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.

Easterseals Morc Health Care, Inc. (NPI 1376526616)

Field	Value
Entity Type	Organization
Organization	Easterseals Morc Health Care, Inc.
Address	2399 E Walton Blvd
City	Auburn Hills
State	MI
ZIP	48326
Taxonomy	Psychiatry Physician
NPI Enumerated	November 21, 2005

Payer Source	Total Paid
Medicaid	$188.2M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $188.2M, indicating near-exclusive dependence on Medicaid for billed services and revenue. That payer concentration is material to strategic and reimbursement sensitivity analyses because there is no Medicare diversification.

Revenue is heavily concentrated in a narrow set of community-behavioral codes: the top three Medicaid codes (T1017, H0036, H0039) together account for 53.1% of the provider’s $188.2M Medicaid revenue. Those three are reported as T1017 $44.2M revenue (25.0%), H0036 $34.7M revenue (19.6%), and H0039 $14.9M revenue (8.4%), demonstrating a reliance on targeted case management and community psychiatric services for a majority of receipts.

The code mix indicates this operation is focused on intensive community-based mental health care and care coordination rather than traditional hospital or physician office volume: high-volume codes include T1017 (targeted case management), H0036 (community psychiatric supportive treatment), H0039 (assertive community treatment), plus large counts of per-15-minute psychotherapy codes (90834, 90837, 90832) and care-coordination entries such as S0280 and T1040. This combination of per-15-minute billing, per-diem community behavioral health clinic services, and case-management codes points to a service model built around frequent, longitudinal, community-facing encounters and multidisciplinary teams.

Competitive standing within Michigan is dominant for multiple community-behavioral codes: H0036 ranks #1 of 93 providers in-state (100th percentile; extreme outlier) and H0032 ranks #1 of 178 providers (100th percentile; extreme outlier), while T1017 ranks #2 of 175 (99th percentile; extreme outlier). The provider also ranks #1 for T1040 of 42 providers (100th percentile) and #1 for 90853 of 246 providers (100th percentile), indicating it is a major statewide player for core community psychiatry and group therapy services.

High-volume claim counts reinforce operational scale: T1017 shows 304.9K claims, H0036 155.6K claims, H0039 113.2K claims and T1040 424.2K claims, demonstrating large recurring service volumes rather than isolated high-dollar procedures. These claim-level volumes, alongside substantial revenue lines such as 99214 ($10.6M) and 90834 ($6.4M), indicate sustained throughput across both case-management and direct clinical encounter codes.

The provider’s pattern of ranks and percentile labels shows systematic outlier behavior on many major codes—several are described as "extreme outlier" or at the 99th–100th percentile (e.g., T1017, H0036, 90834, 90792, T1040). At the same time, a subset of codes (e.g., H0038, 97153, H2016, H2023, H2022, T1005) are listed as typical or unremarkable, suggesting the organization concentrates scale in specific service lines while maintaining a broader array of supporting services.

Operational and reimbursement implications follow from the service mix: heavy reliance on per-15-minute and per-diem Medicaid payments (many top codes are time-based or daily community services) means revenue is sensitive to changes in Medicaid utilization rules, rate adjustments, or prior authorization policies. Given the absence of Medicare billing, any state-level Medicaid policy shifts would likely have outsized financial impact on this provider compared with a more payer-diverse organization.

The provider has an established presence: the NPI was enumerated on 2005-11-21 (~21 years ago), consistent with the scale and sustained high volumes observed across many codes. That tenure, combined with dominant in-state ranks on multiple community psychiatry codes, supports the interpretation of a long-standing, high-capacity community behavioral health provider rather than a recent entrant or a small clinic-scale operation.

Medicaid: Complete Services Breakdown

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

67 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	304,950	$150	$44.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	155,610	$220	$34.7M
H0039	Assertive community treatment, face-to-face, per 15 minutes	113,160	$130	$14.9M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	93,300	$110	$10.6M
H0032	Mental health service plan development by non-physician	63,620	$140	$9.1M
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…	61,840	$100	$6.4M
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…	39,140	$150	$5.8M
H0031	Mental health assessment, by non-physician	19,440	$250	$4.8M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	15,360	$270	$4.1M
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…	36,530	$110	$4.1M

Showing 1–10 of 67

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

Easterseals Morc Health Care, Inc. — 17 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

67 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	148	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	2	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…	43	130	11,590	$190	$7.6M
T1040	Medicaid certified community behavioral health clinic services, per diem	1	40	30,550	$80	$6.8M
H2015	Comprehensive community support services, per 15 minutes	391	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	3	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1	90	8,750	$300	$4.7M
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…	112	220	7,030	$170	$4.6M
H0043	Supported housing, per diem	95	130	10,330	$210	$4.5M
H2014	Skills training and development, per 15 minutes	115	130	20,660	$50	$3.8M

Showing 1–10 of 67

Related Providers

Other providers that share a Tax Identification Number (TIN) with Easterseals Morc Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Head	MI	Psychiatry Physician	$186.1K	$0
Prameela Baddigam	CA	Psychiatry Physician	$164.4K	$0
Duren Gutierrez	MI	Psychiatric/Mental Health Nurse Practitioner	$36K	$0
Kimberly Jeroue	MI	Occupational Therapist	$2.6K	$0
Kerri Gonda	MI	Speech-Language Pathologist	$1.7K	$0
Hildy Scholar	MI	Occupational Therapist	$1.2K	$0

Nearby Providers

Other providers in the same ZIP code as Easterseals Morc Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Macomb Oakland Regional Center Inc.	MI	Community/Behavioral Health Agency	$0	$343.1M
New Horizons Rehabilitation Services, Inc.	MI	Developmentally Disabled Services Day Training Agency	$0	$34M
Oakland County Community Mental Health Authority	MI	Developmental Disabilities Clinic/Center	$0	$6.4M
Christofer Buatti	MI	Dermatology Physician	$875.7K	$0
Michael Bischoff	MI	Diagnostic Radiology Physician	$352.1K	$0
Corey Haber	MI	Family Medicine Physician	$213.3K	$0
Michael Yusaf	MI	Sports Medicine (Orthopaedic Surgery) Physician	$204.8K	$0
John Samani	MI	Adult Reconstructive Orthopaedic Surgery Physician	$185.3K	$0
Ayoub Innabi	MI	Pulmonary Disease Physician	$184.9K	$0
Ali Najar	MI	Pulmonary Disease Physician	$165.7K	$0

Easterseals Morc Health Care, Inc. — Billing Profile & Reimbursement Data

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Easterseals Morc Health Care, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References