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.

Henry Ford Health Eastwood Behavioral Health (NPI 1396787701)

Henry Ford Health Eastwood Behavioral Health is a social worker provider located in Clinton Township, Michigan. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Henry Ford Health Eastwood Behavioral Health
Address	37500 Garfield Rd Ste 175
City	Clinton Township
State	MI
ZIP	48036
Taxonomy	Social Worker
NPI Enumerated	June 11, 2006

Payer Source	Total Paid
Medicaid	$25.2M
Medicare	$0

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
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…	105,390	$80	$8M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	20,780	$330	$6.9M
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…	61,210	$60	$3.6M
S9976	Lodging, per diem, not otherwise classified	22,580	$50	$1.2M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1,810	$630	$1.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	9,050	$100	$895.7K
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…	17,540	$40	$719.3K
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…	15,760	$40	$598.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	17,190	$30	$515.6K
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…	7,410	$60	$437.1K

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

Henry Ford Health Eastwood Behavioral Health — 6 of 22 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
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	13	70	3,240	$390	$4.7M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	17	30	3,980	$460	$2.5M
S9976	Lodging, per diem, not otherwise classified	23	90	6,650	$60	$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…	16	50	1,210	$120	$702.8K
H2035	Alcohol and/or other drug treatment program, per hour	15	30	2,210	$90	$413.6K
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…	4	1,960	870	$100	$376.5K
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…	30	290	300	$240	$336.5K
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…	5	950	610	$80	$328.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	41	170	370	$150	$317.9K
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…	557	4,380	1,000	$70	$289.9K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shady Shebak	MI	Psychiatry Physician	$109.3K	$120.8K
Christopher Phillips	OH	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$33.4K	$0
Barbara Henike	MI	Psychiatry Physician	$30.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Macomb County Community Mental Health	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$299.9M
Lifelong Advocacy,inc	MI	Voluntary or Charitable Agency	$0	$78.8M
Medstar, Inc.	MI	Ambulance	$11.5M	$50.5M
Macomb Family Services, Inc.	MI	Clinical Social Worker	$0	$20.2M
Arc Services Of Macomb, Inc	MI	Developmentally Disabled Services Day Training Agency	$0	$13.8M
Developmental Essential Services Inc	MI	Developmentally Disabled Services Day Training Agency	$0	$12.7M
Asc-tcg, LLC	MI	Ambulatory Surgical Clinic/Center	$407.7K	$0
Robert Franchi	MI	Ophthalmology Physician	$222.7K	$0
Rene Peleman	MI	Gastroenterology Physician	$151.5K	$0
Adam Feinstein	MI	Neuromusculoskeletal Medicine & OMM Physician	$146.5K	$0

Henry Ford Health Eastwood Behavioral Health — Billing Profile & Reimbursement Data

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Henry Ford Health Eastwood Behavioral Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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