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.

Saginaw County Community Mental Health Authority (NPI 1689778953)

Field	Value
Entity Type	Organization
Organization	Saginaw County Community Mental Health Authority
Address	500 Hancock St
City	Saginaw
State	MI
ZIP	48602
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 8, 2006

Payer Source	Total Paid
Medicaid	$172.1M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file and lifetime Medicaid revenue is $172.1M, indicating the organization’s volume and financial footprint are concentrated in Medicaid programs rather than Medicare. Analysts should treat Medicaid policy and state-level reimbursement changes as the primary drivers of future revenue variability for this entity.

Revenue concentration is high within a small set of Medicaid codes: the top three Medicaid codes account for 45.6% of this provider’s total Medicaid revenue. Those top three are T1017 ($42.7M, 26.5%), T1016 ($16.2M, 10.0%), and T1040 ($14.7M, 9.1%), which together represent nearly half of reported Medicaid receipts and point to a focused service mix.

The code mix signals a community-focused behavioral health operating model: dominant codes are T1017 (targeted case management), T1016 (case management), and T1040 (community behavioral health clinic per diem), supported by high-volume time-based codes such as H2015 and H2023 and frequent psychotherapy and assessment codes like 90837, 90834, H0031, and 90791. This combination indicates the provider delivers intensive, ongoing case management and clinic-based behavioral health services alongside supported employment and crisis interventions.

Competitive standing in Medicaid for key case-management services is strong: T1017 ranks #13 of 175 in-state (93th percentile; notably above typical state volume), making the provider a major state-level participant in targeted case management. T1016 ranks #9 of 123 (93th percentile; typical, unremarkable volume) and T1040 ranks #8 of 42 (83th percentile; typical, unremarkable volume), which together suggest above-average market share for case management and clinic per-diem services within Michigan.

The provider shows distinct clinical-volume outliers in several ambulatory/therapy codes: 90791 ranks #12 of 784 (99th percentile; extreme outlier), 99214 ranks #106 of 4380 (98th percentile; notably above typical state volume), and 90837 ranks #84 of 1956 (96th percentile; notably above typical state volume). These placements indicate substantially higher-than-typical volume of psychiatric evaluations, higher-complexity E/M visits, and long psychotherapy sessions compared with in-state peers, reflecting a heavy emphasis on direct clinical care.

Operational scale is reflected in very large claim counts for time-based programs: T1040 shows 193.3K claims and T1017 shows 148.3K claims, while H2015 records 93.7K claims. Those claim volumes are consistent with a high-throughput, longitudinal community behavioral health operation that delivers frequent, repeated encounters per member rather than episodic, one-off procedures.

Tenure and presence: the NPI was enumerated 2006-09-08 (~20 years ago), indicating a long-established community/behavioral health agency with sustained participation in Medicaid programs at the county or regional level. That longevity supports institutional relationships with state Medicaid and local referral sources.

For payers and network managers, two practical flags emerge: the organization’s heavy reliance on Medicaid ($172.1M) and on the top three codes (45.6% of Medicaid revenue) creates sensitivity to policy, audit, or reimbursement changes affecting case management and CCBHC per-diem payments. Conversely, the provider’s high state percentiles on several codes (including multiple “notably above typical” and an “extreme outlier”) suggest it is a critical local capacity source for psychiatric evaluations, complex E/M visits, and psychotherapy, which should be considered when assessing network adequacy and program continuity.

Medicaid: Complete Services Breakdown

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

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	148,290	$290	$42.7M
T1016	Case management, each 15 minutes	49,090	$330	$16.2M
T1040	Medicaid certified community behavioral health clinic services, per diem	193,270	$80	$14.7M
H2015	Comprehensive community support services, per 15 minutes	93,730	$90	$8.8M
H2023	Supported employment, per 15 minutes	11,010	$790	$8.7M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	17,530	$400	$7M
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…	26,390	$260	$6.9M
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…	17,990	$380	$6.8M
H0031	Mental health assessment, by non-physician	15,550	$440	$6.8M
H2011	Crisis intervention service, per 15 minutes	14,200	$470	$6.6M

Showing 1–10 of 63

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

Saginaw County Community Mental Health Authority — 5 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

63 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	13	180	10,890	$210	$8.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	8	40	30,550	$80	$6.8M
H2015	Comprehensive community support services, per 15 minutes	90	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	42	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	67	90	8,750	$300	$4.7M
H2014	Skills training and development, per 15 minutes	106	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	9	120	8,060	$210	$3.4M
H2030	Mental health clubhouse services, per 15 minutes	33	60	22,740	$80	$2.3M
T1005	Respite care services, up to 15 minutes	39	110	4,910	$80	$2.2M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	4	110	480	$530	$1.5M

Showing 1–10 of 63

Nearby Providers

Other providers in the same ZIP code as Saginaw County Community Mental Health Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Covenant Medical Center, Inc.	MI	General Acute Care Hospital	$0	$96.6M
Covenant Medical Center, Inc	MI	Family Medicine Physician	$0	$19.3M
Covenant Medical Center, Inc.	MI	Emergency Medicine Physician	$0	$14.7M
Aps Employment Services, Inc.	MI	Home Health Agency	$0	$13.2M
Valley Ob Gyn Clinic PC	MI	Specialist	$0	$10.1M
Great Lakes Bay Health Centers	MI	Federally Qualified Health Center (FQHC)	$0	$8M
Covenant Medical Center, Inc.	MI	Family Medicine Physician	$0	$6M
Saginaw Cooperative Hospitals, Inc	MI	Obstetrics & Gynecology Physician	$0	$5.8M
Parthiv Amin	MI	Cardiovascular Disease Physician	$267.7K	$0
Bhikam Mehta	MI	Internal Medicine Physician	$212.4K	$21.3K

Saginaw County Community Mental Health Authority — Billing Profile & Reimbursement Data

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Saginaw County Community Mental Health Authority — 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