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.

Central State Community Services, Inc. (NPI 1245459460)

Field	Value
Entity Type	Organization
Organization	Central State Community Services, Inc.
Address	2603 W Wackerly St
City	Midland
State	MI
ZIP	48640
Taxonomy	Home Health Agency
NPI Enumerated	April 25, 2007

Payer Source	Total Paid
Medicaid	$77.3M
Medicare	$0

Key Findings

CENTRAL STATE COMMUNITY SERVICES, INC. is effectively single‑payer at scale: there is no Medicare billing on file and all lifetime reported federal payer revenue is through Medicaid, with total Medicaid revenue of $77.3M. This concentration means the provider’s federal-reimbursement profile is dominated by state Medicaid policy and program design.

Revenue is highly concentrated in a pair of per‑diem Medicaid services: H2016 accounts for $51.1M (66.0% of total Medicaid revenue) and T1020 accounts for $26.2M (33.9% of total Medicaid revenue). The precomputed top‑3 share is 100.0%, confirming that these two codes together drive virtually all Medicaid dollars for this entity.

The code mix (H2016 – comprehensive community support services, per diem; and T1020 – personal care services, per diem) signals an operational focus on community‑based supports and personal care rather than traditional skilled home‑health nursing services. Given the provider taxonomy of Home Health Agency, the dominance of these per‑diem community and personal care codes suggests the organization operates largely as a home‑and‑community‑based services (HCBS) provider tailored to ongoing support and activities of daily living.

Competitive standing for the largest code, H2016, is relatively strong in‑state: the provider ranks #28 of 297 in Michigan (91th percentile). The dataset characterizes this placement as “typical, unremarkable volume,” indicating that while the provider is in the upper tier by rank, the distribution of H2016 activity across peers is broad and this level of volume is not atypical among comparable agencies.

For T1020 the provider also sits near the upper end of state peers, ranking #23 of 221 (90th percentile), but the same source label of “typical, unremarkable volume” applies. This suggests the organization is a meaningful regional participant for personal care per diems without being an extreme outlier in utilization patterns.

Other Medicaid codes are immaterial to the business: T2003 (non‑emergency transportation) reported $29K (0.0% of total Medicaid revenue) and T1999 (miscellaneous therapeutic items and supplies) reported $6.4K (0.0% of total Medicaid revenue). Both codes rank in the mid‑to‑lower percentiles (T2003 #25 of 64, 62th percentile; T1999 #19 of 25, 25th percentile), confirming that transportation and retail supply purchases are negligible revenue lines for the provider.

Operationally and financially, the organization’s dependence on two per‑diem Medicaid codes creates concentrated exposure: any significant reimbursement or eligibility changes affecting H2016 or T1020 would materially affect total Medicaid revenue given those codes represent 66.0% and 33.9% respectively. This concentration also implies limited diversification into other Medicaid service lines or into Medicare revenue.

The provider has an established footprint: the NPI was enumerated on 2007-04-25 (~19 years ago), indicating long tenure in the market which may support existing payer relationships and operational experience delivering community and personal care services.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	71,020	$720	$51.1M
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…	68,620	$380	$26.2M
T2003	Non-emergency transportation; encounter/trip	1,610	$20	$29K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	130	$50	$6.3K

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

Central State Community Services, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	28	300	6,660	$310	$8.7M
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…	23	220	7,030	$170	$4.6M
T2003	Non-emergency transportation; encounter/trip	25	60	780	$40	$618.3K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	19	30	490	$70	$113.2K

Nearby Providers

Other providers in the same ZIP code as Central State Community Services, Inc., 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
Personal Assistance Options, Inc	MI	In Home Supportive Care Agency	$0	$14.3M
Arnold Center, Inc.	MI	Community/Behavioral Health Agency	$0	$12.4M
Ten Sixteen Recovery Network	MI	Addiction (Substance Use Disorder) Psychologist	$0	$7.8M
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

Central State Community Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Central State Community Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Central State Community Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Central State Community Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References