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.

Southwest Counseling Solutions (NPI 1386756153)

Field	Value
Entity Type	Organization
Organization	Southwest Counseling Solutions
Address	1700 Waterman
City	Detroit
State	MI
ZIP	48209
Taxonomy	Psychiatry Physician
NPI Enumerated	August 31, 2006
NPI Deactivated	January 10, 2023

Payer Source	Total Paid
Medicaid	$40.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	61,640	$140	$8.7M
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…	50,350	$110	$5.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	11,570	$470	$5.4M
H0032	Mental health service plan development by non-physician	34,880	$160	$5.4M
H0031	Mental health assessment, by non-physician	22,860	$160	$3.7M
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…	11,840	$190	$2.3M
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…	11,440	$140	$1.6M
H2019	Therapeutic behavioral services, per 15 minutes	7,080	$200	$1.4M
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…	4,580	$230	$1M
90832	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…	10,970	$80	$877.7K

Showing 1–10 of 30

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

Southwest Counseling Solutions — 3 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	32	180	10,890	$210	$8.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	29	40	30,550	$80	$6.8M
H0039	Assertive community treatment, face-to-face, per 15 minutes	55	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	41	90	8,750	$300	$4.7M
T1016	Case management, each 15 minutes	105	120	8,060	$210	$3.4M
H2019	Therapeutic behavioral services, per 15 minutes	8	30	3,330	$200	$1.6M
H2023	Supported employment, per 15 minutes	55	110	5,150	$90	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	29	50	1,690	$460	$1.4M
H0032	Mental health service plan development by non-physician	8	180	2,030	$170	$1.2M
H0031	Mental health assessment, by non-physician	8	180	1,290	$250	$1.1M

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as Southwest Counseling Solutions, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health And Social Services Center, Inc	MI	Federally Qualified Health Center (FQHC)	$0	$8.8M
G Ghannam D D S	MI	Dental Clinic/Center	$0	$8.4M

Southwest Counseling Solutions — Billing Profile & Reimbursement Data

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Southwest Counseling Solutions — 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