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.

St Clair County Community Mental Health Authority (NPI 1689783672)

Field	Value
Entity Type	Organization
Organization	St Clair County Community Mental Health Authority
Address	3111 Electric Ave
City	Port Huron
State	MI
ZIP	48060
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicaid	$157.2M
Medicare	$0

Key Findings

ST CLAIR COUNTY COMMUNITY MENTAL HEALTH AUTHORITY is effectively a single‑payer provider: there is no Medicare billing on file while total Medicaid revenue is $157.2M, indicating Medicaid drives the entirety of recorded fee‑for‑service activity for this entity. Analysts should treat Medicaid trends as representative of the organization’s scale and service mix rather than a blended Medicare/Medicaid picture.

Revenue concentration is high in a few service lines: the precomputed top three Medicaid codes account for 44.6% of the provider’s total Medicaid revenue, led by H2015 at $27.3M (18.5%), T1017 at $25.1M (17.0%), and 90837 at $13.5M (9.2%). This concentration shows a heavy dependence on a small set of community behavioral‑health and psychotherapy services for nearly half of Medicaid receipts.

The billing mix confirms an integrated community behavioral‑health operation: the top codes include H2015 (Comprehensive community support services), T1017 (Targeted case management), and multiple psychotherapy codes (90837, 90834, 90832). High volumes of minutes‑based community support and case management (e.g., H2015 109.9K claims; T1017 144.8K claims) alongside large counts of psychotherapy encounters (90837 55.7K claims) point to a service model focused on long‑duration psychotherapy and intensive community case management.

Competitive standing across in‑state peers is mixed by code. The provider is an extreme outlier on psychotherapy volume: 90837 ranks #13 of 1956 providers in‑state (99th percentile), indicating far above typical state volume for long psychotherapy sessions; T1017 ranks #15 of 175 (92th percentile) and is described as notably above typical state volume; by contrast H2015 ranks #84 of 614 (86th percentile) and is characterized as typical/unremarkable for that code. These rankings imply strong dominance in psychotherapy delivery while being a high but less dominant participant in community support services.

There are additional specialized areas of outsized activity that merit operational attention: T1002 (Rn services) is an extreme outlier, ranking #2 of 110 providers in‑state (99th percentile) with 32.2K claims and $3.3M revenue, and 90834 (38.1K claims, $6.2M revenue) also ranks #15 of 950 (99th percentile). High ranking on nursing services and medium‑length psychotherapy suggests substantial clinical staffing and care coordination capacity beyond basic outpatient visits.

The provider also reports elevated volumes in standard outpatient evaluation/management codes compared with statewide peers: 99214 appears with 23.2K claims and $6M revenue (rank #132 of 4380, 97th percentile) and 99213 with 27.9K claims and $5.1M revenue (rank #187 of 4766, 96th percentile). This indicates a significant portion of encounters are E/M office visits, supporting the view that the organization combines medical/psychiatric outpatient care with community services.

Service breadth extends into peer, group, and rehabilitation supports: H0038 (self‑help/peer services) 34.8K claims/$5.9M, 90853 (group psychotherapy) 19.6K claims/$3M, H2023 (supported employment) $3.2M, and H2014 (skills training) $3.5M. These line items and dollar amounts show a multi‑modal behavioral health program offering peer support, group therapy, employment supports, and skills training in addition to individual psychotherapy and case management.

The organization has long tenure in the system, with an NPI enumeration date of 2006-08-30 (~20 years ago), which supports interpreting its current high volumes and code mix as established operational patterns rather than a short‑term spike; historical presence may also explain high percentile rankings in several sustained service lines.

Medicaid: Complete Services Breakdown

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

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	109,910	$250	$27.3M
T1017	Targeted case management, each 15 minutes	144,800	$170	$25.1M
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…	55,650	$240	$13.5M
T1016	Case management, each 15 minutes	74,340	$90	$7M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	38,060	$160	$6.2M
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…	23,170	$260	$6M
H0038	Self‑help/peer services, per 15 minutes	34,830	$170	$5.9M
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…	27,880	$180	$5.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	42,800	$100	$4.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	26,430	$150	$4M

Showing 1–10 of 57

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

St Clair County Community Mental Health Authority — 13 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

57 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	15	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…	83	130	11,590	$190	$7.6M
T1040	Medicaid certified community behavioral health clinic services, per diem	6	40	30,550	$80	$6.8M
H2015	Comprehensive community support services, per 15 minutes	84	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	16	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	17	90	8,750	$300	$4.7M
H2014	Skills training and development, per 15 minutes	71	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	3	120	8,060	$210	$3.4M
H2030	Mental health clubhouse services, per 15 minutes	26	60	22,740	$80	$2.3M
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…	82	130	3,170	$180	$2.2M

Showing 1–10 of 57

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mclaren Port Huron	MI	General Acute Care Hospital	$0	$36.9M
Incorporation To Maximize Personal Achievement With Community Training	MI	Counselor	$0	$29.4M
Community Enterprises Of St. Clair County	MI	Developmentally Disabled Services Day Training Agency	$0	$22.9M
Prime Healthcare Services-port Huron LLC	MI	General Acute Care Hospital	$0	$15.1M
Tri Hospital Emergency Medical Services Corporation	MI	Land Ambulance	$1.8M	$8.9M
Medexpress Urgent Care, PC - Michigan	MI	Urgent Care Clinic/Center	$0	$10.6M
Professional Counseling Center,p.c.	MI	Addiction (Substance Use Disorder) Counselor	$0	$8.6M
Marwan Shuayto Md PC	MI	Neurology Physician	$0	$7.8M
Touchstone Services Inc	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6M
Rafia Khalil	MI	Rheumatology Physician	$1.2M	$0

St Clair County Community Mental Health Authority — Billing Profile & Reimbursement Data

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St Clair 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