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.

Centria Healthcare LLC (NPI 1053641498)

Field	Value
Entity Type	Organization
Organization	Centria Healthcare LLC
Address	27777 Inkster Rd Ste 100
City	Farmington Hills
State	MI
ZIP	48334
Taxonomy	Home Health Agency
NPI Enumerated	January 7, 2010

Payer Source	Total Paid
Medicaid	$591M
Medicare	$0

Key Findings

CENTRIA HEALTHCARE LLC is effectively a Medicaid-focused operator: lifetime Medicaid revenue is $591M and there is no Medicare billing on file, so all billed volume in the dataset comes from Medicaid. This makes the provider a single‑payer (Medicaid) enterprise from the available claims data and concentrates its reimbursement exposure to state Medicaid policy and contracts.

Revenue is highly concentrated in a very small set of service lines: the precomputed top three Medicaid codes (97153, 97155, T1000) account for 82.1% of this provider’s total Medicaid revenue. In particular, 97153 alone represents $345.9M (58.5% of Medicaid revenue), 97155 accounts for $76.5M (13.0%), and T1000 contributes $62.5M (10.6%).

The code mix identifies a core business model centered on adaptive behavior/ABA services and substantial private duty nursing. The largest codes (97153 and 97155) are adaptive behavior treatment codes administered by technicians and qualified professionals, while T1000 is private duty/independent nursing; together these suggest an operation organized around high-volume ABA therapy delivery plus in-home nursing services.

Claim volumes and average paid rates underscore the operational scale behind the headline revenue. The dataset shows 1.4M claims for 97153 at $252 avg paid/claim yielding $345.9M, 380.7K claims for 97155 at $201 avg paid/claim yielding $76.5M, and 170.2K claims for T1000 at $367 avg paid/claim yielding $62.5M, indicating sustained high-frequency service delivery for those modalities.

CENTRIA’s competitive standing in‑state is dominant for its primary service lines: it ranks #1 and at the 100th percentile for many top codes (e.g., 97153, 97155, T1000, 0365T, H2019 and multiple others), which the source labels as “extreme outlier” volumes. These rank/percentile positions characterize the provider as a major market leader in Michigan for ABA-related codes and related behavioral health services.

Multiple codes show no close state peers or sole-provider reporting, signaling niche or unique program offerings within Michigan. Examples include T1026 (rank #1 of 1), 0373T (rank #1 of 1), 0374T (rank #1 of 1), and H2012 (rank #1 of 1); those listings and the 100th‑percentile, extreme‑outlier flags for many ABA codes indicate both breadth and depth of specialized services not matched by most in‑state competitors.

The concentration of revenue into a few high-volume codes creates both negotiating leverage and concentration risk: payers and analysts should note that changes to Medicaid coverage, rates, or utilization management for 97153, 97155, or T1000 would materially affect this provider’s revenue given those codes together represent 82.1% of Medicaid income. For contracting or network planning, this profile suggests CENTRIA’s value is tightly linked to continuing access to ABA and private duty nursing authorizations.

CENTRIA has an established billing history with an NPI enumerated on 2010-01-07 (~16 years ago), supporting that its large Medicaid footprint reflects multi-year operational scale rather than a recent entry. That tenure, combined with repeated extreme‑outlier volumes across ABA and related codes, implies an entrenched specialty provider whose Medicaid role and state-level market influence merit close monitoring by payers and competitive analysts.

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,372,510	$250	$345.9M
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…	380,700	$200	$76.5M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	170,230	$370	$62.5M
0365T	Adaptive behavior tx addl	226,670	$190	$43.1M
H2019	Therapeutic behavioral services, per 15 minutes	110,750	$160	$17.9M
0369T	Duodenal mucosal resurfacing, endoscopic	47,690	$190	$9M
0364T	Behavior treatment	225,810	$30	$6.1M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	28,490	$200	$5.6M
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	57,270	$90	$5.2M
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	18,550	$270	$5M

Showing 1–10 of 34

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

Centria Healthcare LLC — 13 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	1	20	33,460	$380	$14M
T2021	Day habilitation, waiver; per 15 minutes	2	10	123,640	$90	$10.7M
H2016	Comprehensive community support services, per diem	284	300	6,660	$310	$8.7M
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…	1	130	11,590	$190	$7.6M
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	1	10	28,490	$200	$5.6M
0373T	Two or more technicians, under the direction of an on–site physician or other qualified healthcare professional, administer adaptive behavior treatment with modifications in protocol for a patient…	1	10	8,090	$320	$2.6M
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…	1	130	3,170	$180	$2.2M
H2019	Therapeutic behavioral services, per 15 minutes	1	30	3,330	$200	$1.6M
0365T	Adaptive behavior tx addl	1	70	3,180	$170	$1.5M
H2012	Behavioral health day treatment, per hour	1	10	9,330	$160	$1.4M

Showing 1–10 of 34

Related Providers

Other providers that share a Tax Identification Number (TIN) with Centria Healthcare LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cheryl Jensen-deloia, Psyd	NM	Psychologist	$104.3K	$0

Nearby Providers

Other providers in the same ZIP code as Centria Healthcare LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Area Agency On Aging 1-b	MI	Case Management Agency	$0	$143.1M
Michigan Healthcare Professionals PC	MI	Internal Medicine Physician	$0	$106.2M
Glendale Neurological Associates P C	MI	Neurology Physician	$0	$52.6M
Centria Healthcare	MI	Clinic/Center	$0	$10.1M
Bioprecision Laboratories, Inc.	MI	Clinical Medical Laboratory	$7M	$1.4K
Martin Belkin	MI	Neurology Physician	$4.7M	$0
Joshua Grant	MI	Ophthalmology Physician	$1.3M	$0
Michigan Endoscopy Center LLC	MI	Ambulatory Surgical Clinic/Center	$1M	$11.9K
Ronald Bergman	MI	Ophthalmology Physician	$593.7K	$0
Aaron Ellenbogen	MI	Neurology Physician	$549.8K	$0

Centria Healthcare LLC — Billing Profile & Reimbursement Data

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Centria Healthcare LLC — 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

Nearby Providers

Frequently Asked Questions

References