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.

Reliance Community Care Partners (NPI 1417005257)

Field	Value
Entity Type	Organization
Organization	Reliance Community Care Partners
Address	2100 Raybrook Se
City	Grand Rapids
State	MI
ZIP	49546
Taxonomy	Case Management Agency
NPI Enumerated	January 8, 2007

Payer Source	Total Paid
Medicaid	$145.4M
Medicare	$0

Key Findings

RELIANCE COMMUNITY CARE PARTNERS is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $145.4M in lifetime Medicaid revenue, so its entire reported billing footprint in this dataset is concentrated in Medicaid. This concentration means analyses of its performance and risk should focus on state Medicaid policy, rates, and program changes rather than Medicare dynamics.

Revenue is highly concentrated in a very small set of service codes: the top three Medicaid codes (H2015, H2016, T2022) together account for 83.6% of this provider's total Medicaid revenue. That concentration indicates the organization derives the vast majority of its revenue from a narrow set of community support and case-management services rather than from a diversified bundle of Medicaid billings.

The operational profile implied by the top revenue-driving codes points to a large community-based behavioral health and care-management operation: H2015 (Comprehensive community support services, per 15 minutes) generated $50.1M and H2016 (Comprehensive community support services, per diem) generated $42.7M, while T2022 (Case management, per month) contributed $28.8M. High volumes in per-15-minute and per-diem community support codes combined with monthly case management suggest day-to-day service delivery across many clients with ongoing, coordinated case management workflows.

This provider is a dominant statewide player for certain codes: H2016 ranks #1 of 297 providers in-state (100th percentile; extreme outlier) and H2015 ranks #7 of 614 providers in-state (99th percentile; extreme outlier), signaling unusually large in-state scale for comprehensive community support services. T2022 also ranks strongly at #4 of 42 providers (93th percentile; notably above typical state volume), indicating competitive strength in monthly case management as well.

Beyond the top three, the mix shows additional community and waiver-related services but at much smaller scale: T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes) accounts for $11.6M (8.0% of Medicaid revenue) and T2033 (Residential care, nos, waiver; per diem) accounts for $5.9M (4.1% of Medicaid revenue) with T2033 ranking #1 of 39 providers in-state (100th percentile; extreme outlier). These secondary lines show the provider also participates in nursing and residential waiver services, though they are far less central to total revenue than the top three codes.

Claim volumes underline operational scale and intensity: H2016 records 1M claims and H2015 records 928.1K claims, demonstrating very high encounter volumes rather than a boutique or limited caseload model. The combination of very large claim counts with per-unit reimbursement patterns (per 15 minutes and per diem) indicates significant administrative and care-delivery throughput requirements.

The provider's tenure is long-standing in the NPI registry, enumerated on 2007-01-08 (~19 years ago), which aligns with its large Medicaid footprint and suggests it has had time to scale programs and payer relationships within Michigan's Medicaid system. That longevity, paired with extreme outlier status on key codes, supports the interpretation of an established operational presence rather than a recent entrant.

Because a majority of revenue is concentrated in a few Medicaid community-support and case-management codes, the organization's financials are sensitive to state Medicaid reimbursement policies and programmatic changes affecting H2015, H2016, and T2022. Analysts should treat payment-rate or authorization-policy shifts for these specific services as high-impact factors for the provider's overall revenue trajectory.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	928,060	$50	$50.1M
H2016	Comprehensive community support services, per diem	1,040,710	$40	$42.7M
T2022	Case management, per month	63,560	$450	$28.8M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	26,810	$430	$11.6M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	125,870	$50	$5.9M
A0130	Non-emergency transportation: wheelchair van	13,540	$140	$1.9M
S5170	Home delivered meals, including preparation; per meal	179,320	$10	$1.3M
S5100	Day care services, adult; per 15 minutes	13,030	$70	$886.1K
T2011	Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation	430	$1,070	$459.4K
T2025	Waiver services; not otherwise specified (nos)	3,960	$120	$454.9K

Showing 1–10 of 18

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

Reliance Community Care Partners — 6 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	11	20	33,460	$380	$14M
T2022	Case management, per month	4	40	3,310	$490	$9.4M
H2016	Comprehensive community support services, per diem	1	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	156	180	10,890	$210	$8.1M
H2015	Comprehensive community support services, per 15 minutes	7	610	14,740	$90	$6M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	14	40	4,680	$30	$4M
T1016	Case management, each 15 minutes	98	120	8,060	$210	$3.4M
T2025	Waiver services; not otherwise specified (nos)	16	30	2,980	$100	$2.3M
S5170	Home delivered meals, including preparation; per meal	5	40	43,690	$20	$1.8M
A0130	Non-emergency transportation: wheelchair van	2	30	1,150	$90	$1.7M

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Reliance Community Care Partners, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dental Group Associates PC	MI	Pediatric Dentistry	$0	$16.1M
Pediatric Dental Specialists Of West Michigan	MI	Pediatric Dentistry	$0	$11M
Michigan Pain Consultants PC	MI	Pain Medicine (Anesthesiology) Physician	$0	$9.9M
Mitten Kids Dentistry Cascade Plc	MI	Pediatric Dentistry	$0	$7.2M
Carepoint Dental Anesthesia Group Of Michigan, PLLC	MI	Dental Anesthesiology	$0	$6.4M
Retina Specialists Of Michigan PC	MI	Retina Specialist (Ophthalmology) Physician	$0	$5.5M
Kathleen Dehorn	MI	Ophthalmology Physician	$1.7M	$0
Jeffrey Zheutlin	MI	Ophthalmology Physician	$1.5M	$0
Nathan Pezda	MI	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
East Paris Surgical Center, LLC	MI	Ambulatory Surgical Clinic/Center	$968.8K	$30.6K

Reliance Community Care Partners — Billing Profile & Reimbursement Data

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Reliance Community Care Partners — 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

Nearby Providers

Frequently Asked Questions

References