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.

Team Wellness Center (NPI 1588855100)

Field	Value
Entity Type	Organization
Organization	Team Wellness Center
Address	2925 Russell St
City	Detroit
State	MI
ZIP	48207
Taxonomy	Community Health Clinic/Center
NPI Enumerated	August 8, 2007

Payer Source	Total Paid
Medicaid	$208.4M
Medicare	$0

Key Findings

TEAM WELLNESS CENTER is effectively a Medicaid-centric provider: there is no Medicare billing on file while lifetime Medicaid revenue is $208.4M, indicating the organization operates almost entirely within Medicaid programs rather than serving Medicare beneficiaries. Its NPI was enumerated in 2007-08-08 (~19 years ago), so this Medicaid-focused footprint has been built over a multi-year operating history.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 54.5% of the provider’s total Medicaid revenue, signaling that a small set of service lines drives the majority of collections. The single largest code, T1017, represents $78.9M (38.1% of Medicaid revenue), showing extreme dependence on targeted case management services.

Business and service-line profile: the code mix is concentrated in behavioral health and community support services — T1017 (targeted case management), 90837/90832/90834 (psychotherapy of varying durations), and multiple non-physician mental health codes (H0031, H0032, H0038) together reflect an operational model focused on outpatient mental health treatment, case management, crisis intervention, and peer/self-help programs. High volumes in service-plan development and assessments (H0032, H0031) indicate substantial care coordination and non-physician-driven workflows.

Competitive standing in-state is dominant for several Medicaid codes: TEAM WELLNESS CENTER ranks #1 in-state for T1017, 90837, H0038, H0031, 90792, S9445, T1001, S9484 and several others, frequently sitting at the 100th percentile and described as an extreme outlier or notably above typical state volumes. These ranks identify the provider as a major regional hub for targeted case management, psychotherapy, and assorted behavioral-health support services.

Intensity and mix of behavioral-health services: very large claim counts for psychotherapy codes (90837: 129.3K claims; 90832: 120.1K claims; 90834: 55.6K claims) and substantial billing for crisis-related codes (H2011, S9484, 90839) suggest both routine outpatient therapy and higher-acuity crisis response comprise meaningful components of the care model. High average paid/claim for crisis and employment-support codes (for example H2011 at $244/claim, H2023 at $299/claim) point to relatively high reimbursement per episode for those service lines.

Operational scale and penetration: multiple codes where the provider is an extreme outlier versus peers — including high-volume evaluation/management visits (99213: 142.2K claims, ranked #10 but 100th percentile), and numerous non-physician and group-treatment codes — imply a large patient volume and deep penetration into the community behavioral-health market rather than niche or low-volume specialty work. This breadth across assessment, individual psychotherapy, group therapy, crisis, and peer services reflects integrated community behavioral-health capacity.

Risk and business considerations from concentration: heavy reliance on a few Medicaid service lines (T1017 plus major psychotherapy codes) creates business risk if state policy, authorization, or reimbursement for targeted case management or psychotherapy changes, since 54.5% of revenue comes from the top three codes. Payer-level diversification is minimal because Medicare revenue is absent, so the provider’s financial performance is tightly coupled to Medicaid policy and utilization trends.

Relative normalization across some ancillary codes: while many codes are extreme outliers, a subset of service categories (H2015, H2014, H2023, H0039, 99215) sit at more typical percentiles for the state, indicating that not all service lines are outsized and the organization also provides more commonly distributed community support services at standard volumes. This suggests the center combines both unusually large-scale specialty lines and routine community services within its delivery mix.

Medicaid: Complete Services Breakdown

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

68 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	415,490	$190	$78.9M
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…	129,340	$170	$21.3M
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…	142,170	$90	$12.7M
H0038	Self‑help/peer services, per 15 minutes	252,520	$40	$10.4M
H0031	Mental health assessment, by non-physician	63,230	$160	$9.9M
H0032	Mental health service plan development by non-physician	63,520	$150	$9.5M
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…	40,170	$200	$7.8M
H2011	Crisis intervention service, per 15 minutes	31,320	$240	$7.6M
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…	120,120	$60	$7.3M
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…	62,780	$110	$6.9M

Showing 1–10 of 68

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

Team Wellness Center — 19 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

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	1	180	10,890	$210	$8.1M
H2015	Comprehensive community support services, per 15 minutes	207	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	32	70	20,710	$180	$5.1M
H2014	Skills training and development, per 15 minutes	60	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	87	120	8,060	$210	$3.4M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	60	110	480	$530	$1.5M
H2023	Supported employment, per 15 minutes	23	110	5,150	$90	$1.5M
H2011	Crisis intervention service, per 15 minutes	2	80	1,470	$310	$1.4M
H0032	Mental health service plan development by non-physician	2	180	2,030	$170	$1.2M
H0031	Mental health assessment, by non-physician	1	180	1,290	$250	$1.1M

Showing 1–10 of 68

Related Providers

Other providers that share a Tax Identification Number (TIN) with Team Wellness Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Head	MI	Psychiatry Physician	$186.1K	$0
Hon Chan	MI	Psychiatry Physician	$110.6K	$0
Bens Sandaire	MI	Psychiatry Physician	$48.5K	$0

Nearby Providers

Other providers in the same ZIP code as Team Wellness Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Detroit Area Agency On Aging	MI	Case Management Agency	$0	$177.2M
Quality Behavioral Health, Inc.	MI	Community/Behavioral Health Agency	$0	$38.9M
Darren Kilgore	MI	Community Health Worker	$0	$24.7M
Franklin-wright Settlements, Inc.	MI	In Home Supportive Care Agency	$0	$9M
Stallworth Afc #1 Corporation	MI	Contractor	$0	$7.5M
County Of Wayne	MI	Case Management Agency	$0	$7.3M
Faye Zuhairy	MI	Psychiatry Physician	$89.3K	$0
Beverly Armstrong	MI	Mental Health Counselor	$78.2K	$0
Vinod Goyal	MI	Nephrology Physician	$74.6K	$0
Laurie Boore	MI	Psychiatry Physician	$38.4K	$0

Team Wellness Center — Billing Profile & Reimbursement Data

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Team Wellness Center — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References