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 Living Options (NPI 1629144530)

Field	Value
Entity Type	Organization
Organization	Community Living Options
Address	626 Reed Ave
City	Kalamazoo
State	MI
ZIP	49001
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 24, 2006

Payer Source	Total Paid
Medicaid	$11.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	26,260	$160	$4.1M
H2014	Skills training and development, per 15 minutes	31,980	$70	$2.3M
H2016	Comprehensive community support services, per diem	9,190	$200	$1.9M
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…	9,220	$150	$1.4M
H0043	Supported housing, per diem	6,410	$210	$1.4M
T1017	Targeted case management, each 15 minutes	160	$120	$19.9K
H2025	Ongoing support to maintain employment, per 15 minutes	120	$120	$14.3K

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 Living Options — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	134	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	155	180	10,890	$210	$8.1M
H2015	Comprehensive community support services, per 15 minutes	236	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…	98	220	7,030	$170	$4.6M
H0043	Supported housing, per diem	79	130	10,330	$210	$4.5M
H2014	Skills training and development, per 15 minutes	58	130	20,660	$50	$3.8M
H2025	Ongoing support to maintain employment, per 15 minutes	27	30	870	$120	$310.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kalamazoo County Community Mental Health Authority	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$106.9M
Residential Opportunities, Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$46.7M
Family Health Center, Inc.	MI	Federally Qualified Health Center (FQHC)	$0	$24.3M
Victory Clinical Services LLC	MI	Multi-Specialty Clinic/Center	$197.6K	$19.2M
Mrc Industries Incorporated	MI	Developmentally Disabled Services Day Training Agency	$0	$10.7M
John Grib	MI	Social Worker	$0	$8.9M
Residential Opportunities, Inc.	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.3M
Family & Children Services	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
Residential Opportunities, Inc.	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.3M
Douglas Brewer	MI	Podiatrist	$32.7K	$0

Community Living Options — Billing Profile & Reimbursement Data

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Community Living Options — 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