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.

Kent County Cmh Authority (NPI 1134212442)

Field	Value
Entity Type	Organization
Organization	Kent County Cmh Authority
Address	790 Fuller Ave Ne
City	Grand Rapids
State	MI
ZIP	49503
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicaid	$97.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-centric operation: there is no Medicare billing on file while total Medicaid revenue is $97.6M, indicating the organization’s commercial exposure is concentrated almost exclusively in Medicaid contracting and reimbursement. The absence of Medicare activity suggests analysts should treat KENT COUNTY CMH AUTHORITY as a single-payer (Medicaid) billing entity for competitive and network modeling purposes.

Revenue is highly concentrated in a small set of services: the top 3 Medicaid codes (T1017, T1023, H0039) together account for 45.4% of the provider’s total Medicaid revenue. Those three codes individually generate $20.6M (21.9%), $13.1M (13.9%), and $9.1M (9.7%) respectively, showing that a minority of service lines drive nearly half of Medicaid receipts.

The code mix points to a community behavioral-health operational model focused on case management, screening, and intensive community outreach: T1017 (Targeted case management) has 56.1K claims, T1023 (screening encounters) has 26.8K claims, and H0039 (Assertive community treatment) has 46.2K claims. Complementary codes such as T1016, H2011, H0032, H0031, and H0038 indicate a broad portfolio of case management, crisis intervention, care planning, and peer/support services rather than a clinic focused solely on office-based primary care.

Several codes indicate the provider occupies leading statewide positions in specific service types. T1023 ranks #2 of 107 providers in-state at the 99th percentile and is labeled an “extreme outlier,” which signals unusually large volume in screening encounters compared with peers; 90792 ranks #12 of 288 (96th percentile) and is described as “notably above typical,” indicating elevated psychiatric evaluation volume relative to the state.

For other high-revenue codes the provider is a strong but not dominant statewide participant: T1017 and H0039 both sit at the 79th percentile within their peer groups and are characterized as typical or unremarkable volumes for those codes. This pattern suggests KENT COUNTY CMH AUTHORITY is a substantial, established regional provider of core community mental health services but not the single dominant provider across most code categories.

The provider delivers both high-volume, short-interval services and higher-intensity clinical encounters. High claim counts for case-management and ACT (e.g., T1017 56.1K claims, H0039 46.2K claims) sit alongside substantial revenue from longer psychiatric services and psychotherapy (90837 $4.8M, 90792 $2.9M and 90791 $1.9M), indicating care delivery spans frequent community contacts and billable clinical evaluations.

There are distinct strengths and relative gaps in coverage of housing and per-diem supports: H0043 (supported housing) yields $2.4M but ranks #108 of 130 (17th percentile), showing comparatively limited statewide share in supported-housing per-diem services, whereas H2016 (comprehensive community support per diem) produces $3M but ranks at the 36th percentile. That contrast suggests the organization’s housing-related revenue is meaningful locally but modest relative to specialized housing providers statewide.

The provider has long-standing enrollment in the national NPI system—enumerated 2006-10-02 (~20 years ago)—which, combined with large claim volumes across core community behavioral-health codes, supports the interpretation of KENT COUNTY CMH AUTHORITY as an established, high-throughput community mental health agency whose financial performance will be sensitive to Medicaid policy or contracting adjustments affecting its top revenue-driving codes.

Medicaid: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	56,080	$370	$20.6M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	26,790	$490	$13.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	46,230	$200	$9.1M
T1016	Case management, each 15 minutes	26,890	$190	$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…	17,000	$290	$4.8M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	15,910	$210	$3.3M
H2011	Crisis intervention service, per 15 minutes	10,980	$270	$3M
H2016	Comprehensive community support services, per diem	2,970	$1,010	$3M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	7,470	$390	$2.9M
H0032	Mental health service plan development by non-physician	13,390	$210	$2.9M

Showing 1–10 of 53

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

Kent County Cmh Authority — 5 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	190	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	37	180	10,890	$210	$8.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	15	40	30,550	$80	$6.8M
H2015	Comprehensive community support services, per 15 minutes	188	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	15	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	71	90	8,750	$300	$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…	147	220	7,030	$170	$4.6M
H0043	Supported housing, per diem	108	130	10,330	$210	$4.5M
H2014	Skills training and development, per 15 minutes	94	130	20,660	$50	$3.8M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	44	50	3,580	$380	$3.7M

Showing 1–10 of 53

Nearby Providers

Other providers in the same ZIP code as Kent County Cmh Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Health Hospitals	MI	General Acute Care Hospital	$0	$243.2M
Saint Mary's Health Services	MI	General Acute Care Hospital	$0	$92M
Cancer & Hematology Centers Of Western Mi, P.C.	MI	Specialist	$0	$59.5M
Cherry Street Services, Inc.	MI	Federally Qualified Health Center (FQHC)	$0	$50.9M
Ecs Western Michigan PC	MI	Emergency Medicine Physician	$0	$50.6M
Neo Natal Associates Plc	MI	Neonatal-Perinatal Medicine Physician	$0	$27.7M
Spectrum Health Hospitals	MI	Hospitalist Physician	$0	$25.2M
Life Ems Inc	MI	Land Ambulance	$3.1M	$22M
Cherry Street Services, Inc.	MI	Federally Qualified Health Center (FQHC)	$0	$24.6M
Paramed Inc	MI	Ambulance	$1.8M	$21.1M

Kent County Cmh Authority — Billing Profile & Reimbursement Data

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Kent County Cmh Authority — 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