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.

Hiawatha Community Behavioral Health Authority (NPI 1629161567)

Field	Value
Entity Type	Organization
Organization	Hiawatha Community Behavioral Health Authority
Address	3865 S Mackinac Trl
City	Sault Sainte Marie
State	MI
ZIP	49783
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicaid	$38.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	26,460	$270	$7.1M
T1016	Case management, each 15 minutes	17,110	$260	$4.4M
H0039	Assertive community treatment, face-to-face, per 15 minutes	18,090	$200	$3.6M
H2015	Comprehensive community support services, per 15 minutes	41,670	$90	$3.6M
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…	12,810	$260	$3.3M
H0038	Self‑help/peer services, per 15 minutes	9,310	$230	$2.1M
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…	10,640	$190	$2.1M
99214	The 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…	4,650	$430	$2M
H2016	Comprehensive community support services, per diem	14,720	$100	$1.5M
H2011	Crisis intervention service, per 15 minutes	2,370	$510	$1.2M

Showing 1–10 of 33

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

Hiawatha Community Behavioral Health Authority — 0 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	109	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	69	180	10,890	$210	$8.1M
H2015	Comprehensive community support services, per 15 minutes	180	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	39	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	73	90	8,750	$300	$4.7M
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…	82	220	7,030	$170	$4.6M
T1016	Case management, each 15 minutes	36	120	8,060	$210	$3.4M
H2030	Mental health clubhouse services, per 15 minutes	44	60	22,740	$80	$2.3M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	37	110	480	$530	$1.5M
H2011	Crisis intervention service, per 15 minutes	31	80	1,470	$310	$1.4M

Showing 1–10 of 33

Nearby Providers

Other providers in the same ZIP code as Hiawatha Community Behavioral Health Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sault Tribe Of Chippewa Indians	MI	Federally Qualified Health Center (FQHC)	$0	$18.6M
Mymichigan Medical Center Sault	MI	General Acute Care Hospital	$0	$13.5M
Sault Tribe Of Chippewa Indians	MI	Family Nurse Practitioner	$0	$5.9M
Sault Tribe Of Chippewa Indians	MI	Clinical Medical Laboratory	$140.2K	$514.9K
James Howard	MI	Urology Physician	$107.4K	$10.4K
Jamie Adair	MI	Surgery Physician	$24.9K	$0
Thomas Choponis	MI	Optometrist	$21.8K	$0
Ralph Duman	MI	Diagnostic Radiology Physician	$21.3K	$0
Peter Ranta	MI	Allergy & Immunology (Internal Medicine) Physician	$12K	$0
Jade Small	MI	Medical Physician Assistant	$3.4K	$0

Hiawatha Community Behavioral Health Authority — Billing Profile & Reimbursement Data

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Hiawatha Community Behavioral Health Authority — 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