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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMccullough, Vargas, & Associates, Inc.
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    Mccullough, Vargas, & Associates, Inc. — Billing Profile & Reimbursement Data

    NPI 1144253923 · Adrian, MI · Addiction (Substance Use Disorder) Counselor

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    Mccullough, Vargas, & Associates, Inc. is a addiction (substance use disorder) counselor provider located in Adrian, Michigan. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMccullough, Vargas, & Associates, Inc.
    Address770 Riverside Ave
    CityAdrian
    StateMI
    ZIP49221
    TaxonomyAddiction (Substance Use Disorder) Counselor
    NPI EnumeratedJuly 8, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0019Behavioral 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 diem3,470$1,110$3.9M
    S9976Lodging, per diem, not otherwise classified4,000$170$671.7K
    H0038Self‑help/peer services, per 15 minutes3,820$150$584.5K
    H0004Behavioral health counseling and therapy, per 15 minutes5,090$80$401.8K
    90837In 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…750$110$81.6K
    T1012Alcohol and/or substance abuse services, skills development1,000$50$51.1K
    H0005Alcohol and/or drug services; group counseling by a clinician1,230$40$47.9K
    H0001Alcohol and/or drug assessment200$90$17.5K
    S0215Non-emergency transportation; mileage, per mile40$30$1.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0019Behavioral 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 diem24503,580$380$3.7M
    S9976Lodging, per diem, not otherwise classified58906,650$60$1M
    H0038Self‑help/peer services, per 15 minutes801902,210$70$754.1K
    90837In 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…1,0311,960870$100$376.5K
    T1012Alcohol and/or substance abuse services, skills development42801,420$40$318.1K
    H0004Behavioral health counseling and therapy, per 15 minutes42210740$70$255.2K
    S0215Non-emergency transportation; mileage, per mile1021102,100$30$250.8K
    H0001Alcohol and/or drug assessment105190320$130$116.2K
    H0005Alcohol and/or drug services; group counseling by a clinician39110570$40$104.4K

    Nearby Providers

    Other providers in the same ZIP code as Mccullough, Vargas, & Associates, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Renaissance Community HomesMIMental Illness Community Based Residential Treatment Facility$0$84.9M
    Lenawee Community Mental Health AuthorityMICommunity/Behavioral Health Agency$0$32M
    Emma L. Bixby Medical CenterMIGeneral Acute Care Hospital$0$18.4M
    Hospice Of Lenawee, Inc.MICommunity Based Hospice Care Agency$0$9M
    Goodwill Industries Of Southeastern Michigan, Inc.MICommunity/Behavioral Health Agency$0$6.6M
    4m Monroe Medical Services PLLCMIEmergency Medicine Physician$0$6.4M
    Jlc Care ServicesMIIn Home Supportive Care Agency$0$6M
    William RhoadesMIRetina Specialist (Ophthalmology) Physician$1.9M$0
    City Of AdrianMILand Ambulance$317.7K$1.3M
    Lawrence DesjarlaisMIDermatology Physician$346.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Michigan Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Mccullough, Vargas, & Associates, Inc. — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan