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.

Merakey Midwest (NPI 1740670454)

Field	Value
Entity Type	Organization
Organization	Merakey Midwest
Address	2284 S Ballenger Hwy Ste G
City	Flint
State	MI
ZIP	48503
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 2, 2015

Payer Source	Total Paid
Medicaid	$15.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	52,240	$170	$8.8M
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…	16,660	$200	$3.3M
0365T	Adaptive behavior tx addl	12,820	$140	$1.8M
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	5,550	$80	$466.5K
0369T	Duodenal mucosal resurfacing, endoscopic	2,940	$140	$409.2K
0364T	Behavior treatment	13,260	$30	$371.3K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	1,010	$250	$252K
0368T	Behavior treatment modified additional	3,190	$60	$191.6K
H0031	Mental health assessment, by non-physician	270	$430	$113.7K
0370T	Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)	890	$120	$107K

Showing 1–10 of 15

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

Merakey Midwest — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	21	130	11,590	$190	$7.6M
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…	19	130	3,170	$180	$2.2M
0365T	Adaptive behavior tx addl	10	70	3,180	$170	$1.5M
H0031	Mental health assessment, by non-physician	123	180	1,290	$250	$1.1M
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	13	60	200	$380	$398.1K
0369T	Duodenal mucosal resurfacing, endoscopic	8	70	740	$160	$299.1K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	11	100	910	$90	$283.6K
0364T	Behavior treatment	6	70	2,990	$30	$231.4K
0368T	Behavior treatment modified additional	10	70	900	$60	$131K
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	10	10	3,610	$20	$123.2K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Merakey Midwest, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hurley Medical Center	MI	General Acute Care Hospital	$0	$118.2M
Mott Children's Health Center	MI	Multi-Specialty Clinic/Center	$0	$20.9M
Hurley Medical Center	MI	Emergency Medicine Physician	$0	$18.9M
Eden Prairie Residential Care Services, LLC	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$16.7M
Physician Coverage Services PC	MI	Internal Medicine Physician	$0	$16.6M
Hurley Medical Center	MI	Obstetrics & Gynecology Physician	$0	$8.4M
Genesee Health System	MI	Federally Qualified Health Center (FQHC)	$0	$7.7M
Rizwan Danish	MI	Hematology & Oncology Physician	$1.1M	$0
Paul Kocheril	MI	Radiation Oncology Physician	$475K	$0
Mark Wilkerson	MI	Emergency Medical Services (Emergency Medicine) Physician	$440.1K	$0

Merakey Midwest — Billing Profile & Reimbursement Data

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Merakey Midwest — 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