including Community Mental Health Center)

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    County Of Muskegon is a mental health clinic/center (including community mental health center) provider located in Muskegon, Michigan. This profile covers 0 Medicare and 78 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
    OrganizationCounty Of Muskegon
    Address376 E Apple Avenue
    CityMuskegon
    StateMI
    ZIP49442
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedSeptember 21, 2006

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

    Payer SourceTotal Paid
    Medicaid$151.1M
    Medicare$0

    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.

    78 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1040Medicaid certified community behavioral health clinic services, per diem169,700$230$39.2M
    T1017Targeted case management, each 15 minutes87,860$260$22.8M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes21,380$630$13.4M
    H0031Mental health assessment, by non-physician27,360$330$8.9M
    T1016Case management, each 15 minutes44,250$190$8.3M
    H0032Mental health service plan development by non-physician22,840$250$5.7M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem9,410$540$5M
    H2030Mental health clubhouse services, per 15 minutes28,920$170$4.8M
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…24,530$170$4.1M
    97153A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…24,130$160$4M

    Showing 1–10 of 78

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    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    78 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1017Targeted case management, each 15 minutes2218010,890$210$8.1M
    97153A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…4513011,590$190$7.6M
    T1040Medicaid certified community behavioral health clinic services, per diem104030,550$80$6.8M
    H2015Comprehensive community support services, per 15 minutes28061014,740$90$6M
    H0039Assertive community treatment, face-to-face, per 15 minutes467020,710$180$5.1M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes23908,750$300$4.7M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem23703,240$390$4.7M
    H2014Skills training and development, per 15 minutes8813020,660$50$3.8M
    T1016Case management, each 15 minutes121208,060$210$3.4M
    H2030Mental health clubhouse services, per 15 minutes216022,740$80$2.3M

    Showing 1–10 of 78

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    Nearby Providers

    Other providers in the same ZIP code as County Of Muskegon, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pioneer Resources, Inc.MIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$29M
    Lakeshore Home Health Care Services, Inc.MIHome Health Agency$0$18.1M
    Lake Michigan Emergency Specialists, PLLCMIEmergency Medicine Physician$0$16.9M
    Professional Med TeamMILand Ambulance$1.4M$12.4M
    Cherry Street Services IncMIFederally Qualified Health Center (FQHC)$208.7K$6M
    Hackley Community Care Center IncMIFederally Qualified Health Center (FQHC)$0$5.5M
    Mercy Health Partners - Physician SpecialistMIInternal Medicine Physician$0$5.3M
    Jack WangMIRadiation Oncology Physician$2.2M$0
    Ronald ChusidMIInternal Medicine Physician$50.7K$41.1K
    Benson Drug Company Inc.MICommunity/Retail Pharmacy$13.1K$350

    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. Michigan Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    County Of Muskegon — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan