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.

Behavioral Outcomes Management,llc (NPI 1184139131)

Field	Value
Entity Type	Organization
Organization	Behavioral Outcomes Management,llc
Address	210 Town Center Dr
City	Troy
State	MI
ZIP	48084
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 12, 2017

Payer Source	Total Paid
Medicaid	$48.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	332,190	$110	$34.9M
T1005	Respite care services, up to 15 minutes	105,890	$70	$7.5M
S5111	Home care training, family; per session	18,310	$100	$1.9M
H0043	Supported housing, per diem	16,220	$80	$1.3M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	12,670	$100	$1.2M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	10,940	$100	$1.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	4,360	$90	$383.2K
H0032	Mental health service plan development by non-physician	2,680	$110	$300K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	3,000	$50	$150.2K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	280	$150	$42.8K

Showing 1–10 of 14

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

Behavioral Outcomes Management,llc — 2 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	19	610	14,740	$90	$6M
H0043	Supported housing, per diem	46	130	10,330	$210	$4.5M
T1005	Respite care services, up to 15 minutes	9	110	4,910	$80	$2.2M
H0032	Mental health service plan development by non-physician	83	180	2,030	$170	$1.2M
S5111	Home care training, family; per session	4	80	1,460	$160	$664.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	26	160	2,030	$60	$407.6K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	50	50	400	$80	$323.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	54	390	1,660	$40	$281.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	220	550	2,350	$30	$240.6K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	8	30	790	$80	$181.9K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Behavioral Outcomes Management,llc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Molly Varon	MI	Occupational Therapist	$7.8K	$0

Nearby Providers

Other providers in the same ZIP code as Behavioral Outcomes Management,llc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integra Partners LLC	MI	Customized Equipment (DME)	$0	$422.5M
The Arc Of Oakland County, Inc	MI	Voluntary or Charitable Agency	$0	$171.1M
Bower Enterprises Inc	MI	Community/Behavioral Health Agency	$0	$59.2M
Integra Partners Ipa (florida), LLC	MI	Durable Medical Equipment & Medical Supplies	$0	$27.5M
Vpa PC	MI	Family Medicine Physician	$0	$19.2M
Vpa PC	MI	Clinical Medical Laboratory	$4.6M	$8.1M
Lahser Pre-vocational Centers, Inc.	MI	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Quality Choice Home Healthcare Inc.	MI	Home Health Agency	$0	$6.6M
Dental Associates Ii PC	MI	Dentist	$0	$6.5M
Advisacare Healthcare Solutions, Inc.	MI	Home Health Agency	$0	$5.3M

Behavioral Outcomes Management,llc — Billing Profile & Reimbursement Data

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Behavioral Outcomes Management,llc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References