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.

Bay Human Services Inc (NPI 1619020856)

Field	Value
Entity Type	Organization
Organization	Bay Human Services Inc
Address	125 S Forest Street
City	Standish
State	MI
ZIP	48658
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	January 19, 2007

Payer Source	Total Paid
Medicaid	$106.1M
Medicare	$0

Key Findings

BAY HUMAN SERVICES INC is effectively a single-payer Medicaid provider with no Medicare billing on file and $106.1M in lifetime Medicaid revenue; the absence of Medicare activity indicates its business is focused almost entirely on state Medicaid-funded behavioral health and support services rather than Medicare-covered care.

Revenue is highly concentrated in a small set of service lines: the precomputed top three Medicaid codes account for 90.2% of the provider's Medicaid revenue, with H2016 and T1020 alone representing the majority of receipts. This concentration indicates the organization’s operations are driven primarily by community support/per‑diem and personal care/per‑diem services rather than a broad mix of episodic or specialty procedures.

The largest single revenue driver is H2016 (Comprehensive community support services, per diem), which generated $54.4M and 51.3% of the provider’s total Medicaid revenue; BAY HUMAN SERVICES ranks #39 of 297 in-state (87th percentile) on this code, suggesting it is a meaningful but not dominant statewide provider for that service.

T1020 (Personal care services, per diem) is the second major driver with $34.4M and 32.5% of Medicaid revenue; the provider ranks #32 of 221 in-state (86th percentile) on this code, reinforcing that its core business model is delivering high-volume per‑diem care under Medicaid-funded personal care arrangements.

97153 (technician‑delivered adaptive behavior treatment) contributes $6.8M and 6.4% of Medicaid revenue, and BAY HUMAN SERVICES ranks #35 of 131 (74th percentile) for this code. The presence of large volumes of 97153, plus related ABA codes (97155, 97156, 97151, 0364T/0365T), indicates an operational capability in adaptive behavior services delivered both by technicians and supervising clinicians.

Several ancillary codes show atypical statewide posture: T1999 (Miscellaneous therapeutic items and supplies) is ranked #2 of 25 providers in-state and labeled notably above typical state volume, generating $312.3K. This suggests the provider dispenses or bills for a higher-than-typical level of retail therapeutic items relative to peers, which could reflect programmatic supports tied to its residential or community services.

Other service lines such as H2015 (per 15 minutes), H0043 (supported housing), and the suite of ABA add‑on codes contribute meaningful but much smaller shares (H2015 $5.9M, 5.5%; H0043 $1.2M, 1.2%). These secondary codes portray a mixed service model combining per‑diem community support, personal care, supported housing, and behavioral interventions rather than narrow single-service operations.

The provider has long tenure in the NPI file, enumerated since 2007-01-19 (~19 years ago), indicating an established presence in the state Medicaid market and likely operational stability in delivering the community‑based behavioral and residential services reflected in its billing patterns.

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	51,950	$1,050	$54.4M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	51,880	$660	$34.4M
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…	36,460	$190	$6.8M
H2015	Comprehensive community support services, per 15 minutes	89,130	$70	$5.9M
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…	8,710	$230	$2M
H0043	Supported housing, per diem	2,210	$560	$1.2M
0365T	Adaptive behavior tx addl	4,960	$130	$635K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	6,250	$50	$312.3K
0364T	Behavior treatment	4,550	$20	$109.1K
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…	630	$110	$66.5K

Showing 1–10 of 14

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

Bay Human Services Inc — 1 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	39	300	6,660	$310	$8.7M
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…	35	130	11,590	$190	$7.6M
H2015	Comprehensive community support services, per 15 minutes	95	610	14,740	$90	$6M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	32	220	7,030	$170	$4.6M
H0043	Supported housing, per diem	103	130	10,330	$210	$4.5M
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…	39	130	3,170	$180	$2.2M
0365T	Adaptive behavior tx addl	20	70	3,180	$170	$1.5M
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…	46	60	200	$380	$398.1K
0369T	Duodenal mucosal resurfacing, endoscopic	45	70	740	$160	$299.1K
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…	59	100	910	$90	$283.6K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Bay Human Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mymichigan Medical Center Standish	MI	Critical Access Hospital	$0	$7.1M

Bay Human Services Inc — Billing Profile & Reimbursement Data

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Bay Human Services Inc — 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

Nearby Providers

Frequently Asked Questions

References