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    OpenPayerNPI Medicare & MedicaidMcbride Quality Care Services, Inc
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    Mcbride Quality Care Services, Inc — Billing Profile & Reimbursement Data

    NPI 1013074509 · Mt Pleasant, MI · Intellectual and/or Developmental Disabilities Residential Treatment Facility

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    Mcbride Quality Care Services, Inc is a intellectual and/or developmental disabilities residential treatment facility provider located in Mt Pleasant, Michigan. This profile covers 0 Medicare and 5 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
    OrganizationMcbride Quality Care Services, Inc
    Address209 E Chippewa St
    CityMt Pleasant
    StateMI
    ZIP48858
    TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
    NPI EnumeratedJanuary 3, 2007

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

    Payer SourceTotal Paid
    Medicaid$84.6M
    Medicare$0

    Key Findings

    MCBRIDE QUALITY CARE SERVICES, INC reports no Medicare billing on file and $84.6M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) operation in the available claims data. This payer mix indicates the provider’s financial activity and service footprint are almost entirely driven by Medicaid-funded programs rather than Medicare fee-for-service work.

    Revenue is highly concentrated in three Medicaid codes: H2016 (63.3% of Medicaid revenue), T1020 (27.7%), and H2015 (5.8%), and the top 3 Medicaid codes by revenue account for 96.7% of the provider’s total Medicaid revenue. This concentration shows the business is built around a narrow set of long-running service lines rather than a broadly diversified set of Medicaid offerings.

    The top revenue driver, H2016 (H2016 – Comprehensive community support services, per diem), generated $53.6M from 78.4K claims at an average paid per claim of $683; the provider ranks #25 of 297 in-state (92th percentile; typical, unremarkable volume for this code). High per-diem revenue and large claim volume for H2016 are consistent with ongoing, daily community support services expected from an intellectual/developmental disabilities residential treatment facility.

    T1020 (Personal care services, per diem) accounted for $23.4M from 78.3K claims with an average paid per claim of $299; the provider ranks #18 of 221 in-state (92th percentile; typical, unremarkable volume for this code). The near-equal claim counts for H2016 and T1020 suggest parallel delivery of comprehensive supports and individualized personal care on a per-diem basis rather than episodic or procedure-driven care.

    H2015 (Comprehensive community support services, per 15 minutes) produced $4.9M from 71.6K claims at $68 average paid per claim and ranks #121 of 614 in-state (80th percentile; typical, unremarkable volume for this code). The presence of both per-diem (H2016) and per-15-minute (H2015) modalities indicates the provider bills for mixed billing units—daily placements and shorter, time-segmented support services—consistent with flexible community support models.

    Supported housing (H0043) and transportation (S0215) are present but account for much smaller shares: H0043 produced $2.7M from 12.6K claims ($215 avg paid/claim) and ranks #57 of 130 (57th percentile; typical, unremarkable volume), while S0215 accounted for $60.7K from 7.6K claims ($8 avg paid/claim) and ranks #24 of 107 (78th percentile; typical, unremarkable volume). These secondary codes suggest the provider augments core community and personal care services with housing supports and non-emergency transport, but these are not primary revenue drivers.

    State-level competitive standing is solid but not dominant: the provider appears in the upper percentiles for its top per-diem codes (H2016 and T1020 at the 92th percentile) yet is described as "typical, unremarkable volume" for those codes, indicating it is a meaningful regional participant rather than an outlier or market monopolist. Lower percentile placements for H0043 and the mid-range rank for H2015 reinforce that the organization’s competitive position is concentrated around a few core Medicaid service lines.

    MCBRIDE QUALITY CARE SERVICES, INC has been enumerated since 2007-01-03 (~19 years ago), reflecting long tenure in Medicaid billing for intellectual/developmental disabilities residential and community support services. This longevity, combined with heavy reliance on a few high-volume Medicaid codes, suggests operational stability in a focused service niche but also a strategic vulnerability to Medicaid policy or rate changes affecting those specific codes.

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem78,420$680$53.6M
    T1020Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…78,330$300$23.4M
    H2015Comprehensive community support services, per 15 minutes71,560$70$4.9M
    H0043Supported housing, per diem12,630$220$2.7M
    S0215Non-emergency transportation; mileage, per mile7,590$10$60.7K

    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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2016Comprehensive community support services, per diem253006,660$310$8.7M
    H2015Comprehensive community support services, per 15 minutes12161014,740$90$6M
    T1020Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…182207,030$170$4.6M
    H0043Supported housing, per diem5713010,330$210$4.5M
    S0215Non-emergency transportation; mileage, per mile241102,100$30$250.8K

    Nearby Providers

    Other providers in the same ZIP code as Mcbride Quality Care Services, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Mental Health For Central MichiganMIPsychiatry Physician$0$255.8M
    Crisis Center IncMICommunity/Behavioral Health Agency$0$50.8M
    Christian Home Services IncMIHome Health Agency$0$32.4M
    Michigan Therapeutic Consultants PCMIMethadone Clinic$530K$23.8M
    Mid-michigan Industries, Inc.MIDevelopmentally Disabled Services Day Training Agency$0$21.7M
    Mclaren Central MichiganMIRural Acute Care Hospital$0$14.9M
    Cencare Foster Care Home, IncMIFoster Care Agency$0$11.2M
    Central Michigan Non Profit HousingMIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$8.3M
    Family Home Health Care Services IncMIHome Health Agency$0$7M
    Isabella Citizens For Health, Inc.MIFederally Qualified Health Center (FQHC)$0$5.8M

    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
    Mcbride Quality Care Services, Inc — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan