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.

Healthcall Of Detroit (NPI 1497760086)

Field	Value
Entity Type	Organization
Organization	Healthcall Of Detroit
Address	28000 Woodward Ave
City	Royal Oak
State	MI
ZIP	48067
Taxonomy	Nursing Care Agency
NPI Enumerated	July 30, 2006

Payer Source	Total Paid
Medicaid	$32.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	52,780	$410	$21.6M
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…	40,160	$180	$7M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	3,740	$400	$1.5M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	11,610	$120	$1.4M
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	10,220	$60	$572K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	520	$360	$187.2K
H0031	Mental health assessment, by non-physician	770	$190	$150.2K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	1,510	$70	$102.3K
T1005	Respite care services, up to 15 minutes	400	$260	$101.4K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	130	$730	$96K

Showing 1–10 of 12

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

Healthcall Of Detroit — 0 of 12 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

12 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	3	20	33,460	$380	$14M
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…	32	130	11,590	$190	$7.6M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	28	130	3,170	$180	$2.2M
T1005	Respite care services, up to 15 minutes	87	110	4,910	$80	$2.2M
H0031	Mental health assessment, by non-physician	104	180	1,290	$250	$1.1M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	2	10	3,740	$220	$597.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	87	160	2,030	$60	$407.6K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	39	60	200	$380	$398.1K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	37	100	910	$90	$283.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	260	390	1,660	$40	$281.8K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Healthcall Of Detroit, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Royal Oak	MI	Land Ambulance	$371.2K	$977.3K
Bryan Sofen	MI	MOHS-Micrographic Surgery Physician	$498.2K	$0
Joanna Gammons	MI	Dermatology Physician	$242.6K	$0
Kirk Wojno	MI	Anatomic Pathology & Clinical Pathology Physician	$230K	$0
Kabir Gandhi	MI	Diagnostic Radiology Physician	$147.1K	$11.3K
Harry Wasvary	MI	Colon & Rectal Surgery Physician	$105.2K	$0
Mary Monahan	MI	Clinical Psychologist	$74.9K	$0
Jason Shellnut	MI	Surgery Physician	$71K	$0
Jonathan Beard	MI	Clinical Psychologist	$67.8K	$0
Ghabi Kaspo	MI	Orofacial Pain Dentistry	$60.9K	$0

Healthcall Of Detroit — Billing Profile & Reimbursement Data

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Healthcall Of Detroit — 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