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.

Umbrellex Behavioral Health Services (NPI 1144723404)

Field	Value
Entity Type	Organization
Organization	Umbrellex Behavioral Health Services
Address	13854 Lakeside Cir Ste 255
City	Sterling Heights
State	MI
ZIP	48313
Taxonomy	Clinical Social Worker
NPI Enumerated	March 13, 2018

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	9,380	$660	$6.2M
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…	7,890	$140	$1.1M
H2015	Comprehensive community support services, per 15 minutes	4,580	$230	$1.1M

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

Umbrellex Behavioral Health Services — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	131	300	6,660	$310	$8.7M
H2015	Comprehensive community support services, per 15 minutes	426	610	14,740	$90	$6M
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…	104	220	7,030	$170	$4.6M

Nearby Providers

Other providers in the same ZIP code as Umbrellex Behavioral Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
M & R Home Assistance LLC	MI	In Home Supportive Care Agency	$0	$19.5M
Crawl Walk Jump Run Therapy Clinic LLC	MI	Physical Therapist	$0	$7.9M
Bhadresh Nayak	MI	Hematology & Oncology Physician	$411.7K	$0
Kuldip Deogun	MI	Interventional Pain Medicine Physician	$370.7K	$0
William Kole	MI	Interventional Pain Medicine Physician	$172.8K	$0
Frank Diponio	MI	Family Medicine Physician	$161.9K	$0
Steven Shepherd	MI	Family Medicine Physician	$145.3K	$0
Uzma Rehman	MI	Orthopaedic Surgery Physician	$73.8K	$0
Eleanor Kulis	MI	Psychiatry Physician	$72K	$0
Fredric Neumann	MI	Family Medicine Physician	$69.8K	$0

Umbrellex Behavioral Health Services — Billing Profile & Reimbursement Data

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Umbrellex Behavioral Health Services — Billing Profile & Reimbursement Data

Sign up for Umbrellex Behavioral Health Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References