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.

Region Iv Area Agency On Aging, Inc (NPI 1366524985)

Field	Value
Entity Type	Organization
Organization	Region Iv Area Agency On Aging, Inc
Address	2900 Lakeview Ave
City	Saint Joseph
State	MI
ZIP	49085
Taxonomy	Case Management Agency
NPI Enumerated	October 20, 2006

Payer Source	Total Paid
Medicaid	$36.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	46,390	$640	$29.5M
T1019	Personal care services, per 15 minutes, 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…	3,900	$1,100	$4.3M
S5121	Chore services; per diem	2,510	$680	$1.7M
S5170	Home delivered meals, including preparation; per meal	2,210	$250	$540.7K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	7,990	$30	$199.7K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	950	$70	$63.7K
T2038	Community transition, waiver; per service	30	$490	$12.2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	10	$200	$2.4K
S5199	Personal care item, nos, each	10	$140	$1.7K

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

Region Iv Area Agency On Aging, Inc — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, 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…	30	60	2,340	$70	$19.6M
T2022	Case management, per month	7	40	3,310	$490	$9.4M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	16	40	4,680	$30	$4M
S5170	Home delivered meals, including preparation; per meal	34	40	43,690	$20	$1.8M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	105	110	480	$530	$1.5M
S5121	Chore services; per diem	9	20	2,170	$130	$745.5K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	33	50	1,510	$70	$292K
S5199	Personal care item, nos, each	18	20	70	$1	$267.5K
T2038	Community transition, waiver; per service	5	10	40	$520	$50.9K

Nearby Providers

Other providers in the same ZIP code as Region Iv Area Agency On Aging, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeland Hospitals At Niles And St Joseph, Inc	MI	General Acute Care Hospital	$0	$78.1M
Hsh Senior Services, LLC	MI	Home Health Agency	$0	$35.6M
Lakeland Medical Practices	MI	Internal Medicine Physician	$0	$20.9M
Epmg Southwest Michigan PLLC	MI	Emergency Medicine Physician	$0	$11.9M
Jason So	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Benjamin Nicholson	MI	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Great Lakes Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$1.3M	$51.3K
David Brown	MI	Ophthalmology Physician	$1.1M	$0
Erick Rivas	MI	Family Medicine Physician	$245.1K	$306.6K
Thomas Pow	MI	Interventional Cardiology Physician	$247.1K	$0

Region Iv Area Agency On Aging, Inc — Billing Profile & Reimbursement Data

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Region Iv Area Agency On Aging, 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