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.

Renaissance Community Homes (NPI 1730205675)

Field	Value
Entity Type	Organization
Organization	Renaissance Community Homes
Address	1548 W Maumee Street
City	Adrian
State	MI
ZIP	49221
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicaid	$84.9M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and lifetime Medicaid revenue is $84.9M. The absence of Medicare activity indicates RENAISSANCE COMMUNITY HOMES operates primarily within Medicaid-funded behavioral health and residential support programs rather than fee-for-service Medicare clinical lines.

Revenue concentration is high and narrowly focused: the precomputed top 3 Medicaid codes account for 92.2% of the provider's total Medicaid revenue. The single largest revenue driver is H2016 (Comprehensive community support services, per diem) at $49M, 57.7% of Medicaid revenue, followed by T1020 (Personal care services, per diem) at $22.2M, 26.2% of Medicaid revenue, and H0043 (Supported housing, per diem) at $7.1M, 8.4% of Medicaid revenue.

The code mix signals a residential and community-support service model: heavy per-diem billing for H2016 (17.7K claims, $2768 avg paid/claim) and T1020 (17.1K claims, $1300 avg paid/claim) indicates the provider bills sustained daily support and personal care rather than episodic outpatient interventions. Substantial claim volume for H0043 (59.8K claims, $119 avg paid/claim) shows integrated supported-housing activity alongside the per-diem community support and personal care programs.

Competitive standing varies by service line within Michigan. For supported housing (H0043) the provider ranks #9 of 130 in-state (94th percentile) and is positioned as a leading state provider for that code, whereas for H2016 it ranks #102 of 297 (66th percentile) and for T1020 it ranks #79 of 221 (65th percentile), both labeled in the source data as typical, unremarkable volume for those codes and suggesting modest, not dominant, statewide participation in those higher-revenue per-diem services.

Operational scale is reflected in high claim counts across core codes: 17.7K claims for H2016 and 17.1K claims for T1020 indicate sustained daily service delivery capacity, while 59.8K claims for H0043 reflect a large volume of supported-housing days billed at a lower per-claim rate. The differing average paid/claim levels ($2768 for H2016, $1300 for T1020, $119 for H0043) imply a mix of higher-intensity per-diem care supplemented by lower-rate housing supports.

Service intensity nuance: H2015 (Comprehensive community support services, per 15 minutes) appears in the top activity list with 80K claims and $64 avg paid/claim representing $5.1M (6.0% of Medicaid revenue) and is characterized in the data as typical, unremarkable volume for this code, suggesting the provider uses both per-diem and time-based billing modalities to deliver community support. Multiple code modalities (per diem vs. per 15 minutes) indicate flexible billing tied to varied service delivery models within the same behavioral health/residential continuum.

Tenure and registration: the NPI was enumerated on 2007-03-22 (~19 years ago), indicating long-standing participation in Medicaid markets. This sustained enrollment combined with concentrated Medicaid revenue suggests an established provider focused on Medicaid-funded mental health residential and support services rather than diversification into Medicare lines.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	17,690	$2,770	$49M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	17,110	$1,300	$22.2M
H0043	Supported housing, per diem	59,830	$120	$7.1M
H2015	Comprehensive community support services, per 15 minutes	79,990	$60	$5.1M
T2027	Specialized childcare, waiver; per 15 minutes	20,720	$70	$1.5M
H0032	Mental health service plan development by non-physician	110	$130	$14.6K

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

Renaissance Community Homes — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	102	300	6,660	$310	$8.7M
H2015	Comprehensive community support services, per 15 minutes	109	610	14,740	$90	$6M
T2027	Specialized childcare, waiver; per 15 minutes	24	40	23,640	$70	$4.8M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	79	220	7,030	$170	$4.6M
H0043	Supported housing, per diem	9	130	10,330	$210	$4.5M
H0032	Mental health service plan development by non-physician	139	180	2,030	$170	$1.2M

Nearby Providers

Other providers in the same ZIP code as Renaissance Community Homes, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lenawee Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$32M
Emma L. Bixby Medical Center	MI	General Acute Care Hospital	$0	$18.4M
Hospice Of Lenawee, Inc.	MI	Community Based Hospice Care Agency	$0	$9M
Goodwill Industries Of Southeastern Michigan, Inc.	MI	Community/Behavioral Health Agency	$0	$6.6M
4m Monroe Medical Services PLLC	MI	Emergency Medicine Physician	$0	$6.4M
Jlc Care Services	MI	In Home Supportive Care Agency	$0	$6M
Mccullough, Vargas, & Associates, Inc.	MI	Addiction (Substance Use Disorder) Counselor	$0	$5.7M
William Rhoades	MI	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
City Of Adrian	MI	Land Ambulance	$317.7K	$1.3M
Lawrence Desjarlais	MI	Dermatology Physician	$346.4K	$0

Renaissance Community Homes — Billing Profile & Reimbursement Data

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Renaissance Community Homes — 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