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.

North Country Community Mental Health (NPI 1053474015)

Field	Value
Entity Type	Organization
Organization	North Country Community Mental Health
Address	1420 Plaza Dr
City	Petoskey
State	MI
ZIP	49770
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 19, 2006

Payer Source	Total Paid
Medicaid	$69.3M
Medicare	$0

Key Findings

NORTH COUNTRY COMMUNITY MENTAL HEALTH has no Medicare billing on file and is effectively a Medicaid-focused provider: reported Medicare revenue is none while total Medicaid revenue is $69.3M. This makes the organization single-payer in practical terms for the available claims data and indicates its billing footprint and reimbursement exposure are concentrated in state Medicaid programs rather than federal Medicare contracts.

Revenue concentration is meaningful: the precomputed top three Medicaid codes (T1017, H0032, T1016) account for 30.5% of the provider’s Medicaid revenue. Those three codes—targeted case management and related case-management/time-based care-planning services—drive a large share of revenue, signaling reliance on time-based care coordination billing.

The code mix points to operations centered on community-based behavioral health and care coordination: high revenue from T1017 (Targeted case management), T1016 (Case management), and H0032 (Mental health service plan development) indicates dominant activity in case management and service planning. Complementary codes like H2015 (Comprehensive community support), H2014 (Skills training and development), and H2030 (Mental health clubhouse services) reinforce a service-line model focused on wraparound, community support, and clubhouse-style programming rather than primarily inpatient or facility-based care.

Clinical psychotherapy and psychiatric evaluation volumes are substantial and above typical state rates for several codes: 90837 ranks in the 98th percentile and 90834 in the 97th percentile (both described as notably above typical state volume), while 90791 is at the 95th percentile and also labeled notably above typical state volume. This pattern indicates the provider delivers a high volume of long and mid-length psychotherapy sessions and psychiatric evaluations in addition to its case-management services.

The provider holds strong statewide presence on several core outpatient/clinical codes: 99214 (E/M for established patients) ranks at the 95th percentile in-state and 99211 ranks in the 98th percentile, showing substantial E/M activity alongside behavioral services. At the same time, many high-revenue case-management codes (T1017, H0032, T1016) are described as typical or unremarkable in volume relative to peers (e.g., T1017 ranks #33 of 175, 82nd percentile), suggesting competitive parity in care-coordination lines while outperforming peers on psychotherapy and psychiatric evaluation volumes.

Intensive community-treatment capability is evident: H0039 (Assertive community treatment) generated $5.1M (7.6% of Medicaid revenue) and ranks in the mid-to-upper state percentiles (73rd percentile), indicating the organization provides face-to-face assertive community treatment at meaningful scale. The mix of H0039 with high case-management and clubhouse codes implies a blended model of intensive outreach plus ongoing community supports.

Several relatively high-paid, lower-claim codes indicate capacity for higher-acuity or specialized services: H0031 (mental health assessment) at $495 avg paid/claim and 5.3% of Medicaid revenue, 90792 (psychiatric evaluation with medical services) at $618 avg paid/claim, and S9482 (family stabilization) at $540 avg paid/claim reflect a portfolio that includes higher-intensity assessments and targeted family interventions alongside high-volume, time-based case management.

The provider is well-established operationally: the NPI was enumerated 2006-12-19 (~20 years ago), signaling long tenure in the state Medicaid market. Combined with the $69.3M Medicaid revenue and the concentration in both high-volume psychotherapy/psychiatric codes and extensive case-management services, this tenure supports an inference of sustained, integrated community behavioral health operations rather than a recent or boutique entrant.

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	61,280	$150	$9.1M
H0032	Mental health service plan development by non-physician	22,300	$280	$6.2M
T1016	Case management, each 15 minutes	30,390	$180	$5.3M
H0039	Assertive community treatment, face-to-face, per 15 minutes	34,800	$150	$5.1M
90837	In 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…	25,680	$190	$4.8M
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…	15,200	$290	$4.5M
H2030	Mental health clubhouse services, per 15 minutes	62,550	$70	$4.1M
90834	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…	26,160	$160	$4.1M
H0031	Mental health assessment, by non-physician	7,290	$500	$3.6M
H2015	Comprehensive community support services, per 15 minutes	51,610	$60	$3.1M

Showing 1–10 of 37

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

North Country Community Mental Health — 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	33	180	10,890	$210	$8.1M
H2015	Comprehensive community support services, per 15 minutes	155	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	19	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	52	90	8,750	$300	$4.7M
H2014	Skills training and development, per 15 minutes	51	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	20	120	8,060	$210	$3.4M
H2030	Mental health clubhouse services, per 15 minutes	7	60	22,740	$80	$2.3M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	20	110	480	$530	$1.5M
H2023	Supported employment, per 15 minutes	58	110	5,150	$90	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	38	50	1,690	$460	$1.4M

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as North Country Community Mental Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
My Community Dental Centers Inc	MI	Public Health Dentistry	$0	$152.9M
Harbor Hall, Inc.	MI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$21.3M
Mclaren Northern Michigan	MI	General Acute Care Hospital	$0	$20.5M
Little Traverse Bay Bands Of Odawa Indians	MI	Federally Qualified Health Center (FQHC)	$0	$8.8M
County Of Emmet	MI	Land Ambulance	$546.2K	$849.3K
Murray Cotter	MI	Dermatology Physician	$705.5K	$0
Anton Sharapov	MI	Surgery Physician	$635.8K	$0
Dwayne Griffin	MI	Pulmonary Disease Physician	$445.5K	$0
Jeffrey Beaudoin	MI	Surgery Physician	$352K	$0
Joshua Anderson	MI	Adult Reconstructive Orthopaedic Surgery Physician	$273.2K	$0

North Country Community Mental Health — Billing Profile & Reimbursement Data

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North Country Community Mental Health — 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

Nearby Providers

Frequently Asked Questions

References