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.

Lincoln Behavioral Services (NPI 1669451944)

Field	Value
Entity Type	Organization
Organization	Lincoln Behavioral Services
Address	9315 Telegraph Rd
City	Redford
State	MI
ZIP	48239
Taxonomy	Psychiatry Physician
NPI Enumerated	January 13, 2006

Payer Source	Total Paid
Medicaid	$95.9M
Medicare	$0

Key Findings

LINCOLN BEHAVIORAL SERVICES is effectively a Medicaid-focused psychiatry practice: there is no Medicare billing on file while total Medicaid revenue is $95.9M, indicating the organization’s scale and payer concentration are almost entirely within Medicaid. The absence of Medicare revenue means analyses of Medicare-facing service lines or senior-population exposure are not applicable for this entity.

Revenue is highly concentrated in a small set of Medicaid services: the top three Medicaid codes by revenue account for 50.8% of total Medicaid revenue, with T1017, 90837, and H0036 together representing just over half of the provider’s $95.9M Medicaid footprint. This concentration implies operational focus and financial dependence on a few high-volume service lines rather than a broad spread across many low-revenue codes.

T1017 (Targeted case management) is the single largest revenue driver at $29.7M (31.0% of Medicaid revenue) with 161.2K claims, and the provider ranks #12 of 175 in-state (94th percentile). This combination of large claim volume and a top-decile rank signals that the organization operates a substantial case-management or care-coordination program and is a major in-state provider for this service.

90837 (long psychotherapy, 53+ minutes) is an outsized component of the clinical mix: 53.8K claims generating $9.5M (9.9% of Medicaid revenue) and ranking #14 of 1956 providers in-state (99th percentile, labeled an extreme outlier). This indicates a heavy emphasis on long-session psychotherapy and positions the provider as a near-unique high-volume deliverer of extended psychotherapy in Michigan’s Medicaid market.

H0036 (community psychiatric supportive treatment, per 15 minutes) contributes $9.4M (9.9% of Medicaid revenue) across 27.7K claims and ranks #13 of 93 in-state (87th percentile). The prominence of H0036 alongside T1017 and 90837 suggests a hybrid operational model combining intensive community-based support, case management, and outpatient psychotherapy services.

Multiple other Medicaid codes show above-typical in-state volume: 99214 and 99213 visits rank in the 99th percentile for Michigan, and H0032/H0031 (plan development and assessment by non-physician) rank in the mid-90s percentiles. These patterns point to a large, multidisciplinary outpatient practice that delivers both billed psychotherapy/E&M encounters and non-physician behavioral-health supports at scale.

H2030 (mental health clubhouse services) is a distinct outlier for the provider: 139.9K claims producing $7.1M and ranking #1 of 56 in the state (100th percentile). Being the top-ranked provider in-state on H2030 indicates a unique competitive position and suggests a substantial investment in clubhouse-style, community-based psychosocial rehabilitation services relative to peers.

Several service lines are typical or unremarkable within the state despite meaningful absolute volumes — for example H0039 (assertive community treatment), H2021 (wrap-around services), H2023 (supported employment), and psychotherapy codes 90834/90832 fall in mid-to-high percentiles but are characterized as typical. This suggests breadth across community and clinical services without similar market dominance outside the top few codes.

Provider tenure is long-standing: the NPI was enumerated on 2006-01-13 (approximately 20 years ago), indicating an established presence in the market that aligns with the scale and depth of Medicaid activity observed. The combination of long tenure plus concentrated high-volume codes supports the interpretation of an organization that has built and maintained substantial Medicaid-facing programs over many years.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	161,220	$180	$29.7M
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…	53,770	$180	$9.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	27,700	$340	$9.4M
H0039	Assertive community treatment, face-to-face, per 15 minutes	52,700	$170	$8.9M
H2030	Mental health clubhouse services, per 15 minutes	139,880	$50	$7.1M
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…	46,040	$130	$5.8M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	58,780	$90	$5.4M
H0032	Mental health service plan development by non-physician	26,960	$160	$4.4M
H0031	Mental health assessment, by non-physician	21,340	$160	$3.5M
H2021	Community-based wrap-around services, per 15 minutes	5,030	$600	$3M

Showing 1–10 of 30

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

Lincoln Behavioral Services — 6 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	12	180	10,890	$210	$8.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	12	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	13	90	8,750	$300	$4.7M
H2030	Mental health clubhouse services, per 15 minutes	1	60	22,740	$80	$2.3M
H2019	Therapeutic behavioral services, per 15 minutes	17	30	3,330	$200	$1.6M
H2023	Supported employment, per 15 minutes	29	110	5,150	$90	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	12	50	1,690	$460	$1.4M
H2011	Crisis intervention service, per 15 minutes	52	80	1,470	$310	$1.4M
H0032	Mental health service plan development by non-physician	11	180	2,030	$170	$1.2M
H0031	Mental health assessment, by non-physician	10	180	1,290	$250	$1.1M

Showing 1–10 of 30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lincoln Behavioral Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usha Sudindranath	MI	Psychiatry Physician	$78.4K	$0

Nearby Providers

Other providers in the same ZIP code as Lincoln Behavioral Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of Northwest Wayne County	MI	Voluntary or Charitable Agency	$0	$50.7M
Community Choices, Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$28.9M
Real Place Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$13.3M
Amen's Care, Inc.	MI	Homemaker	$0	$5.7M
Scott Samona	MI	Orthopaedic Hand Surgery Physician	$159.6K	$0

Lincoln Behavioral Services — Billing Profile & Reimbursement Data

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Lincoln Behavioral Services — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References