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.

Moka Corporation (NPI 1669538419)

Field	Value
Entity Type	Organization
Organization	Moka Corporation
Address	3391 Merriam St
City	Muskegon
State	MI
ZIP	49444
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	December 28, 2006

Payer Source	Total Paid
Medicaid	$126.2M
Medicare	$0

Key Findings

MOKA CORPORATION is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue totals $126.2M. This makes the entity highly dependent on Medicaid policy, rates, and eligibility in Michigan for its ongoing revenue base.

Revenue is extremely concentrated in a very small set of services: the precomputed top 3 Medicaid codes by revenue account for 92.9% of the provider's total Medicaid revenue. Those top three are H2016 ($63.1M, 50.1% of Medicaid revenue), T1020 ($33.5M, 26.6% of Medicaid revenue), and H2015 ($20.6M, 16.3% of Medicaid revenue).

The code mix (H2016, T1020, H2015) and their descriptions indicate MOKA primarily operates as an Intellectual and/or Developmental Disabilities residential treatment and community-support operation delivering high-volume per-diem and time-based support services. Extremely large claim volumes reported for those codes (296.4K claims for H2016, 296.6K claims for T1020, and 294K claims for H2015) are consistent with ongoing daily or repeated-session supports rather than episodic medical procedures.

Two of the provider's revenue drivers are statewide statistical outliers: H2016 ranks #3 of 297 providers in-state (99th percentile; extreme outlier) and T1020 ranks #2 of 221 providers in-state (100th percentile; extreme outlier). Those rankings signal MOKA is a dominant state-level participant for those per-diem comprehensive community support and personal care service lines.

By contrast, H2015—while still a top-three revenue source at $20.6M (16.3% of Medicaid revenue)—ranks #28 of 614 providers in-state (96th percentile) and is labeled a typical, unremarkable volume for the code. That suggests the provider’s billed 15-minute skills training services are large in absolute dollars but not anomalous relative to the broader set of in-state providers offering that specific time-based service.

MOKA also bills a cluster of ancillary service codes (for example, 97153 with $1.4M, 1.1% of Medicaid revenue; 97155 with $307.4K; and lodging S9976 with $315.6K), indicating the operation includes adaptive behavior/ABA components and a residential lodging element. These lines are meaningful but small compared with the dominant per-diem community support and personal care revenue streams.

The heavy concentration of revenue in a few high-volume per-diem codes creates both operational exposure and strategic leverage: any Medicaid rate changes or tightening of per-diem definitions for H2016 or T1020 could materially affect MOKA’s revenue, while the provider’s extreme statewide volumes for those codes may give it negotiating relevance with state payers. Monitoring policy changes and utilization trends for those specific codes should be a priority for payers and competitors.

MOKA’s NPI was enumerated on 2006-12-28 (~20 years ago), reflecting a long tenure in the market. That duration, combined with $126.2M in Medicaid revenue and unusually high volumes in core per-diem codes, indicates an established provider with substantial scale in Michigan’s IDD/residential service ecosystem.

Medicaid: Complete Services Breakdown

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	296,450	$210	$63.1M
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…	296,550	$110	$33.5M
H2015	Comprehensive community support services, per 15 minutes	293,950	$70	$20.6M
H2014	Skills training and development, per 15 minutes	35,720	$110	$4M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	9,160	$160	$1.4M
T1016	Case management, each 15 minutes	4,570	$190	$863K
T2022	Case management, per month	2,010	$240	$489.5K
0365T	Adaptive behavior tx addl	4,410	$110	$466.9K
S9976	Lodging, per diem, not otherwise classified	11,270	$30	$315.6K
H2023	Supported employment, per 15 minutes	3,550	$90	$312.3K

Showing 1–10 of 41

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

Moka Corporation — 3 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

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	24	40	3,310	$490	$9.4M
H2016	Comprehensive community support services, per diem	3	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	154	180	10,890	$210	$8.1M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	72	130	11,590	$190	$7.6M
H2015	Comprehensive community support services, per 15 minutes	28	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	65	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	87	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…	2	220	7,030	$170	$4.6M
H0043	Supported housing, per diem	122	130	10,330	$210	$4.5M
H2014	Skills training and development, per 15 minutes	56	130	20,660	$50	$3.8M

Showing 1–10 of 41

Nearby Providers

Other providers in the same ZIP code as Moka Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health Partners	MI	General Acute Care Hospital	$0	$98.1M
Senior Resources Of West Michigan	MI	Case Management Agency	$0	$31.5M
Mgh Family Health Center	MI	Federally Qualified Health Center (FQHC)	$0	$24.4M
Hackley Community Care Center Inc	MI	Federally Qualified Health Center (FQHC)	$0	$23.1M
Orthopaedic Associates Of Muskegon, PC	MI	Orthopaedic Surgery Physician	$0	$7.1M
Port City Pediatrics	MI	Pediatrics Physician	$0	$5.9M
Radiology Muskegon PC	MI	Diagnostic Radiology Physician	$0	$5.9M
Mercy Specialty Services	MI	Internal Medicine Physician	$0	$5.3M
Paul Raphaelian	MI	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Muskegon Sc, LLC	MI	Ambulatory Surgical Clinic/Center	$967.6K	$68.1K

Moka Corporation — Billing Profile & Reimbursement Data

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Moka Corporation — 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