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.

The Arc Of Northwest Wayne County (NPI 1043420847)

Field	Value
Entity Type	Organization
Organization	The Arc Of Northwest Wayne County
Address	26049 5 Mile Rd
City	Redford
State	MI
ZIP	48239
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	May 23, 2007

Payer Source	Total Paid
Medicaid	$50.7M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	314,390	$110	$35.2M
H0043	Supported housing, per diem	51,740	$220	$11.2M
T2025	Waiver services; not otherwise specified (nos)	13,260	$140	$1.9M
T2027	Specialized childcare, waiver; per 15 minutes	27,230	$60	$1.6M
T1005	Respite care services, up to 15 minutes	7,400	$110	$843.4K

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

The Arc Of Northwest Wayne County — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	26	610	14,740	$90	$6M
T2027	Specialized childcare, waiver; per 15 minutes	19	40	23,640	$70	$4.8M
H0043	Supported housing, per diem	12	130	10,330	$210	$4.5M
T2025	Waiver services; not otherwise specified (nos)	11	30	2,980	$100	$2.3M
T1005	Respite care services, up to 15 minutes	41	110	4,910	$80	$2.2M

Nearby Providers

Other providers in the same ZIP code as The Arc Of Northwest Wayne County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lincoln Behavioral Services	MI	Psychiatry Physician	$0	$95.9M
Community Choices, Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$28.9M
Real Place Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$13.3M
Amen's Care, Inc.	MI	Homemaker	$0	$5.7M
Scott Samona	MI	Orthopaedic Hand Surgery Physician	$159.6K	$0
Usha Sudindranath	MI	Psychiatry Physician	$78.4K	$0

The Arc Of Northwest Wayne County — Billing Profile & Reimbursement Data

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The Arc Of Northwest Wayne County — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References