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.

Ten Sixteen Recovery Network (NPI 1184765208)

Field	Value
Entity Type	Organization
Organization	Ten Sixteen Recovery Network
Address	133 N Saginaw Rd
City	Midland
State	MI
ZIP	48640
Taxonomy	Addiction (Substance Use Disorder) Psychologist
NPI Enumerated	February 9, 2007

Payer Source	Total Paid
Medicaid	$7.8M
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
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…	18,890	$110	$2.2M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	23,270	$80	$1.8M
H0038	Self‑help/peer services, per 15 minutes	40,880	$30	$1.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	5,640	$90	$507.8K
H0001	Alcohol and/or drug assessment	2,660	$150	$390.9K
H0012	Behavioral health day treatment, per hour	1,040	$370	$388.4K
T1012	Alcohol and/or substance abuse services, skills development	12,400	$30	$334.7K
H0005	Alcohol and/or drug services; group counseling by a clinician	6,490	$50	$331K
H2034	Alcohol and/or drug abuse halfway house services, per diem	4,830	$50	$217.4K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	1,300	$120	$159.9K

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

Ten Sixteen Recovery Network — 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
H0038	Self‑help/peer services, per 15 minutes	12	190	2,210	$70	$754.1K
H2034	Alcohol and/or drug abuse halfway house services, per diem	20	40	3,720	$50	$426.4K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	20	100	550	$120	$382.3K
H0012	Behavioral health day treatment, per hour	4	20	510	$520	$378K
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…	80	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…	342	950	610	$80	$328.2K
T1012	Alcohol and/or substance abuse services, skills development	12	80	1,420	$40	$318.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	39	210	740	$70	$255.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	8	250	1,110	$60	$228.5K
H0006	Alcohol and/or drug services; case management	51	70	1,340	$70	$225.7K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Ten Sixteen Recovery Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stuart T.wilson C.p.a.,p.c.	MI	Supports Brokerage Agency	$0	$229.4M
Central State Community Services, Inc.	MI	Home Health Agency	$0	$77.3M
Personal Assistance Options, Inc	MI	In Home Supportive Care Agency	$0	$14.3M
Arnold Center, Inc.	MI	Community/Behavioral Health Agency	$0	$12.4M
Vail House-midland Inc.	MI	Home Health Agency	$0	$6.2M
Nps Associates, LLC	MI	Ambulatory Surgical Clinic/Center	$652.1K	$215.2K
Adeel Khan	MI	Nephrology Physician	$310.9K	$0
Jennifer Nash	MI	Dermatology Physician	$237.3K	$0
Opesanmi Esan	MI	Clinical Cardiac Electrophysiology Physician	$182.2K	$0
Angela Miller	MI	Nurse Practitioner	$180.1K	$0

Ten Sixteen Recovery Network — Billing Profile & Reimbursement Data

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Ten Sixteen Recovery Network — Billing Profile & Reimbursement Data

Sign up for Ten Sixteen Recovery Network — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References