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.

Sanilac County Community Mental Health Authority (NPI 1306854880)

Field	Value
Entity Type	Organization
Organization	Sanilac County Community Mental Health Authority
Address	217 E Sanilac Rd
City	Sandusky
State	MI
ZIP	48471
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 3, 2006

Payer Source	Total Paid
Medicaid	$61.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	78,030	$140	$10.9M
T1017	Targeted case management, each 15 minutes	24,520	$280	$7M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	18,170	$290	$5.2M
T1016	Case management, each 15 minutes	24,880	$190	$4.8M
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…	13,220	$320	$4.2M
H0039	Assertive community treatment, face-to-face, per 15 minutes	26,470	$150	$4M
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…	15,990	$240	$3.8M
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…	17,780	$170	$3.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	32,600	$70	$2.1M
H0032	Mental health service plan development by non-physician	7,000	$290	$2.1M

Showing 1–10 of 39

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

Sanilac County Community Mental Health Authority — 1 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

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	71	180	10,890	$210	$8.1M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	57	130	11,590	$190	$7.6M
T1040	Medicaid certified community behavioral health clinic services, per diem	21	40	30,550	$80	$6.8M
H2015	Comprehensive community support services, per 15 minutes	225	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	26	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	45	90	8,750	$300	$4.7M
H2014	Skills training and development, per 15 minutes	29	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	27	120	8,060	$210	$3.4M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	123	130	3,170	$180	$2.2M
T1005	Respite care services, up to 15 minutes	80	110	4,910	$80	$2.2M

Showing 1–10 of 39

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mckenzie Memorial Hospital	MI	Critical Access Hospital	$0	$6.1M

Sanilac County Community Mental Health Authority — Billing Profile & Reimbursement Data

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Sanilac County Community Mental Health Authority — Billing Profile & Reimbursement Data

Sign up for Sanilac County Community Mental Health Authority — 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