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.

Services To Enhance Potential (NPI 1295844454)

Field	Value
Entity Type	Organization
Organization	Services To Enhance Potential
Address	2941 S Gulley Rd
City	Dearborn
State	MI
ZIP	48124
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicaid	$72.8M
Medicare	$0

Key Findings

This entity is effectively a single-payer Medicaid operator: there is no Medicare billing on file and its lifetime Medicaid revenue is $72.8M, so Medicaid dominates the financial footprint and decision-making levers for the business. Analysts should treat Medicare-market considerations as immaterial for this provider based on the available billing data.

Revenue is extremely concentrated in a small set of service codes: the top 3 Medicaid codes account for 94.2% of this provider's total Medicaid revenue. The three leading codes are H2014 (45.9M revenue; 63.0% of total), H2023 (19.1M revenue; 26.3% of total), and T1016 (3.6M revenue; 5.0% of total), which together define the provider's fiscal profile.

The service mix shows a clear operational focus on day habilitation and employment supports: high volumes on H2014 (Skills training and development, per 15 minutes) and H2023 (Supported employment, per 15 minutes) indicate the provider delivers time-based training and employment services at scale, while T1016 (Case management, each 15 minutes) provides a smaller case-management component to support those services. This mix is consistent with an organization structured around high-volume, recurring, time-billed encounters rather than episodic medical procedures.

H2014 and H2023 are statewide outliers and position this provider as a dominant supplier for those services: H2014 ranks #1 of 128 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and H2023 ranks #1 of 107 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). Those rankings suggest this provider is a major competitive player in Michigan for skills training and supported employment for the developmentally disabled population.

Unit-rate and volume dynamics highlight operational scale: H2014 shows 1.8M claims with an average paid/claim of $25, while H2023 shows 242.4K claims with an average paid/claim of $79, indicating the business relies on very high encounter volumes at modest per-unit payments for its primary revenue streams. In contrast, T1016 has far fewer claims (20.3K) but a much higher average paid/claim ($179), reflecting a different reimbursement profile for case management versus habilitation/employment services.

Ancillary service lines are present but not dominant: T1017 (Targeted case management) contributes $2.3M (3.2% of revenue) and ranks #87 of 175 providers in-state (51th percentile; typical, unremarkable volume), while behavioral assessment/planning codes H0031 and H0032 together account for a small share ($1.1M and $604.2K respectively) and sit in moderately high state percentiles (H0031 at #40 of 183, 79th percentile; H0032 at #66 of 178, 63th percentile). These patterns indicate supplementary clinical and care-coordination services that support the core habilitation/employment programs but do not materially shift the provider's Medicaid revenue concentration.

The provider has long tenure in the NPI registry, enumerated 2006-08-30 (~20 years ago), which supports the interpretation that its large, specialized Medicaid footprint is established rather than a recent anomaly. Longevity combined with extreme statewide rankings on H2014 and H2023 suggests sustained scale in these service lines rather than a short-term spike.

From a risk and strategic perspective, Medicaid dependency and code concentration create both strengths and vulnerabilities: dominance in H2014 and H2023 indicates market power in those segments, but the absence of Medicare revenue and the fact that 94.2% of Medicaid revenue comes from three codes means changes in Medicaid policy, rates, or utilization for those specific codes could materially affect total revenue. Analysts should prioritize monitoring state policy shifts for H2014 and H2023 and track authorization/claim volumes for those codes as leading indicators of financial performance.

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
H2014	Skills training and development, per 15 minutes	1,834,470	$30	$45.9M
H2023	Supported employment, per 15 minutes	242,360	$80	$19.1M
T1016	Case management, each 15 minutes	20,260	$180	$3.6M
T1017	Targeted case management, each 15 minutes	12,350	$190	$2.3M
H0031	Mental health assessment, by non-physician	6,490	$170	$1.1M
H0032	Mental health service plan development by non-physician	4,720	$130	$604.2K
T2015	Habilitation, prevocational, waiver; per hour	7,220	$20	$151.7K

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

Services To Enhance Potential — 2 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
T1017	Targeted case management, each 15 minutes	87	180	10,890	$210	$8.1M
H2014	Skills training and development, per 15 minutes	1	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	31	120	8,060	$210	$3.4M
H2023	Supported employment, per 15 minutes	1	110	5,150	$90	$1.5M
H0032	Mental health service plan development by non-physician	66	180	2,030	$170	$1.2M
H0031	Mental health assessment, by non-physician	40	180	1,290	$250	$1.1M
T2015	Habilitation, prevocational, waiver; per hour	3	10	4,560	$50	$485.6K

Nearby Providers

Other providers in the same ZIP code as Services To Enhance Potential, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$165.3M
Oakwood Ambulatory LLC	MI	Internal Medicine Physician	$0	$66.9M
Chitter Chatter P.C.	MI	Behavior Analyst	$0	$59.5M
Emergency Professionals Of Michigan, P.C.	MI	Emergency Medicine Physician	$0	$35.2M
Drs Harris Birkhill Wang Songe & Assoc PC	MI	Diagnostic Radiology Physician	$0	$27.8M
Futures Healthcore, LLC	MI	Community Health Clinic/Center	$0	$15.6M
First Choice Urgent Care PC	MI	Urgent Care Clinic/Center	$0	$13.5M
David K. Vazquez D.d.s. Plc	MI	Pediatric Dentistry	$0	$8M
Asheesh Tewari	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Dearborn Surgery Center, LLC	MI	Ambulatory Surgical Clinic/Center	$2.3M	$0

Services To Enhance Potential — Billing Profile & Reimbursement Data

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Services To Enhance Potential — 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

Nearby Providers

Frequently Asked Questions

References