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.

Community Living Services Of Oakland County (NPI 1043368558)

Field	Value
Entity Type	Organization
Organization	Community Living Services Of Oakland County
Address	642 E. Nine Mile Rd.
City	Ferndale
State	MI
ZIP	48220
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 8, 2007

Payer Source	Total Paid
Medicaid	$112.9M
Medicare	$0

Key Findings

COMMUNITY LIVING SERVICES OF OAKLAND COUNTY is effectively a single-payer Medicaid provider: it reports none for Medicare revenue on file and $112.9M in lifetime Medicaid revenue, and its NPI was enumerated 2007-01-08 (~19 years ago), indicating nearly two decades of active billing history in the state. This tenure supports the interpretation that the organization is an established community behavioral health agency within Michigan's Medicaid ecosystem.

Revenue concentration is high: the provider’s top three Medicaid codes (H2015, T1017, T1016) together account for 72.2% of its total Medicaid revenue. Specifically, H2015 generated $59.8M (53.0%), T1017 generated $11.7M (10.4%), and T1016 generated $9.9M (8.8%), showing that a small set of time-based service codes drive the bulk of dollars.

The code mix points to a programmatic focus on intensive community-based supports and case management rather than traditional clinic-based medical care. H2015 (Comprehensive community support services, per 15 minutes) is the single largest revenue driver with 687.2K claims and $59.8M in revenue, and the prominence of T1016/T1017 (case management/targeted case management) plus H0043 (supported housing) and T1005 (respite care) indicates a business model centered on wrap-around social support, care coordination, housing supports, and respite services.

Competitive standing is mixed but shows clear dominance in core community support services: H2015 ranks #11 of 614 providers in-state (98th percentile; extreme outlier, far above typical state volume for this code), marking the organization as a major outlier and likely a primary provider for that service in Michigan. T1016 ranks #8 of 123 (94th percentile) reflecting a strong statewide position in case management, while T1017 ranks #54 of 175 (70th percentile), a more typical volume for targeted case management.

Several secondary codes reinforce operational priorities and scale: supported housing H0043 produced $7.5M (27.6K claims) and ranks #30 of 130 (78th percentile), while respite T1005 had 71K claims and $6.5M (rank #12 of 106, 90th percentile). The provider also reports extremely high claim volumes for transportation A0080 (47.5K claims, $475.4K) where it ranks #1 of 2 in-state (100th percentile), indicating substantial non-clinical logistics activity even where per-claim revenue is relatively low.

The presence of adaptive behavior and developmental-disability treatment codes indicates a supplemental service line focused on behavioral interventions: 97153 ($2.7M, 14.9K claims), 0365T ($1.3M, 7.1K claims) and 97155 ($675.9K, 4K claims) are reported at typical in-state ranks and percentiles. These figures suggest the organization delivers ABA-style services alongside its community support and case management portfolio, but ABA is not the primary revenue driver compared with H2015.

Operational profile implied by claim volumes and code semantics: many of the top codes are time-based (per 15 minutes or per diem) and show very large claim counts—e.g., H2015 687.2K claims, T1005 71K claims, T2025 68K claims—pointing to a labor-intensive, high-frequency service delivery model that likely requires a substantial frontline workforce and coordination infrastructure. For payers and network planners, this signals capacity to serve high-volume, ongoing support needs rather than episodic specialty care.

For payers and contracting teams, the provider’s concentration in a few Medicaid codes and its extreme outlier status on H2015 create both opportunity and dependency risks: on one hand, the organization is a clear candidate for partnerships or networks needing robust community support and housing services in Michigan; on the other hand, its financial footprint is heavily tied to time-based Medicaid services (top 3 = 72.2%), so changes in rate-setting or program rules for those specific codes would materially affect its revenue profile.

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	687,150	$90	$59.8M
T1017	Targeted case management, each 15 minutes	40,850	$290	$11.7M
T1016	Case management, each 15 minutes	49,370	$200	$9.9M
H0043	Supported housing, per diem	27,640	$270	$7.5M
T1005	Respite care services, up to 15 minutes	71,040	$90	$6.5M
T2025	Waiver services; not otherwise specified (nos)	67,960	$50	$3.3M
H2014	Skills training and development, per 15 minutes	50,150	$60	$3.2M
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…	14,950	$180	$2.7M
0365T	Adaptive behavior tx addl	7,080	$180	$1.3M
H2023	Supported employment, per 15 minutes	27,960	$40	$1M

Showing 1–10 of 28

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

Community Living Services Of Oakland County — 3 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	54	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…	59	130	11,590	$190	$7.6M
H2015	Comprehensive community support services, per 15 minutes	11	610	14,740	$90	$6M
T2027	Specialized childcare, waiver; per 15 minutes	36	40	23,640	$70	$4.8M
H0043	Supported housing, per diem	30	130	10,330	$210	$4.5M
H2014	Skills training and development, per 15 minutes	47	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	8	120	8,060	$210	$3.4M
T2025	Waiver services; not otherwise specified (nos)	3	30	2,980	$100	$2.3M
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…	63	130	3,170	$180	$2.2M
T1005	Respite care services, up to 15 minutes	12	110	4,910	$80	$2.2M

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Community Living Services Of Oakland County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Exclusive Physicians PLLC	MI	Multi-Specialty Clinic/Center	$0	$28.6M
Elizabeth Pensler	MI	Surgery Physician	$777.6K	$0
Susan Tam	MI	Family Medicine Physician	$260.6K	$4.2K
Tara Stock	MI	Foot & Ankle Surgery Podiatrist	$103.8K	$0
Jacquis Gray	MI	Physician Assistant	$57.8K	$0
Crystal Workman	MI	Social Worker	$56.5K	$0
Nancy Mason	MI	Pediatric Nurse Practitioner	$29.5K	$0
Sabreen Rahman	MI	Child & Adolescent Psychiatry Physician	$14.1K	$0
Ted Naman	MI	Internal Medicine Physician	$9.5K	$3.9K
Sally Hoey	MI	Optometrist	$7.3K	$0

Community Living Services Of Oakland County — Billing Profile & Reimbursement Data

Sign up for Community Living Services Of Oakland County — Billing Profile & Reimbursement Data policy alerts

Community Living Services Of Oakland County — Billing Profile & Reimbursement Data

Sign up for Community Living Services Of Oakland County — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References