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.

Developmental Enhancement, Plc (NPI 1174749840)

Field	Value
Entity Type	Organization
Organization	Developmental Enhancement, Plc
Address	854 Washington Ave Ste 600
City	Holland
State	MI
ZIP	49423
Taxonomy	Clinical Psychologist
NPI Enumerated	April 18, 2007

Payer Source	Total Paid
Medicaid	$15.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	56,330	$160	$8.8M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	28,030	$110	$3.1M
0365T	Adaptive behavior tx addl	6,210	$180	$1.1M
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	2,490	$210	$530.8K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1,630	$180	$297.4K
0369T	Duodenal mucosal resurfacing, endoscopic	3,030	$90	$266.9K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	660	$390	$259.8K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	2,130	$100	$216.8K
0368T	Behavior treatment modified additional	3,230	$60	$190.5K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	2,090	$90	$186.1K

Showing 1–10 of 28

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

Developmental Enhancement, Plc — 2 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	168	180	10,890	$210	$8.1M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	20	130	11,590	$190	$7.6M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	13	130	3,170	$180	$2.2M
0365T	Adaptive behavior tx addl	19	70	3,180	$170	$1.5M
S9482	Family stabilization services, per 15 minutes	14	20	500	$230	$541.4K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	19	60	200	$380	$398.1K
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…	1,583	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…	245	950	610	$80	$328.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	65	170	370	$150	$317.9K
0369T	Duodenal mucosal resurfacing, endoscopic	7	70	740	$160	$299.1K

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Developmental Enhancement, Plc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holland Community Hospital	MI	General Acute Care Hospital	$0	$23.7M
Universal Medical Staffing, Inc.	MI	Home Health Agency	$0	$17.2M
West Michigan Pediatric Dentistry	MI	Pediatric Dentistry	$0	$13.8M
Reach For Recovery, Inc.	MI	Substance Abuse Rehabilitation Facility	$0	$6M
Holland Eye Clinic, PC	MI	Ophthalmologic Surgery Clinic/Center	$331.9K	$44.2K
Benjamin Currie	MI	Ophthalmology Physician	$307.8K	$0
Eric Mckeever	MI	Urology Physician	$169.5K	$0
Susan Ervine	MI	Diagnostic Radiology Physician	$139.2K	$0
Edward Maas	MI	Diagnostic Radiology Physician	$97.1K	$0
Scott Vandevorde	MI	Podiatrist	$66.7K	$330

Developmental Enhancement, Plc — Billing Profile & Reimbursement Data

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Developmental Enhancement, Plc — 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