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.

The Children's Center Of Wayne Co., Inc. (NPI 1528145844)

Field	Value
Entity Type	Organization
Organization	The Children's Center Of Wayne Co., Inc.
Address	79 W Alexandrine St
City	Detroit
State	MI
ZIP	48201
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$74.3M
Medicare	$0

Key Findings

The provider is effectively a single‑payer Medicaid operator: lifetime Medicare revenue is listed as none while total Medicaid revenue is $74.3M, indicating its patient mix and revenue base are dominated by Medicaid-funded services rather than Medicare. Analysts should treat this organization as a Medicaid-focused behavioral health agency when assessing payer risk and contracting leverage.

Revenue is concentrated in a small set of outpatient behavioral health codes: the top three Medicaid codes (H0036, H0031, H0032) account for 35.1% of the provider’s Medicaid revenue, with H0036 representing 15.0%, H0031 10.3%, and H0032 9.7%. This concentration shows a reliance on community psychiatric support, mental health assessment, and service‑plan development as primary revenue drivers.

The code mix signals a comprehensive, community‑based pediatric behavioral health operation: high-volume codes include community psychiatric supportive treatment (H0036), mental health assessment (H0031), mental health service plan development (H0032), targeted case management (T1017/T1016), and multiple psychotherapy codes (90832/90834/90837/90846/90847). The combination of time‑based case management (per 15 minutes) and both individual/family psychotherapy suggests the organization delivers both direct clinical therapy and care coordination/wrap‑around services in community or home settings.

Claim volumes are large and operationally significant: H0031 has 37.3K claims, H0036 35K claims, H0032 35.2K claims, and 90847 36.5K claims, reflecting very high throughput across assessments, plan development, and family psychotherapy. Those claim counts are consistent with a high‑capacity clinic network or multi‑site community program serving many Medicaid beneficiaries.

Statewide competitive standing is strong on multiple codes: H0031 ranks #2 of 183 providers in‑state (99th percentile; extreme outlier) and 90847 ranks #2 of 174 (99th percentile; extreme outlier), while H0032 ranks #7 of 178 (97th percentile; notably above typical). Several other codes (90832 at 99th percentile, 90837 and 99214 at 98th percentile) also sit well above peer volume, indicating the provider is a dominant or major participant in core pediatric behavioral health services within the state.

The portfolio mixes high‑demand diagnostic and testing services with therapeutic delivery: the provider reports elevated use of psychological testing codes (96131, 96137, 96130) and initial psychiatric evaluation (90792), alongside high family‑therapy volume (90846 at rank #1 of 48 providers, 100th percentile; extreme outlier). This pattern suggests integrated assessment, reporting, and family‑oriented treatment capacity rather than a narrow single‑service specialty.

Not all service lines are outliers relative to peers—several codes show typical or unremarkable penetration: H0036 ranks #8 of 93 providers (92th percentile; typical), T1017 ranks #62 of 175 (65th percentile; typical), and 97153 and 97155 (adaptive behavior treatments) sit near median percentiles (51th and 54th percentiles respectively). This indicates the provider’s market differentiation is concentrated in assessment, plan development, and family psychotherapy while some rehabilitation/ABA and case management volumes are inline with peer norms.

The provider has been enumerated for a long period (NPI enumerated 2006-11-01, ~20 years ago), which, combined with sustained Medicaid revenue ($74.3M) and repeated top‑percentile ranks across multiple codes, points to an established footprint and persistent referral streams in Detroit and across Michigan. For payer negotiations or network planning, expect an experienced Medicaid behavioral health operator with entrenched service lines rather than a new entrant or transient provider.

Medicaid: Complete Services Breakdown

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	34,970	$310	$10.9M
H0031	Mental health assessment, by non-physician	37,260	$200	$7.5M
H0032	Mental health service plan development by non-physician	35,240	$200	$7.1M
T1017	Targeted case management, each 15 minutes	31,170	$210	$6.6M
T1016	Case management, each 15 minutes	27,750	$220	$6.1M
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…	36,480	$130	$4.7M
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…	26,250	$180	$4.7M
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…	29,440	$160	$4.6M
H2021	Community-based wrap-around services, per 15 minutes	6,300	$550	$3.4M
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…	24,940	$130	$3.3M

Showing 1–10 of 45

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

The Children's Center Of Wayne Co., Inc. — 11 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	62	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…	65	130	11,590	$190	$7.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	8	90	8,750	$300	$4.7M
H2014	Skills training and development, per 15 minutes	128	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	23	120	8,060	$210	$3.4M
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…	60	130	3,170	$180	$2.2M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	47	110	480	$530	$1.5M
0365T	Adaptive behavior tx addl	12	70	3,180	$170	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	7	50	1,690	$460	$1.4M
H2011	Crisis intervention service, per 15 minutes	30	80	1,470	$310	$1.4M

Showing 1–10 of 45

Nearby Providers

Other providers in the same ZIP code as The Children's Center Of Wayne Co., Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vhs Childrens Hospital Of Michigan Inc	MI	Children's Hospital	$0	$180.4M
University Pediatricians	MI	Pediatrics Physician	$0	$106.9M
University Physician Group	MI	Internal Medicine Physician	$0	$87.4M
Vhs Harper-hutzel Hospital Inc	MI	General Acute Care Hospital	$0	$76.6M
Vhs Detroit Receiving Hospital Inc	MI	General Acute Care Hospital	$0	$60.6M
Medical Center Emergency Services	MI	Emergency Medical Services (Emergency Medicine) Physician	$0	$44.1M
Barbara Ann Karmanos Cancer Hospital	MI	General Acute Care Hospital	$0	$42.5M
Detroit Central City Community Mental Health Inc.	MI	Federally Qualified Health Center (FQHC)	$0	$29.2M
Vhs University Laboratories Inc	MI	Clinical Medical Laboratory	$677.7K	$26.3M
Vhs Rehabilitation Institute Of Michigan Inc	MI	Rehabilitation Hospital	$0	$24.1M

The Children's Center Of Wayne Co., Inc. — Billing Profile & Reimbursement Data

Sign up for The Children's Center Of Wayne Co., Inc. — Billing Profile & Reimbursement Data policy alerts

The Children's Center Of Wayne Co., Inc. — Billing Profile & Reimbursement Data

Sign up for The Children's Center Of Wayne Co., Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References