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.

Elmhurst Home, Inc. (NPI 1366659906)

Field	Value
Entity Type	Organization
Organization	Elmhurst Home, Inc.
Address	12010 Linwood St
City	Detroit
State	MI
ZIP	48206
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 16, 2007

Payer Source	Total Paid
Medicaid	$21.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	17,880	$620	$11.1M
S9976	Lodging, per diem, not otherwise classified	34,300	$100	$3.3M
T1012	Alcohol and/or substance abuse services, skills development	27,550	$60	$1.7M
H0023	Alcohol and/or drug outreach	17,870	$60	$1.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	11,240	$100	$1.1M
H0038	Self‑help/peer services, per 15 minutes	29,250	$30	$965.2K
H2034	Alcohol and/or drug abuse halfway house services, per diem	5,010	$140	$716.4K
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	5,150	$100	$504.4K
H0001	Alcohol and/or drug assessment	2,900	$120	$360.1K
H0006	Alcohol and/or drug services; case management	3,710	$80	$296.6K

Showing 1–10 of 22

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

Elmhurst Home, Inc. — 0 of 21 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	142	180	10,890	$210	$8.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	23	40	30,550	$80	$6.8M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	15	70	3,240	$390	$4.7M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	18	50	3,580	$380	$3.7M
H0032	Mental health service plan development by non-physician	133	180	2,030	$170	$1.2M
H0031	Mental health assessment, by non-physician	118	180	1,290	$250	$1.1M
S9976	Lodging, per diem, not otherwise classified	17	90	6,650	$60	$1M
H0038	Self‑help/peer services, per 15 minutes	14	190	2,210	$70	$754.1K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	8	50	1,210	$120	$702.8K
H0023	Alcohol and/or drug outreach	4	30	2,170	$90	$658.6K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grace Patterson	MI	Family Medicine Physician	$116.8K	$0

Elmhurst Home, Inc. — Billing Profile & Reimbursement Data

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Elmhurst Home, 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