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.

Kalamazoo County Community Mental Health Authority (NPI 1710066253)

Field	Value
Entity Type	Organization
Organization	Kalamazoo County Community Mental Health Authority
Address	615 E Crosstown Pkwy
City	Kalamazoo
State	MI
ZIP	49001
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	November 3, 2006

Payer Source	Total Paid
Medicaid	$106.9M
Medicare	$0

Key Findings

KALAMAZOO COUNTY COMMUNITY MENTAL HEALTH AUTHORITY is effectively a single‑payer Medicaid provider: there is no Medicare billing on file while Medicaid revenue totals $106.9M, indicating the organization’s entire reported fee-for-service scale in our data is Medicaid‑driven. This concentration in one public program will shape contracting and utilization analyses.

Revenue is highly concentrated in a small set of Medicaid codes: the top three Medicaid codes (T1017, T1016, 90837) account for 41.7% of total Medicaid revenue. The single largest line is T1017 ($27.8M, 27.1%), followed by T1016 ($8.3M, 8.1%) and 90837 ($6.7M, 6.5%), so case management and long psychotherapy sessions drive a large share of income.

The code mix signals an operation built around intensive case management and psychotherapy plus community-based supports: very high volumes of T1017 (targeted case management), T1016 (case management) and psychotherapy codes 90837/90834/90832, combined with community services such as H0039 ($5.2M, 5.0%) and H0036 ($4.7M, 4.6%), indicate a mix of in‑person psychotherapy, regular case management, and wrap‑around/community treatment activities. This profile is consistent with a community mental health center model that emphasizes outreach and longitudinal care.

Competitive standing versus in‑state peers is strong on multiple high‑value services. T1017 ranks #14 of 175 providers in‑state (93th percentile; notably above typical state volume for this code) and 90837 ranks #25 of 1956 providers in‑state (99th percentile; extreme outlier), showing this provider is a major psychotherapy and case‑management producer relative to Michigan peers.

The organization also shows concentrated strength in front‑end assessment and eligibility services: H0002 ($2.6M, 2.6%) ranks #2 of 96 providers in‑state (99th percentile) and 90791 ($2.3M, 2.3%) ranks #11 of 784 providers in‑state (99th percentile), indicating above‑average throughput of behavioral health screenings and psychiatric evaluations compared with peers. These assessment volumes support the large downstream case‑management and therapy activity observed.

Several service lines are statistical outliers or well above typical state volume, underscoring operational specializations. In addition to 90837 being an "extreme outlier," the provider’s use of 96372 ($1.5M, 1.4%) is described as an "extreme outlier" (ranks #32 of 1419, 98th percentile), and H2021 ($4.3M, 4.2%) ranks #3 of 49 providers in‑state (96th percentile), signifying unusually high activity in medication administration and community-based wrap‑around services relative to most peers.

Despite the concentration in a few high‑revenue codes, the provider maintains a broad portfolio of Medicaid‑funded community supports and outpatient E/M visits that diversify operations: notable volumes include 99213 ($4.3M, 4.1%) and 99214 ($4.1M, 4.0%) (both in the 97th percentile among many in‑state providers), plus H2011 ($2.9M, 2.9%) which ranks #5 of 76 (95th percentile). This spread suggests capacity for both clinic‑based evaluation/management and field/community interventions.

The entity is an established provider with long tenure: the NPI was enumerated 2006-11-03 (~20 years ago), supporting a conclusion of sustained presence in the local behavioral health ecosystem and making current utilization patterns likely the result of multi‑year program structures rather than a new entrant effect.

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	145,450	$190	$27.8M
T1016	Case management, each 15 minutes	32,420	$260	$8.3M
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…	35,970	$190	$6.7M
H0039	Assertive community treatment, face-to-face, per 15 minutes	26,330	$200	$5.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	18,900	$250	$4.7M
H2021	Community-based wrap-around services, per 15 minutes	12,520	$350	$4.3M
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…	31,510	$140	$4.3M
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…	24,600	$170	$4.1M
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…	23,160	$160	$3.7M
H0038	Self‑help/peer services, per 15 minutes	18,720	$190	$3.6M

Showing 1–10 of 50

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

Kalamazoo County Community Mental Health Authority — 8 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	14	180	10,890	$210	$8.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	4	40	30,550	$80	$6.8M
H2015	Comprehensive community support services, per 15 minutes	447	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	27	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	29	90	8,750	$300	$4.7M
H2014	Skills training and development, per 15 minutes	45	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	17	120	8,060	$210	$3.4M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	3	10	3,850	$210	$1.7M
H2019	Therapeutic behavioral services, per 15 minutes	6	30	3,330	$200	$1.6M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	14	110	480	$530	$1.5M

Showing 1–10 of 50

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Residential Opportunities, Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$46.7M
Family Health Center, Inc.	MI	Federally Qualified Health Center (FQHC)	$0	$24.3M
Victory Clinical Services LLC	MI	Multi-Specialty Clinic/Center	$197.6K	$19.2M
Community Living Options	MI	Community/Behavioral Health Agency	$0	$11.1M
Mrc Industries Incorporated	MI	Developmentally Disabled Services Day Training Agency	$0	$10.7M
John Grib	MI	Social Worker	$0	$8.9M
Residential Opportunities, Inc.	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.3M
Family & Children Services	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
Residential Opportunities, Inc.	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.3M
Douglas Brewer	MI	Podiatrist	$32.7K	$0

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

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Kalamazoo 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