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.

Monroe County Community Mental Health Authority (NPI 1245303890)

Field	Value
Entity Type	Organization
Organization	Monroe County Community Mental Health Authority
Address	1001 S Raisinville Rd
City	Monroe
State	MI
ZIP	48161
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 15, 2006

Payer Source	Total Paid
Medicaid	$55.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	85,480	$210	$17.5M
H2030	Mental health clubhouse services, per 15 minutes	25,290	$170	$4.4M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	19,580	$200	$4M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	15,490	$240	$3.7M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	7,340	$490	$3.6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	19,550	$170	$3.4M
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…	7,720	$410	$3.1M
H2021	Community-based wrap-around services, per 15 minutes	4,080	$350	$1.4M
H0038	Self‑help/peer services, per 15 minutes	5,710	$220	$1.3M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	2,280	$550	$1.3M

Showing 1–10 of 36

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

Monroe County Community Mental Health Authority — 1 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	23	180	10,890	$210	$8.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	19	40	30,550	$80	$6.8M
H0039	Assertive community treatment, face-to-face, per 15 minutes	38	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	35	90	8,750	$300	$4.7M
T1016	Case management, each 15 minutes	61	120	8,060	$210	$3.4M
H2030	Mental health clubhouse services, per 15 minutes	27	60	22,740	$80	$2.3M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	22	110	480	$530	$1.5M
H2023	Supported employment, per 15 minutes	91	110	5,150	$90	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	15	50	1,690	$460	$1.4M
H2011	Crisis intervention service, per 15 minutes	41	80	1,470	$310	$1.4M

Showing 1–10 of 36

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chs Group LLC	MI	Case Manager/Care Coordinator	$0	$61.2M
Monroe Community Ambulance	MI	Ambulance	$1.6M	$5.9M
Passion Of Mind Healing Center	MI	Methadone Clinic	$163.1K	$6.1M
The Surgical Institute Of Monroe Ambulatory Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$370.2K	$71.9K
Mahmood Moosa	MI	Endocrinology, Diabetes & Metabolism Physician	$215.1K	$4.2K
Abdul Kabir	MI	Internal Medicine Physician	$219.3K	$0
Michael Tilson	MI	Family Medicine Physician	$137.9K	$0
Kristi Simmons	MI	Physician Assistant	$8K	$0

Monroe County Community Mental Health Authority — Billing Profile & Reimbursement Data

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Monroe County Community Mental Health Authority — 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