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    v1.0.28
    OpenPayerNPI Medicare & MedicaidOakland Family Services
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    Oakland Family Services — Billing Profile & Reimbursement Data

    NPI 1598719395 · Pontiac, MI · Clinic/Center

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    Oakland Family Services is a clinic/center provider located in Pontiac, Michigan. This profile covers 0 Medicare and 28 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOakland Family Services
    Address114 Orchard Lake Road
    CityPontiac
    StateMI
    ZIP48341
    TaxonomyClinic/Center
    NPI EnumeratedMay 19, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$25.6M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes40,070$230$9.2M
    90837In 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…26,010$80$2.1M
    S5111Home care training, family; per session6,450$310$2M
    H0032Mental health service plan development by non-physician11,650$160$1.9M
    H2035Alcohol and/or other drug treatment program, per hour16,270$90$1.5M
    99214The 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…9,410$150$1.4M
    90834In 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…5,760$190$1.1M
    T1005Respite care services, up to 15 minutes10,200$100$969.3K
    90832In 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…6,050$130$768.6K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.2,930$250$743K

    Showing 1–10 of 28

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    28 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1017Targeted case management, each 15 minutes17118010,890$210$8.1M
    H2015Comprehensive community support services, per 15 minutes58661014,740$90$6M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes6908,750$300$4.7M
    T1005Respite care services, up to 15 minutes381104,910$80$2.2M
    H2021Community-based wrap-around services, per 15 minutes36501,690$460$1.4M
    H0032Mental health service plan development by non-physician331802,030$170$1.2M
    H0031Mental health assessment, by non-physician861801,290$250$1.1M
    H0038Self‑help/peer services, per 15 minutes1471902,210$70$754.1K
    H2022Community-based wrap-around services, per diem19301,270$410$721.1K
    H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…20501,210$120$702.8K

    Showing 1–10 of 28

    Nearby Providers

    Other providers in the same ZIP code as Oakland Family Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Joseph Mercy Hospital-smhcMIGeneral Acute Care Hospital$0$51.8M
    Common GroundMICommunity/Behavioral Health Agency$0$44.5M
    Sjmh Medical Practice-smhcMIInternal Medicine Physician$0$14.8M
    John AntonucciMIRadiation Oncology Physician$786.7K$0
    Michael GhilezanMIRadiation Oncology Physician$627.8K$0
    Frank ViciniMIRadiation Oncology Physician$609.1K$0
    Dilraj GhummanMIDiagnostic Radiology Physician$592K$0
    Arezo AmirikiaMIOphthalmology Physician$563.9K$0
    Larry KestinMIRadiation Oncology Physician$562.3K$0
    Sameer NaikMIStudent in an Organized Health Care Education/Training Program$409.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Michigan Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Oakland Family Services — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan