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.

Hga Nonprofit Homes, Incorporated (NPI 1235359761)

Field	Value
Entity Type	Organization
Organization	Hga Nonprofit Homes, Incorporated
Address	500 W Western Ave
City	Muskegon
State	MI
ZIP	49440
Taxonomy	Foster Care Agency
NPI Enumerated	April 26, 2007

Payer Source	Total Paid
Medicaid	$20.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	22,540	$430	$9.6M
H2016	Comprehensive community support services, per diem	22,570	$410	$9.2M
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…	4,130	$160	$664.3K
0365T	Adaptive behavior tx addl	4,170	$130	$534K
S9976	Lodging, per diem, not otherwise classified	5,980	$30	$167.4K
0364T	Behavior treatment	3,890	$30	$116.7K
H2015	Comprehensive community support services, per 15 minutes	600	$80	$50.1K
T1016	Case management, each 15 minutes	180	$230	$41.3K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	50	$790	$40.4K
T1017	Targeted case management, each 15 minutes	90	$370	$32.1K

Showing 1–10 of 17

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

Hga Nonprofit Homes, Incorporated — 0 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	87	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	164	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…	96	130	11,590	$190	$7.6M
H2015	Comprehensive community support services, per 15 minutes	559	610	14,740	$90	$6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	88	90	8,750	$300	$4.7M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	65	220	7,030	$170	$4.6M
H2014	Skills training and development, per 15 minutes	123	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	112	120	8,060	$210	$3.4M
H2030	Mental health clubhouse services, per 15 minutes	55	60	22,740	$80	$2.3M
0365T	Adaptive behavior tx addl	26	70	3,180	$170	$1.5M

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Hga Nonprofit Homes, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Courtney Garlick	MI	Diagnostic Radiology Physician	$90.3K	$0

Hga Nonprofit Homes, Incorporated — Billing Profile & Reimbursement Data

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Hga Nonprofit Homes, Incorporated — 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