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.

Lifelong Advocacy,inc (NPI 1184041519)

Field	Value
Entity Type	Organization
Organization	Lifelong Advocacy,inc
Address	43970 N Gratiot Ave
City	Clinton Twp
State	MI
ZIP	48036
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	March 24, 2014

Payer Source	Total Paid
Medicaid	$78.8M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: Medicare revenue is listed as none (no Medicare billing on file) while total Medicaid revenue is $78.8M, indicating the organization’s entire documented payer footprint in this dataset is Medicaid. That concentration shapes the provider’s risk and growth exposure toward state Medicaid policy and waiver program changes rather than Medicare market dynamics.

Revenue is extremely concentrated in a small set of services: the top 3 Medicaid codes account for 94.0% of the provider’s Medicaid revenue, with H2015 ($56M, 71.0%), T1005 ($13.3M, 16.9%), and T2025 ($4.8M, 6.1%) together representing the vast majority of billed dollars. H2015 alone constitutes a majority of revenue, which creates operational and revenue vulnerability to any shifts in reimbursement or utilization for that single code.

The code mix points to a community-based behavioral health / home- and community-based services model: H2015 (Comprehensive community support services, per 15 minutes) and T1005 (Respite care services, up to 15 minutes) are the two dominant services by dollars and claim volume, and H0043 (Supported housing, per diem) also appears as a meaningful ancillary line. This pattern is consistent with an organization focused on long-duration, time-based supportive services and waiver-funded supports rather than episodic clinical procedures or facility-based acute care.

Competitive standing within the state is strong for the top service lines: H2015 billing ranks #12 of 614 providers in-state (98th percentile; notably above typical state volume for this code) and T1005 ranks #5 of 106 providers in-state (96th percentile; notably above typical state volume). Those ranks indicate the provider is a major in-state participant for comprehensive community support services and respite care relative to peers.

Other service lines are less dominant or more typical: T2025 (Waiver services; nos) accounts for $4.8M (6.1%) and ranks #7 of 34 (82th percentile; typical, unremarkable volume), while H0043 (Supported housing, per diem) brings $4.2M (5.3%) and ranks #17 of 130 (88th percentile; typical, unremarkable volume). T2027 is a very small revenue contributor ($588.2K, 0.7%) and ranks #37 of 39 in-state (5th percentile; typical, unremarkable volume), suggesting limited penetration in specialized childcare waiver services.

Claim counts reflect high operational throughput in time-based services: H2015 shows 589.1K claims and T1005 shows 202K claims, indicating sustained, high-volume delivery of 15-minute unit services rather than a low-frequency high-acuity model. These volumes imply established workflows and staffing models oriented to frequent, short-interval service delivery and billing.

The organization’s NPI tenure supports it being an established local operator: NPI enumerated 2014-03-24 (~12 years ago), and the combination of multi-year presence with $78.8M in Medicaid revenue and unusually high state ranks on core codes suggests an entrenched position in Michigan’s Medicaid waiver and community support market. Any strategic or regulatory changes in Medicaid waiver funding or unit-based rates for H2015/T1005 would likely have an outsized financial impact on this provider.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	589,080	$100	$56M
T1005	Respite care services, up to 15 minutes	202,020	$70	$13.3M
T2025	Waiver services; not otherwise specified (nos)	41,440	$120	$4.8M
H0043	Supported housing, per diem	44,200	$90	$4.2M
T2027	Specialized childcare, waiver; per 15 minutes	4,230	$140	$588.2K

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

Lifelong Advocacy,inc — 2 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	12	610	14,740	$90	$6M
T2027	Specialized childcare, waiver; per 15 minutes	37	40	23,640	$70	$4.8M
H0043	Supported housing, per diem	17	130	10,330	$210	$4.5M
T2025	Waiver services; not otherwise specified (nos)	7	30	2,980	$100	$2.3M
T1005	Respite care services, up to 15 minutes	5	110	4,910	$80	$2.2M

Nearby Providers

Other providers in the same ZIP code as Lifelong Advocacy,inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Macomb County Community Mental Health	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$299.9M
Medstar, Inc.	MI	Ambulance	$11.5M	$50.5M
Henry Ford Health Eastwood Behavioral Health	MI	Social Worker	$0	$25.2M
Macomb Family Services, Inc.	MI	Clinical Social Worker	$0	$20.2M
Arc Services Of Macomb, Inc	MI	Developmentally Disabled Services Day Training Agency	$0	$13.8M
Developmental Essential Services Inc	MI	Developmentally Disabled Services Day Training Agency	$0	$12.7M
Asc-tcg, LLC	MI	Ambulatory Surgical Clinic/Center	$407.7K	$0
Robert Franchi	MI	Ophthalmology Physician	$222.7K	$0
Rene Peleman	MI	Gastroenterology Physician	$151.5K	$0
Adam Feinstein	MI	Neuromusculoskeletal Medicine & OMM Physician	$146.5K	$0

Lifelong Advocacy,inc — Billing Profile & Reimbursement Data

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Lifelong Advocacy,inc — 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