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.

Wayne County Jail Pharmacy (NPI 1265687883)

Field	Value
Entity Type	Organization
Organization	Wayne County Jail Pharmacy
Address	570 Clinton St
City	Detroit
State	MI
ZIP	48226
Taxonomy	Prison Health Clinic/Center
NPI Enumerated	November 24, 2008

Payer Source	Total Paid
Medicaid	$16.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	84,020	$140	$11.8M
H0031	Mental health assessment, by non-physician	8,690	$240	$2.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,740	$310	$1.2M
90832	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…	9,460	$80	$756.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	6,220	$50	$317.3K
T1016	Case management, each 15 minutes	2,350	$70	$164.8K
H0043	Supported housing, per diem	360	$130	$44.6K

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

Wayne County Jail Pharmacy — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	22	300	6,660	$310	$8.7M
H0043	Supported housing, per diem	123	130	10,330	$210	$4.5M
T1016	Case management, each 15 minutes	90	120	8,060	$210	$3.4M
H0031	Mental health assessment, by non-physician	29	180	1,290	$250	$1.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	59	780	140	$190	$192.4K
90832	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…	53	670	560	$60	$165.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	7	490	100	$20	$16.4K

Nearby Providers

Other providers in the same ZIP code as Wayne County Jail Pharmacy, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Detroit	MI	Ambulance	$2.4M	$52.4M
Wayne County Jail	MI	Psychiatric Hospital	$0	$11.5M
Abdiel Ramos Mercado	MI	Infectious Disease Physician	$192.7K	$0
Sandra Johnson-gamlin	MI	Psychologist	$3.1K	$0

Wayne County Jail Pharmacy — Billing Profile & Reimbursement Data

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Wayne County Jail Pharmacy — 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