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.

Hegira Health, Inc. (NPI 1699816553)

Field	Value
Entity Type	Organization
Organization	Hegira Health, Inc.
Address	43825 Michigan Ave
City	Canton
State	MI
ZIP	48188
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	40,420	$180	$7.1M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	5,510	$260	$1.4M
S9976	Lodging, per diem, not otherwise classified	46,190	$30	$1.3M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	32,130	$20	$739K
H0001	Alcohol and/or drug assessment	2,490	$140	$338.8K
T1012	Alcohol and/or substance abuse services, skills development	5,730	$60	$315.4K
H0006	Alcohol and/or drug services; case management	2,920	$80	$239.2K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	1,330	$90	$118.5K
H0038	Self‑help/peer services, per 15 minutes	1,580	$50	$77.6K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	1,560	$30	$51.3K

Showing 1–10 of 13

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

Hegira Health, Inc. — 1 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	6	70	3,240	$390	$4.7M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	9	30	3,980	$460	$2.5M
S9976	Lodging, per diem, not otherwise classified	13	90	6,650	$60	$1M
H0038	Self‑help/peer services, per 15 minutes	108	190	2,210	$70	$754.1K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	23	50	1,210	$120	$702.8K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	76	90	1,700	$190	$542.3K
T1012	Alcohol and/or substance abuse services, skills development	24	80	1,420	$40	$318.1K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	22	50	1,030	$20	$269.3K
H0006	Alcohol and/or drug services; case management	18	70	1,340	$70	$225.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	544	780	140	$190	$192.4K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hegira Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hegira Health, Inc	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$109.5M
Hegira Health, Inc	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.4M
Hegira Health, Inc.	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17M
John Head	MI	Psychiatry Physician	$186.1K	$0

Nearby Providers

Other providers in the same ZIP code as Hegira Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charter Township Of Canton	MI	Land Ambulance	$580.3K	$2.1M
Fadi Abu Yasin	MI	Infectious Disease Physician	$284.2K	$0
Tracey Venning	MI	Emergency Medicine Physician	$218.5K	$0

Hegira Health, Inc. — Billing Profile & Reimbursement Data

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Hegira Health, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References