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.

Personalized Nursing Light House, Inc. (NPI 1639201262)

Field	Value
Entity Type	Organization
Organization	Personalized Nursing Light House, Inc.
Address	575 S Main St Ste 6
City	Plymouth
State	MI
ZIP	48170
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	March 9, 2007

Payer Source	Total Paid
Medicaid	$25.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0015	Alcohol 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…	45,040	$220	$9.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	30,630	$240	$7.4M
S9976	Lodging, per diem, not otherwise classified	71,160	$70	$4.6M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	3,850	$230	$873.5K
H2034	Alcohol and/or drug abuse halfway house services, per diem	3,380	$210	$712.1K
H0001	Alcohol and/or drug assessment	4,470	$120	$531.6K
H2036	Alcohol and/or other drug treatment program, per diem	1,480	$320	$472.1K
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…	4,530	$80	$353.3K
H0006	Alcohol and/or drug services; case management	4,200	$80	$348.2K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	8,400	$30	$260.5K

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

Personalized Nursing Light House, Inc. — 3 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
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	9	70	3,240	$390	$4.7M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	14	30	3,980	$460	$2.5M
S9976	Lodging, per diem, not otherwise classified	4	90	6,650	$60	$1M
H0038	Self‑help/peer services, per 15 minutes	101	190	2,210	$70	$754.1K
H0015	Alcohol 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…	2	50	1,210	$120	$702.8K
H2034	Alcohol and/or drug abuse halfway house services, per diem	22	40	3,720	$50	$426.4K
H2036	Alcohol and/or other drug treatment program, per diem	5	10	1,520	$90	$418.5K
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…	396	1,960	870	$100	$376.5K
T1012	Alcohol and/or substance abuse services, skills development	47	80	1,420	$40	$318.1K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	12	50	1,030	$20	$269.3K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Personalized Nursing Light House, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dearborn Speech And Sensory Center, Inc	MI	Behavior Analyst	$0	$47.6M
Kci Usa, Inc.	MI	Durable Medical Equipment & Medical Supplies	$0	$9.6M
Transformational Services LLC	MI	Clinical Social Worker	$0	$6.4M
Lincare Inc.	MI	Durable Medical Equipment & Medical Supplies	$0	$5.8M
Rapid Biosense LLC	MI	Clinical Medical Laboratory	$59.1K	$1.6M
Ultra-x Imaging LLC	MI	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$814.8K	$300.1K
Naman Jhaveri	MI	Infectious Disease Physician	$449K	$47.7K
Kalyani Movva	MI	Specialist	$416.2K	$0
Hend Abdul-jauwad	MI	Infectious Disease Physician	$246.9K	$0
Praveen Modi	MI	Internal Medicine Physician	$234K	$0

Personalized Nursing Light House, Inc. — Billing Profile & Reimbursement Data

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Personalized Nursing Light House, Inc. — 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