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.

Recovery Pathways, LLC (NPI 1720314008)

Field	Value
Entity Type	Organization
Organization	Recovery Pathways, LLC
Address	1009 Washington Ave
City	Bay City
State	MI
ZIP	48708
Taxonomy	Medical Specialty Clinic/Center
NPI Enumerated	October 21, 2009

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	22,500	$90	$2M
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…	13,060	$120	$1.5M
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…	12,740	$80	$1M
90832	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…	12,980	$50	$597K
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…	3,760	$140	$534.3K
H0001	Alcohol and/or drug assessment	2,670	$160	$421.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	6,100	$60	$384.6K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	24,350	$10	$316.5K
H0038	Self‑help/peer services, per 15 minutes	5,830	$50	$279.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	3,340	$80	$260.8K

Showing 1–10 of 24

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

Recovery Pathways, LLC — 1 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	72	190	2,210	$70	$754.1K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	74	90	1,700	$190	$542.3K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	27	100	550	$120	$382.3K
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…	122	1,960	870	$100	$376.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	271	290	300	$240	$336.5K
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…	39	950	610	$80	$328.2K
T1012	Alcohol and/or substance abuse services, skills development	56	80	1,420	$40	$318.1K
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…	1,046	4,380	1,000	$70	$289.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	60	210	740	$70	$255.2K
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…	470	4,770	1,060	$50	$247.8K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Recovery Pathways, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bay-arenac Behavioral Health	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$78.6M
Mclaren Bay Region	MI	General Acute Care Hospital	$0	$31.8M
Premier Care Assisted Living	MI	Foster Care Agency	$0	$13.4M
Liberty Living Inc	MI	Adult Care Home Facility	$0	$10.9M
Mclaren Bay Region	MI	Family Medicine Physician	$0	$9.3M
In Your Golden Years, LLC	MI	Home Health Agency	$0	$7.7M
Paramount Rehabilitation Services, PC	MI	Physical Therapist	$0	$5.5M
Japhet Joseph	MI	Cardiovascular Disease Physician	$414.3K	$16.3K
Richard Horbal	MI	Allergy & Immunology Physician	$424.8K	$0
Robert Graham	MI	Ophthalmology Physician	$358.5K	$0

Recovery Pathways, LLC — Billing Profile & Reimbursement Data

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Recovery Pathways, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References