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.

Mercy Plus Healthcare Services LLC (NPI 1669706149)

Field	Value
Entity Type	Organization
Organization	Mercy Plus Healthcare Services LLC
Address	2521 N Elms Rd
City	Flushing
State	MI
ZIP	48433
Taxonomy	Nursing Care Agency
NPI Enumerated	September 30, 2009

Payer Source	Total Paid
Medicaid	$49.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	115,230	$160	$18.1M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	43,920	$330	$14.3M
H2015	Comprehensive community support services, per 15 minutes	110,990	$80	$9.3M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	34,650	$170	$5.8M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	7,370	$130	$921.3K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	910	$470	$422.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	2,990	$80	$238.8K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	2,640	$90	$232.4K
S0215	Non-emergency transportation; mileage, per mile	9,080	$10	$118K
T1003	Lpn/lvn services, up to 15 minutes	1,300	$60	$80.5K

Showing 1–10 of 18

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

Mercy Plus Healthcare Services LLC — 0 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	5	20	33,460	$380	$14M
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…	8	130	11,590	$190	$7.6M
H2015	Comprehensive community support services, per 15 minutes	81	610	14,740	$90	$6M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	9	130	3,170	$180	$2.2M
0365T	Adaptive behavior tx addl	64	70	3,180	$170	$1.5M
H0032	Mental health service plan development by non-physician	158	180	2,030	$170	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	41	160	2,030	$60	$407.6K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	17	60	200	$380	$398.1K
0369T	Duodenal mucosal resurfacing, endoscopic	61	70	740	$160	$299.1K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	22	100	910	$90	$283.6K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Mercy Plus Healthcare Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flatrock Manor Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$109.9M
Freedom Work Opportunities Of Genesee County, Inc	MI	Developmentally Disabled Services Day Training Agency	$0	$18.5M
Madar Abed	MI	Cardiovascular Disease Physician	$266.7K	$0
Mohammad Alkotob	MI	Cardiovascular Disease Physician	$201K	$0
Rite Aid Of Michigan Inc	MI	Community/Retail Pharmacy	$28.4K	$0
Ryan Mcclain	MI	Physician Assistant	$20.7K	$0

Mercy Plus Healthcare Services LLC — Billing Profile & Reimbursement Data

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Mercy Plus Healthcare Services LLC — 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