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 Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan 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. Michigan (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.

Hope Network Behavioral Health Services (NPI 1043295934)

Field	Value
Entity Type	Organization
Organization	Hope Network Behavioral Health Services
Address	17160 130th Ave
City	Nunica
State	MI
ZIP	49448
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	December 13, 2005

Payer Source	Total Paid
Medicaid	$186.6M
Medicare	$0

Key Findings

HOPE NETWORK BEHAVIORAL HEALTH SERVICES is effectively a single-payer Medicaid provider: there is no Medicare billing on file and its lifetime Medicaid revenue is $186.6M. The absence of Medicare activity combined with material Medicaid scale means analysis and contracting should focus on Medicaid program rules, rates, and utilization patterns.

Revenue is highly concentrated in a small set of per-diem behavioral health codes: the precomputed top 3 Medicaid codes account for 88.9% of this provider’s total Medicaid revenue. H2016 drives the largest share with $128.4M revenue (68.8% of this provider's total Medicaid revenue), followed by T1020 with $22.7M (12.2%) and H0018 with $14.7M (7.9%), signaling material dependence on a few service lines.

The provider’s code mix indicates an operational emphasis on community-based residential and in-home support services rather than office-based medicine: H2016 is Comprehensive community support services (per diem), T1020 is Personal care services (per diem), and H0018 is short-term residential behavioral health (per diem without room and board). This per-diem-heavy portfolio suggests programs that bill by daily service provision and maintain sustained client census rather than episodic outpatient encounters.

HOPE NETWORK is a statewide leader on its top revenue driver: H2016 ranks #5 of 297 providers in-state (99th percentile; notably above typical state volume for this code), which positions the organization as a dominant supplier of comprehensive community support services in Michigan. T1020 also shows outsized relative scale at rank #8 of 221 providers (97th percentile; notably above typical state volume for this code), while H0018 is more typical at rank #16 of 68 providers (78th percentile; typical, unremarkable volume for this code).

Beyond the top three, the presence of substantial adaptive behavior treatment and related services (97153: 81.3K claims, $9.4M revenue, 5.0% of Medicaid revenue; 97155: 15.8K claims, $2.0M revenue; 0365T: 6.4K claims, $1.4M revenue) indicates the provider also operates or supports ABA-style interventions and technician-supervised therapy. Targeted case management lines (T1017: 33.8K claims, $3.6M revenue; T2023: 682 claims, $168.5K revenue) further show a bundled behavioral health service mix that pairs direct care with coordination/case-management activities.

Operational scale is evident in claim volumes for daily services: H2016 shows 189.1K claims and T1020 shows 144.9K claims, implying a sustained, high-volume delivery model likely driven by per-diem billing and continuous enrollment in community/residential programs. Those claim volumes suggest administrative and staffing models built around longitudinal care delivery rather than low-volume, high-acuity episodic visits.

From a payer risk and contracting perspective, the provider’s heavy reliance on Medicaid and on a few per-diem codes concentrates financial exposure: any rate changes, prior authorization policy shifts, or eligibility edits affecting H2016 or T1020 could materially affect revenue given that the top three codes contribute 88.9% of Medicaid receipts. Payers evaluating network value should weigh the provider’s market dominance for H2016 and T1020 against this concentration when structuring rates, utilization management, or outcome-based arrangements.

The provider has an established operational history with NPI enumeration on 2005-12-13 (~21 years ago), which, combined with its high state ranks on core per-diem services, suggests an entrenched presence in Michigan’s Medicaid behavioral health delivery system. This tenure supports expectations of institutional experience in statewide Medicaid program administration and large-scale per-diem service delivery.

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	189,080	$680	$128.4M
T1020	Personal 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…	144,870	$160	$22.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	15,880	$930	$14.7M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	81,350	$120	$9.4M
T1017	Targeted case management, each 15 minutes	33,760	$110	$3.6M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	15,810	$130	$2M
0365T	Adaptive behavior tx addl	6,390	$230	$1.4M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,410	$180	$624K
S9976	Lodging, per diem, not otherwise classified	9,620	$60	$558.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,660	$150	$542.1K

Showing 1–10 of 33

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Hope Network Behavioral Health Services — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	5	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	61	180	10,890	$210	$8.1M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	11	130	11,590	$190	$7.6M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	16	70	3,240	$390	$4.7M
T1020	Personal 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…	8	220	7,030	$170	$4.6M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	20	130	3,170	$180	$2.2M
0365T	Adaptive behavior tx addl	16	70	3,180	$170	$1.5M
S9976	Lodging, per diem, not otherwise classified	39	90	6,650	$60	$1M
H0038	Self‑help/peer services, per 15 minutes	93	190	2,210	$70	$754.1K
T2023	Targeted case management; per month	9	20	580	$480	$527.4K

Showing 1–10 of 33

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hope Network Behavioral Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Harris	MI	Psychiatry Physician	$298.3K	$0

Hope Network Behavioral Health Services — Billing Profile & Reimbursement Data

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Hope Network Behavioral Health Services — 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

Related Providers

Frequently Asked Questions

References