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.

Allegan County Community Mental Health Services (NPI 1215989231)

Field	Value
Entity Type	Organization
Organization	Allegan County Community Mental Health Services
Address	540 Jenner Dr
City	Allegan
State	MI
ZIP	49010
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$37.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	26,620	$350	$9.4M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	12,400	$410	$5.1M
T1016	Case management, each 15 minutes	15,200	$210	$3.2M
H0039	Assertive community treatment, face-to-face, per 15 minutes	13,200	$240	$3.1M
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…	12,280	$170	$2.1M
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…	8,350	$190	$1.6M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	2,970	$470	$1.4M
H2021	Community-based wrap-around services, per 15 minutes	2,690	$500	$1.4M
H0032	Mental health service plan development by non-physician	4,240	$300	$1.3M
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…	8,270	$130	$1.1M

Showing 1–10 of 35

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

Allegan County Community Mental Health Services — 0 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

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	68	180	10,890	$210	$8.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	24	40	30,550	$80	$6.8M
H0039	Assertive community treatment, face-to-face, per 15 minutes	47	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	39	90	8,750	$300	$4.7M
T1016	Case management, each 15 minutes	43	120	8,060	$210	$3.4M
H2019	Therapeutic behavioral services, per 15 minutes	25	30	3,330	$200	$1.6M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	25	110	480	$530	$1.5M
H2023	Supported employment, per 15 minutes	104	110	5,150	$90	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	22	50	1,690	$460	$1.4M
H2011	Crisis intervention service, per 15 minutes	69	80	1,470	$310	$1.4M

Showing 1–10 of 35

Nearby Providers

Other providers in the same ZIP code as Allegan County Community Mental Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Falco Corporation	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.7M
Agnus Dei Afc Home Inc.	MI	Intellectual Disabilities Intermediate Care Facility	$0	$9.4M
Chrysalis Services, LLC	MI	Home Health Agency	$0	$8.3M
Ascension Borgess Allegan Hospital	MI	Critical Access Hospital	$0	$6M
Linda Kahn	MI	Physician Assistant	$34.8K	$0

Allegan County Community Mental Health Services — Billing Profile & Reimbursement Data

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Allegan County Community Mental Health Services — Billing Profile & Reimbursement Data

Sign up for Allegan County Community Mental Health Services — 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