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.

Residential Options, Inc. (NPI 1336475532)

Field	Value
Entity Type	Organization
Organization	Residential Options, Inc.
Address	2121 E Grand River Ave
City	Lansing
State	MI
ZIP	48912
Taxonomy	Behavior Analyst
NPI Enumerated	October 22, 2009

Payer Source	Total Paid
Medicaid	$53.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	177,420	$60	$11.4M
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…	80,320	$140	$11.1M
H2016	Comprehensive community support services, per diem	61,570	$160	$9.9M
H0043	Supported housing, per diem	44,430	$150	$6.8M
T2027	Specialized childcare, waiver; per 15 minutes	71,890	$60	$4.6M
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…	33,320	$110	$3.8M
0365T	Adaptive behavior tx addl	15,560	$130	$2M
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…	61,470	$30	$1.9M
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	4,750	$80	$399.1K
0369T	Duodenal mucosal resurfacing, endoscopic	4,290	$90	$364.2K

Showing 1–10 of 18

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

Residential Options, Inc. — 3 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	31	300	6,660	$310	$8.7M
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…	12	130	11,590	$190	$7.6M
H2015	Comprehensive community support services, per 15 minutes	47	610	14,740	$90	$6M
T2027	Specialized childcare, waiver; per 15 minutes	8	40	23,640	$70	$4.8M
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…	25	220	7,030	$170	$4.6M
H0043	Supported housing, per diem	16	130	10,330	$210	$4.5M
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…	10	130	3,170	$180	$2.2M
0365T	Adaptive behavior tx addl	7	70	3,180	$170	$1.5M
H0032	Mental health service plan development by non-physician	65	180	2,030	$170	$1.2M
S5111	Home care training, family; per session	76	80	1,460	$160	$664.5K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Residential Options, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward W Sparrow Hospital Association	MI	General Acute Care Hospital	$0	$126M
Lansing Urgent Care Plc	MI	Urgent Care Clinic/Center	$0	$27.5M
Vituity - Michigan Em PC	MI	Emergency Medicine Physician	$0	$9.9M
Lansing Radiology Associates P C	MI	Diagnostic Radiology Physician	$0	$8.2M
Epmg Western Michigan PLLC	MI	Emergency Medicine Physician	$0	$7.4M
Edward W. Sparrow Hospital Association	MI	Obstetrics & Gynecology Physician	$0	$5.8M
Lansing Mercy Ambulance Service, Inc.	MI	Land Ambulance	$466.7K	$2.3M
Christopher Sweet	MI	Diagnostic Radiology Physician	$1.3M	$0
Lake Lansing Asc Partners LLC	MI	Ambulatory Surgical Clinic/Center	$373.3K	$263.6K
Yuelin Xu	MI	Procedural Dermatology Physician	$418.6K	$0

Residential Options, Inc. — Billing Profile & Reimbursement Data

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Residential Options, Inc. — 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