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.

Segue Inc (NPI 1174634315)

Field	Value
Entity Type	Organization
Organization	Segue Inc
Address	212 E. Biddle Street
City	Jackson
State	MI
ZIP	49203
Taxonomy	Adult Mental Health Clinic/Center
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$21M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0039	Assertive community treatment, face-to-face, per 15 minutes	85,920	$130	$11.4M
T1017	Targeted case management, each 15 minutes	43,660	$140	$6.2M
T1016	Case management, each 15 minutes	14,160	$120	$1.6M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	6,400	$90	$556.7K
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…	3,990	$90	$375.4K
H0032	Mental health service plan development by non-physician	2,390	$140	$336.8K
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…	1,350	$110	$152.1K
H0038	Self‑help/peer services, per 15 minutes	1,220	$110	$127.8K
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…	1,280	$80	$107.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	400	$70	$26.5K

Showing 1–10 of 13

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

Segue Inc — 1 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	46	180	10,890	$210	$8.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	4	70	20,710	$180	$5.1M
T1016	Case management, each 15 minutes	44	120	8,060	$210	$3.4M
H0032	Mental health service plan development by non-physician	84	180	2,030	$170	$1.2M
H0038	Self‑help/peer services, per 15 minutes	115	190	2,210	$70	$754.1K
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…	431	1,960	870	$100	$376.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	147	950	610	$80	$328.2K
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…	1,946	4,380	1,000	$70	$289.9K
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…	2,222	4,770	1,060	$50	$247.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	443	670	560	$60	$165.2K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Segue Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tenacious Living, LLC	MI	In Home Supportive Care Agency	$0	$11M
Jackson Pediatric Dentistry PC	MI	Pediatric Dentistry	$0	$8.1M
Lynn Vanwagnen	MI	Internal Medicine Physician	$121.4K	$0
Garcia Clinical Laboratory Inc	MI	Clinical Medical Laboratory	$99.7K	$10.4K
Adrienne Tawney	MI	Physical Therapist	$104.2K	$0
Browns Professional Serv Inc	MI	Community/Retail Pharmacy	$101.3K	$0
Cory Rogotzke	MI	Physical Therapist	$87K	$0
Lynn Schachinger	MI	Gastroenterology Physician	$70.4K	$0
Aaron Vanwagnen	MI	Internal Medicine Physician	$69.7K	$0
Elizabeth Gordon Spratt	MI	Dermatology Physician	$66.7K	$0

Segue Inc — Billing Profile & Reimbursement Data

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Segue Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References