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.

Hope Network West Michigan (NPI 1679558670)

Field	Value
Entity Type	Organization
Organization	Hope Network West Michigan
Address	253 W Gardner St
City	Sparta
State	MI
ZIP	49345
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	December 13, 2005

Payer Source	Total Paid
Medicaid	$88.6M
Medicare	$0

Key Findings

HOPE NETWORK WEST MICHIGAN reports no Medicare billing on file and $88.6M of lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) operation in the claims data. The absence of Medicare activity suggests the organization’s services and reimbursement strategy are concentrated on Medicaid-covered intellectual/developmental-disability supports rather than traditional Medicare-funded clinical services.

Revenue is highly concentrated: the precomputed top three Medicaid codes — H2016, H2015, and H2014 — together account for 79.4% of the provider’s total Medicaid revenue. Those three codes are H2016 ($40.1M, 45.3%), H2015 ($17M, 19.2%), and H2014 ($13.2M, 14.9%), indicating the bulk of Medicaid dollars flow through a small set of community support and skills-training service lines.

The code mix (H2016, H2015, H2014 and sizeable T1020 activity) signals that the provider operates as a community-based residential and day-support provider focused on comprehensive community support services and skills training. The presence of T1020 (42.7K claims, $234 avg paid/claim, $10M revenue) further supports that personal care and residential-support activities are an important part of its service delivery model.

Unit-rate and utilization patterns show a mix of per-diem and high-volume per-15-minute services: H2016 has 45.9K claims at $874 avg paid/claim (per diem) while H2015 has 327.6K claims at $52 avg paid/claim and H2014 has 285.9K claims at $46 avg paid/claim (both per 15 minutes). This pattern points to reliance on high-volume, time-based habilitation services supplemented by higher-rate per-diem supports.

Competitive standing across top codes is mixed: H2015 ranks #20 of 614 providers in-state (97th percentile; typical, unremarkable volume for this code) and H2014 ranks #8 of 128 (94th percentile; typical, unremarkable volume for this code), indicating the provider is a high-volume participant for those services. By contrast H2016 ranks #48 of 297 (84th percentile; typical, unremarkable volume for this code), so while H2016 is a major revenue driver internally, its statewide positioning on that per-diem code is more typical.

A notable specialty signal is supported employment (H2023), which contributes $4.7M (5.3% of Medicaid revenue) and ranks #6 of 107 providers in-state (95th percentile; notably above typical state volume for this code). That ranking and revenue suggest a stronger-than-typical supported-employment program relative to peers and may represent a competitive differentiator in the provider’s I/DD service mix.

Beyond the top revenue drivers, the provider bills a range of smaller behavioral-health and administrative codes (for example 99214 $34.9K, 90834 $32.7K, H2030 $30.8K) at modest dollar levels and generally low statewide percentiles. These smaller lines indicate the organization maintains some outpatient/therapy and case-management capacity, but those services are limited in scale compared with its core community-support and skills-training operations.

HOPE NETWORK WEST MICHIGAN has an NPI enumeration date of 2005-12-13 (~21 years ago), indicating long-tenured presence in the market. The combination of sustained Medicaid revenue, concentrated service lines, and multi-decade tenure suggests an established Medicaid-focused I/DD residential and community-support provider rather than a recent market entrant.

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
H2016	Comprehensive community support services, per diem	45,930	$870	$40.1M
H2015	Comprehensive community support services, per 15 minutes	327,590	$50	$17M
H2014	Skills training and development, per 15 minutes	285,880	$50	$13.2M
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…	42,740	$230	$10M
H2023	Supported employment, per 15 minutes	80,230	$60	$4.7M
T1016	Case management, each 15 minutes	4,790	$250	$1.2M
T2003	Non-emergency transportation; encounter/trip	10,100	$80	$788K
T2022	Case management, per month	2,240	$240	$544.1K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	370	$600	$222.7K
T1017	Targeted case management, each 15 minutes	920	$200	$183.7K

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

Hope Network West Michigan — 2 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
T2022	Case management, per month	23	40	3,310	$490	$9.4M
H2016	Comprehensive community support services, per diem	48	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	130	180	10,890	$210	$8.1M
H2015	Comprehensive community support services, per 15 minutes	20	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	61	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	78	90	8,750	$300	$4.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	58	70	3,240	$390	$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…	40	220	7,030	$170	$4.6M
H2014	Skills training and development, per 15 minutes	8	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	73	120	8,060	$210	$3.4M

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as Hope Network West Michigan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ivyrehab Northern Pt, LLC	MI	Physical Therapy Clinic/Center	$0	$22.3M
Gianina Corpus	MI	Family Medicine Physician	$241.4K	$0

Hope Network West Michigan — Billing Profile & Reimbursement Data

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Hope Network West Michigan — 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