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.

Community Mental Health Authority Of Clinton Eaton Ingham Counties (NPI 1265483457)

Field	Value
Entity Type	Organization
Organization	Community Mental Health Authority Of Clinton Eaton Ingham Counties
Address	812 E Jolly Road
City	Lansing
State	MI
ZIP	48910
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 13, 2006

Payer Source	Total Paid
Medicaid	$368.3M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: there is no Medicare billing on file and total Medicaid revenue is $368.3M, indicating that Medicaid is the sole recorded source of federal fee-for-service revenue for this entity. Analysts should treat Medicaid activity as the primary lens for assessing size and operations.

Revenue is highly concentrated in a few codes: the top 3 Medicaid codes by revenue account for 41.9% of the provider’s total Medicaid revenue, led by T1017 (23.3%), H0036 (11.9%), and 90837 (6.8%). This concentration highlights a reliance on targeted case management, intensive community psychiatric support, and long-session psychotherapy as the main revenue drivers.

The code mix signals an operational model focused on community-based behavioral health and intensive outpatient psychotherapy: T1017 (Targeted case management, 250.7K claims, $77.5M), H0036 (Community psychiatric supportive treatment, 129.5K claims, $39.5M), and 90837 (long psychotherapy, 83.9K claims, $22.5M) constitute the largest line items. Additional service codes such as H2015 (comprehensive community support services, 278.7K claims) and H0031 (mental health assessment, 25.9K claims) reinforce a portfolio of frequent, time-based community and clinic interventions rather than episodic inpatient care.

On statewide competitive standing the provider is a major outlier for several high-revenue codes: T1017 ranks #4 of 175 providers (98th percentile; extreme outlier), H0036 ranks #2 of 93 (99th percentile; extreme outlier), and 90837 ranks #5 of 1956 (100th percentile; extreme outlier). These ranks indicate the organization operates at well-above-typical scale for targeted case management and community psychiatric services within Michigan.

Beyond the top three, multiple codes show notably above-typical or strong in-state footprints that diversify service delivery: H0031 ($18.4M, 5.5% of revenue) ranks #7 of 183 (97th percentile; notably above typical), T1023 ($16.4M, 4.9%) ranks #5 of 107 (96th percentile; notably above typical), and T1020 (147.2K claims, $9.3M) ranks #7 of 221 (97th percentile; notably above typical). These patterns indicate important secondary revenue streams in assessment, program screening, and personal care services.

Operational scale is large in both per-encounter volume and time-based activity: notable volumes include T1017 at 250.7K claims and H2015 at 278.7K claims, plus high-claim psychotherapy codes such as 90834 and 90847. The prominence of per-15-minute and per-diem codes (H2015, H2016, H0043) suggests a service model built around frequent, short-interval community interventions and supported housing/residential supports.

Certain procedure and family/ancillary service codes further emphasize breadth of capability and referral reach: 90847 (family psychotherapy, $6.6M) ranks #3 of 174 (99th percentile; extreme outlier) and 96372 (therapeutic injection, $4.3M) ranks #4 of 1419 (100th percentile; extreme outlier). High statewide ranks across both clinical psychotherapy and procedural codes imply the provider functions as a regional hub for a range of behavioral health services.

The provider has a long tenure in the NPI file, enumerated 2006-05-13 (~20 years ago), which combined with its large Medicaid footprint ($368.3M) suggests established relationships with state Medicaid programs and sustained capacity to deliver community mental health services in Lansing, MI.

Medicaid: Complete Services Breakdown

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

77 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	250,710	$310	$77.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	129,470	$310	$39.5M
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…	83,950	$270	$22.5M
H0031	Mental health assessment, by non-physician	25,870	$710	$18.4M
H2015	Comprehensive community support services, per 15 minutes	278,730	$70	$18.4M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	17,210	$950	$16.4M
H2016	Comprehensive community support services, per diem	146,960	$110	$16M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	26,010	$560	$14.5M
H2014	Skills training and development, per 15 minutes	111,740	$110	$12M
H0043	Supported housing, per diem	36,990	$300	$11.1M

Showing 1–10 of 77

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

Community Mental Health Authority Of Clinton Eaton Ingham Counties — 17 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

77 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	10	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	4	180	10,890	$210	$8.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	2	40	30,550	$80	$6.8M
H2015	Comprehensive community support services, per 15 minutes	31	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	11	70	20,710	$180	$5.1M
T2027	Specialized childcare, waiver; per 15 minutes	14	40	23,640	$70	$4.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	2	90	8,750	$300	$4.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	12	70	3,240	$390	$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…	7	220	7,030	$170	$4.6M
H0043	Supported housing, per diem	21	130	10,330	$210	$4.5M

Showing 1–10 of 77

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Mental Health Authority Of Clinton Eaton Ingham Counties, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brandy Barnes	LA	Psychiatry Physician	$33.4K	$0
Afiah Ahsan	WV	Psychiatry Physician	$20.7K	$0
Douglas Schobert	MI	Occupational Therapist	$2.1K	$0

Nearby Providers

Other providers in the same ZIP code as Community Mental Health Authority Of Clinton Eaton Ingham Counties, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Turning Leaf Residential Rehabilitation Services	MI	Mental Illness Community Based Residential Treatment Facility	$0	$71.6M
Mclaren Greater Lansing	MI	General Acute Care Hospital	$0	$38.5M
Degara App, PLLC	MI	Emergency Medicine Physician	$0	$35.9M
Victory Clinical Services Lansing	MI	Methadone Clinic	$246.6K	$16.8M
Mid-michigan Recovery Services, Inc.	MI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.4M
Open Arms Adult Senior Companionship Service	MI	Home Health Aide	$0	$10.7M
County Of Ingham	MI	Federally Qualified Health Center (FQHC)	$0	$9.7M
Mujahed Abbas	MI	Critical Care Medicine (Internal Medicine) Physician	$649.8K	$0
Genesis Asc Partners LLC	MI	Ambulatory Surgical Clinic/Center	$497.9K	$0
Maria Markarian	MI	Interventional Cardiology Physician	$340.5K	$0

Community Mental Health Authority Of Clinton Eaton Ingham Counties — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References