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.

Tuscola County Community Mental Health Services Board (NPI 1275644775)

Field	Value
Entity Type	Organization
Organization	Tuscola County Community Mental Health Services Board
Address	323 N State St
City	Caro
State	MI
ZIP	48723
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$32M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	26,620	$290	$7.7M
T1017	Targeted case management, each 15 minutes	23,690	$170	$4.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	17,220	$190	$3.2M
T1016	Case management, each 15 minutes	21,060	$150	$3.2M
H2015	Comprehensive community support services, per 15 minutes	43,640	$50	$2.1M
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…	8,300	$220	$1.8M
H0032	Mental health service plan development by non-physician	6,190	$230	$1.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	8,310	$150	$1.3M
90834	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…	8,510	$130	$1.1M
T1002	Rn services, up to 15 minutes	6,320	$130	$790.5K

Showing 1–10 of 31

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

Tuscola County Community Mental Health Services Board — 2 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	264	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	72	180	10,890	$210	$8.1M
H2015	Comprehensive community support services, per 15 minutes	177	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	40	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	16	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…	201	220	7,030	$170	$4.6M
H2014	Skills training and development, per 15 minutes	84	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	29	120	8,060	$210	$3.4M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	58	110	480	$530	$1.5M
H2023	Supported employment, per 15 minutes	99	110	5,150	$90	$1.5M

Showing 1–10 of 31

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lighthouse, Inc.	MI	Custodial Care Facility	$0	$38.9M
Mclaren Caro Region	MI	Critical Access Hospital	$0	$5.8M
Reliacare Agency, Inc.	MI	In Home Supportive Care Agency	$0	$5.5M
Naveed Mahfooz	MI	Internal Medicine Physician	$917.9K	$0
Janelle Pilarski	MI	Physician Assistant	$314.4K	$0
Courtney Topp	MI	Family Nurse Practitioner	$123.7K	$0
Desaree Phelps	MI	Physician Assistant	$90.7K	$0
Carol Starling	MI	Optometrist	$61.1K	$0

Tuscola County Community Mental Health Services Board — Billing Profile & Reimbursement Data

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Tuscola County Community Mental Health Services Board — Billing Profile & Reimbursement Data

Sign up for Tuscola County Community Mental Health Services Board — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References