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.

Autism Center Of Northern Michigan (NPI 1598007171)

Field	Value
Entity Type	Organization
Organization	Autism Center Of Northern Michigan
Address	990 Garfield Woods Dr Ste B
City	Traverse City
State	MI
ZIP	49686
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 21, 2013

Payer Source	Total Paid
Medicaid	$19M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	59,370	$160	$9.3M
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…	23,720	$150	$3.4M
0365T	Adaptive behavior tx addl	19,710	$140	$2.8M
0369T	Duodenal mucosal resurfacing, endoscopic	7,280	$120	$865.8K
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…	7,330	$90	$666.9K
0364T	Behavior treatment	18,540	$30	$500.6K
0368T	Behavior treatment modified additional	7,450	$60	$432K
0370T	Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)	1,610	$110	$181.6K
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…	620	$260	$161.2K
0359T	Behavior identification assessment, by the physician or other qualified health care professional, face-to-face with patient and/or guardian(s)/caregiver(s), includes administration of standardized…	300	$490	$146.1K

Showing 1–10 of 32

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

Autism Center Of Northern Michigan — 3 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	139	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…	19	130	11,590	$190	$7.6M
H2015	Comprehensive community support services, per 15 minutes	551	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	62	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	92	90	8,750	$300	$4.7M
H2014	Skills training and development, per 15 minutes	122	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	117	120	8,060	$210	$3.4M
H2030	Mental health clubhouse services, per 15 minutes	50	60	22,740	$80	$2.3M
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…	15	130	3,170	$180	$2.2M
T1005	Respite care services, up to 15 minutes	97	110	4,910	$80	$2.2M

Showing 1–10 of 32

Nearby Providers

Other providers in the same ZIP code as Autism Center Of Northern Michigan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jonathan Timm	MI	Behavior Analyst	$0	$6.2M
North Arrow Aba, LLC	MI	Behavior Analyst	$0	$5.8M
Douglas Covert	MI	Retina Specialist (Ophthalmology) Physician	$3.2M	$0
Nathan Farley	MI	Retina Specialist (Ophthalmology) Physician	$3M	$0
Scott Sneed	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Diane Fiander	MI	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
North Flight Aero Med	MI	Air Ambulance	$772.9K	$716.6K
John Mcmanus	MI	Ophthalmology Physician	$290.4K	$0
Mark Pomaranski	MI	MOHS-Micrographic Surgery Physician	$273K	$0
Brian Heeringa	MI	Surgery Physician	$153.4K	$0

Autism Center Of Northern Michigan — Billing Profile & Reimbursement Data

Sign up for Autism Center Of Northern Michigan — Billing Profile & Reimbursement Data policy alerts

Autism Center Of Northern Michigan — Billing Profile & Reimbursement Data

Sign up for Autism Center Of Northern Michigan — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References