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 Network (NPI 1649342775)

Field	Value
Entity Type	Organization
Organization	Community Living Network
Address	1851 Washtenaw Rd
City	Ypsilanti
State	MI
ZIP	48197
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	November 14, 2006

Payer Source	Total Paid
Medicaid	$129.4M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operator: lifetime Medicare revenue is none and there is no Medicare billing on file, while total Medicaid revenue is $129.4M. The billing footprint is therefore concentrated entirely in Medicaid-funded services rather than fee-for-service Medicare lines, which shapes competitive and contracting dynamics with state programs and managed Medicaid plans.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes by revenue account for 94.7% of the provider’s total Medicaid revenue. That concentration creates operational dependence on a handful of program lines and suggests that changes in reimbursement, eligibility, or utilization for those codes could materially affect overall revenue.

Service mix and business model are driven by community-based long-term supports: the dominant codes are H2015 (Comprehensive community support services, per 15 minutes), H0043 (Supported housing, per diem), and T1005 (Respite care services, up to 15 minutes). This mix indicates the organization primarily delivers time-based community support, housing services, and short-term respite—typical of providers participating in Medicaid waiver and behavioral health support networks rather than acute medical care.

H2015 is the single largest revenue driver: the provider reported $104.5M from H2015, representing 80.8% of its Medicaid revenue, and ranks #8 of 614 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). That rank and revenue share indicate market-scale capacity in delivering intensive community support services and that operational expertise and infrastructure are likely centered on this service line.

H0043-supported housing is also a major line but secondary to H2015: H0043 generated $13M (10.0% of Medicaid revenue) and the provider ranks #5 of 130 in-state (97th percentile; notably above typical state volume for this code). This positioning shows the provider is a leading supported-housing vendor regionally and likely maintains significant residential program capacity and per-diem billing relationships.

T1005 respite services contribute meaningfully but are a smaller component of revenue, with $5.1M (3.9% of Medicaid revenue) and a rank of #14 of 106 in-state (88th percentile; typical, unremarkable volume for this code). This suggests respite is an established adjunct service offering rather than the organization’s primary business driver.

Competitive standing across codes is concentrated at the top: the provider’s very high ranks and top percentiles for H2015 and H0043 reflect dominant in-state positions for those specific services, while remaining codes (e.g., T2025, T2027, T1016, H2014) show more typical or modest volumes. Analysts should treat the entity as a major statewide player in community support and supported housing but a more ordinary participant for ancillary waiver and case management codes.

The provider has long-tenured enrollment with NPI enumeration dated 2006-11-14 (~20 years ago), indicating sustained operation in the Medicaid market. Combined longevity and concentrated Medicaid revenue suggest deep ties to state waiver programs and established operational scale in non-acute, community-based service delivery.

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	885,660	$120	$104.5M
H0043	Supported housing, per diem	87,170	$150	$13M
T1005	Respite care services, up to 15 minutes	60,920	$80	$5.1M
T2025	Waiver services; not otherwise specified (nos)	38,190	$110	$4.1M
T2027	Specialized childcare, waiver; per 15 minutes	23,640	$100	$2.3M
T1016	Case management, each 15 minutes	2,510	$140	$356K
H2014	Skills training and development, per 15 minutes	680	$60	$39.3K

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 Network — 2 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
H2015	Comprehensive community support services, per 15 minutes	8	610	14,740	$90	$6M
T2027	Specialized childcare, waiver; per 15 minutes	20	40	23,640	$70	$4.8M
H0043	Supported housing, per diem	5	130	10,330	$210	$4.5M
H2014	Skills training and development, per 15 minutes	111	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	89	120	8,060	$210	$3.4M
T2025	Waiver services; not otherwise specified (nos)	8	30	2,980	$100	$2.3M
T1005	Respite care services, up to 15 minutes	14	110	4,910	$80	$2.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Joseph Mercy Hospital	MI	General Acute Care Hospital	$0	$65.2M
Synod Residential Services	MI	Mental Illness Community Based Residential Treatment Facility	$0	$15.1M
Home Sweet Home Care Services LLC	MI	Home Health Agency	$0	$14.9M
Dawn, Inc	MI	Substance Abuse Rehabilitation Facility	$0	$13.5M
Huron Valley Radiology PC	MI	Diagnostic Radiology Physician	$0	$12.5M
Michigan Learning Community, LLC	MI	Behavior Analyst	$0	$11.5M
Community Residence Corporation	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.8M
Iha Health Services Corporation	MI	Hospitalist Physician	$0	$7.9M
Personal Touch Home Health Care Services Inc	MI	Home Health Agency	$0	$7.8M
Probility Therapy Services	MI	Physical Therapist	$0	$5.6M

Community Living Network — Billing Profile & Reimbursement Data

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Community Living Network — 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