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.

Community Care Services (NPI 1609844976)

Field	Value
Entity Type	Organization
Organization	Community Care Services
Address	26184 W Outer Drive
City	Lincoln Park
State	MI
ZIP	48146
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	March 10, 2006

Payer Source	Total Paid
Medicaid	$36.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	59,520	$150	$8.9M
H0039	Assertive community treatment, face-to-face, per 15 minutes	32,560	$170	$5.5M
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…	23,190	$150	$3.4M
H0031	Mental health assessment, by non-physician	20,440	$160	$3.3M
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…	32,140	$90	$3M
H0032	Mental health service plan development by non-physician	18,430	$160	$2.9M
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…	21,470	$120	$2.6M
H2030	Mental health clubhouse services, per 15 minutes	30,340	$60	$1.9M
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…	5,830	$200	$1.2M
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…	14,070	$70	$942.5K

Showing 1–10 of 31

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

Community Care Services — 5 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	34	180	10,890	$210	$8.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	20	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	66	90	8,750	$300	$4.7M
H2014	Skills training and development, per 15 minutes	103	130	20,660	$50	$3.8M
H2030	Mental health clubhouse services, per 15 minutes	19	60	22,740	$80	$2.3M
H2023	Supported employment, per 15 minutes	76	110	5,150	$90	$1.5M
H2011	Crisis intervention service, per 15 minutes	76	80	1,470	$310	$1.4M
H0032	Mental health service plan development by non-physician	23	180	2,030	$170	$1.2M
H0031	Mental health assessment, by non-physician	11	180	1,290	$250	$1.1M
H0038	Self‑help/peer services, per 15 minutes	151	190	2,210	$70	$754.1K

Showing 1–10 of 31

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifeline Concord LLC	MI	Ambulance	$1.4M	$6M
Vibra Of Southeastern Michigan LLC	MI	Long Term Care Hospital	$0	$6.3M
Get Well Urgent Care Downriver Plc	MI	Urgent Care Clinic/Center	$0	$6.2M
Western Wayne Family Health Centers	MI	Federally Qualified Health Center (FQHC)	$0	$5.7M
Chris Olenech	MI	Foot & Ankle Surgery Podiatrist	$112.8K	$0
Durene Elem-vaughn	MI	Primary Podiatric Medicine Podiatrist	$26.1K	$0

Community Care Services — Billing Profile & Reimbursement Data

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Community Care Services — 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