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.

Milford Counseling Inc. (NPI 1639459514)

Field	Value
Entity Type	Organization
Organization	Milford Counseling Inc.
Address	120 S Main St Ste C
City	Milford
State	MI
ZIP	48381
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 23, 2011

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 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…	12,080	$130	$1.6M
H2035	Alcohol and/or other drug treatment program, per hour	15,950	$90	$1.5M
H0006	Alcohol and/or drug services; case management	13,620	$50	$708.2K
H2034	Alcohol and/or drug abuse halfway house services, per diem	26,520	$20	$583.5K
H0005	Alcohol and/or drug services; group counseling by a clinician	15,040	$40	$571.6K
H2036	Alcohol and/or other drug treatment program, per diem	18,800	$20	$357.3K
H0001	Alcohol and/or drug assessment	1,750	$120	$209.5K
H2027	Psychoeducational service, per 15 minutes	2,670	$40	$106.8K
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…	900	$70	$59.5K
H0050	Alcohol and/or drug services, brief intervention, per 15 minutes	780	$60	$47.8K

Showing 1–10 of 13

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

Milford Counseling Inc. — 4 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	120	120	8,060	$210	$3.4M
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…	7	50	1,210	$120	$702.8K
H2034	Alcohol and/or drug abuse halfway house services, per diem	4	40	3,720	$50	$426.4K
H2036	Alcohol and/or other drug treatment program, per diem	1	10	1,520	$90	$418.5K
H2035	Alcohol and/or other drug treatment program, per hour	2	30	2,210	$90	$413.6K
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…	959	1,960	870	$100	$376.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	196	210	740	$70	$255.2K
H0006	Alcohol and/or drug services; case management	3	70	1,340	$70	$225.7K
H0001	Alcohol and/or drug assessment	32	190	320	$130	$116.2K
H0050	Alcohol and/or drug services, brief intervention, per 15 minutes	17	40	690	$90	$111.3K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Milford Counseling Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Karabajakian	MI	Cardiovascular Disease Physician	$348.5K	$0
Christine Maxim	MI	Family Nurse Practitioner	$176.7K	$0
Eric Koch	MI	Physical Therapist	$29.6K	$0
Kevin Crain	MI	Chiropractor	$15.5K	$0
Ryan Barish	MI	Family Medicine Physician	$14K	$0

Milford Counseling Inc. — Billing Profile & Reimbursement Data

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Milford Counseling 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