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.

Community Mental Health Services Of St Joseph County (NPI 1366438483)

Field	Value
Entity Type	Organization
Organization	Community Mental Health Services Of St Joseph County
Address	677 E Main St Ste A
City	Centreville
State	MI
ZIP	49032
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 23, 2005

Payer Source	Total Paid
Medicaid	$30.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	37,320	$160	$6.1M
H2030	Mental health clubhouse services, per 15 minutes	54,000	$70	$3.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	12,250	$240	$3M
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…	22,920	$110	$2.5M
H0031	Mental health assessment, by non-physician	3,130	$440	$1.4M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,930	$270	$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…	14,650	$80	$1.2M
T1016	Case management, each 15 minutes	10,430	$110	$1.2M
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…	6,400	$180	$1.2M
T1040	Medicaid certified community behavioral health clinic services, per diem	88,000	$10	$1.1M

Showing 1–10 of 36

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

Community Mental Health Services Of St Joseph County — 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	56	180	10,890	$210	$8.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	12	40	30,550	$80	$6.8M
H2015	Comprehensive community support services, per 15 minutes	435	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	48	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	65	90	8,750	$300	$4.7M
T1016	Case management, each 15 minutes	53	120	8,060	$210	$3.4M
H2030	Mental health clubhouse services, per 15 minutes	13	60	22,740	$80	$2.3M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	39	110	480	$530	$1.5M
H2023	Supported employment, per 15 minutes	68	110	5,150	$90	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	47	50	1,690	$460	$1.4M

Showing 1–10 of 36

Community Mental Health Services Of St Joseph County — Billing Profile & Reimbursement Data

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Community Mental Health Services Of St Joseph County — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References