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.

Bay-arenac Behavioral Health (NPI 1154439438)

Field	Value
Entity Type	Organization
Organization	Bay-arenac Behavioral Health
Address	201 Mulholland
City	Bay City
State	MI
ZIP	48708
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 28, 2006

Payer Source	Total Paid
Medicaid	$78.6M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and is effectively a Medicaid-focused provider: lifetime Medicare revenue is none while lifetime Medicaid revenue is $78.6M. The absence of Medicare claims makes BAY-ARENAC BEHAVIORAL HEALTH a single-payer (Medicaid) operation in practice, so any analysis of scale or competitive standing should be framed against in-state Medicaid peers rather than national Medicare benchmarks.

Revenue is concentrated in a small set of time- and care-management codes: the top three Medicaid codes (H2015, T1017, 99214) together account for 41.8% of the provider's total Medicaid revenue. Individually those codes are H2015 with 66.1K claims, $175 avg paid/claim and $11.6M revenue (14.9%), T1017 with 58.5K claims, $195 avg paid/claim and $11.4M revenue (14.7%), and 99214 with 36.8K claims, $260 avg paid/claim and $9.6M revenue (12.3%).

The code mix (H2015, T1017, T1016, H0036, H0039 and high-volume E/M codes like 99214) indicates BAY-ARENAC operates as a community-centered behavioral health clinic with heavy emphasis on case management, community support services, and in-clinic moderate-complexity outpatient visits. The prominence of time-based community service codes (per-15-minute units) and targeted/case management codes implies substantial field or outreach work and a staffing model that likely includes non-physician clinicians and case managers supported by clinic-based E/M capacity.

99214 volume is an outlier relative to most in-state providers: BAY-ARENAC ranks #69 of 4380 providers in-state (98th percentile) for 99214 and is described as notably above typical state volume for this code. High 99214 billing suggests the provider manages a large panel of established patients requiring moderate-complexity outpatient visits, which supports a significant in-clinic ambulatory workload in addition to community services.

By contrast, its community support and targeted case management volumes are sizable but not exceptional in-state: H2015 ranks #125 of 614 (80th percentile; typical, unremarkable volume) and T1017 ranks #35 of 175 (80th percentile; typical, unremarkable volume). Those placements indicate BAY-ARENAC is a solid, mid-to-upper-tier participant in delivered community support and targeted case management but not dominant among Medicaid providers for those specific services.

There are multiple additional codes where BAY-ARENAC performs at a notably high level versus peers, pointing to strong assessment and therapy throughput: H2000 (comprehensive multidisciplinary evaluation) ranks #3 of 154 providers in-state (99th percentile; notably above typical), 90791 (psychiatric evaluation) ranks #37 of 784 (95th percentile; notably above typical), and 96372 (injections) ranks #63 of 1419 (96th percentile; notably above typical). These high-percentile placements complement the 99214 signal and indicate the provider handles a large volume of initial evaluations, medication-related procedures, and psychotherapy/therapeutic interventions.

The service mix emphasizes time-based, face-to-face community treatment (H0036, H0039), structured case management (T1016, T1017), and psychotherapy (90834/90837), which together suggest operations spanning outreach, ongoing community treatment, and clinic-based therapy. That breadth — from crisis/intervention and assertive community treatment codes to routine outpatient E/M and psychotherapy — implies multidisciplinary teams and workflows able to support both intensive community services and steady ambulatory care.

BAY-ARENAC's NPI was enumerated on 2006-08-28 (≈20 years ago), indicating an established presence in the market. Combined with $78.6M in Medicaid revenue and the concentrated reliance on a handful of Medicaid codes for roughly 41.8% of revenue, the organization appears to be a long-standing, Medicaid-centric behavioral health provider with stable programmatic focus rather than a recent entrant or a Medicare-focused practice.

Medicaid: Complete Services Breakdown

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

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	66,130	$180	$11.6M
T1017	Targeted case management, each 15 minutes	58,540	$200	$11.4M
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…	36,760	$260	$9.6M
T1016	Case management, each 15 minutes	30,750	$240	$7.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	28,370	$230	$6.5M
H0039	Assertive community treatment, face-to-face, per 15 minutes	32,190	$160	$5M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	8,480	$480	$4.1M
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…	15,470	$210	$3.2M
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…	16,850	$170	$2.8M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5,730	$440	$2.5M

Showing 1–10 of 51

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

Bay-arenac Behavioral Health — 6 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

51 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	35	180	10,890	$210	$8.1M
H2015	Comprehensive community support services, per 15 minutes	125	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	21	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	11	90	8,750	$300	$4.7M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	37	40	288,630	$10	$4.4M
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	33	50	3,580	$380	$3.7M
T1016	Case management, each 15 minutes	19	120	8,060	$210	$3.4M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	12	110	480	$530	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	42	50	1,690	$460	$1.4M
H2011	Crisis intervention service, per 15 minutes	21	80	1,470	$310	$1.4M

Showing 1–10 of 51

Nearby Providers

Other providers in the same ZIP code as Bay-arenac Behavioral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mclaren Bay Region	MI	General Acute Care Hospital	$0	$31.8M
Premier Care Assisted Living	MI	Foster Care Agency	$0	$13.4M
Liberty Living Inc	MI	Adult Care Home Facility	$0	$10.9M
Mclaren Bay Region	MI	Family Medicine Physician	$0	$9.3M
Recovery Pathways, LLC	MI	Medical Specialty Clinic/Center	$0	$8.1M
In Your Golden Years, LLC	MI	Home Health Agency	$0	$7.7M
Paramount Rehabilitation Services, PC	MI	Physical Therapist	$0	$5.5M
Japhet Joseph	MI	Cardiovascular Disease Physician	$414.3K	$16.3K
Richard Horbal	MI	Allergy & Immunology Physician	$424.8K	$0
Robert Graham	MI	Ophthalmology Physician	$358.5K	$0

Bay-arenac Behavioral Health — Billing Profile & Reimbursement Data

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Bay-arenac Behavioral 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