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.

Sacred Heart Rehabilitation Center, Inc. (NPI 1750363305)

Field	Value
Entity Type	Organization
Organization	Sacred Heart Rehabilitation Center, Inc.
Address	400 Stoddard Rd
City	Richmond
State	MI
ZIP	48062
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	November 18, 2005

Payer Source	Total Paid
Medicaid	$75.3M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-centric facility: Medicare revenue is listed as none, while total Medicaid revenue is $75.3M, indicating the provider’s financial footprint is almost entirely Medicaid-driven. Its NPI was enumerated on 2005-11-18 (~21 years ago), consistent with an established, long-running operation in the state market.

Revenue is highly concentrated in a small set of residential and detoxification codes: the precomputed top three Medicaid codes (H0018, H0010, H0019) account for 82.4% of this provider’s total Medicaid revenue. Those three codes individually contribute $39.4M (H0018, 52.3%), $13.5M (H0010, 18.0%), and $9.1M (H0019, 12.1%), signaling dependence on per-diem residential and inpatient detox services.

The code mix and descriptions point to a core business of residential addiction treatment and detox: H0018 is short-term residential per diem, H0019 is long-term residential per diem, and H0010 is sub-acute detoxification inpatient. A large S9976 lodging line ($7.8M, 10.3% of Medicaid revenue) further supports the conclusion that the provider operates substantial on-site lodging/bed capacity rather than primarily outpatient episodic care.

Competitive standing within the state is dominant for several top lines: H0018 ranks #1 of 68 providers in-state (100th percentile; extreme outlier) and H0010 ranks #1 of 26 providers in-state (100th percentile; extreme outlier), while H0019 ranks #2 of 45 providers in-state (98th percentile; extreme outlier). These ranks indicate the provider is a statewide leader and an extreme volume outlier for residential and detox services.

Operational nuance emerges from high-volume, low-unit items: H0020 (methadone administration) shows 224.4K claims at $9 avg paid/claim for $2M revenue (2.7%) and ranks #25 of 43 providers in-state (43th percentile; typical, unremarkable volume for this code). This pattern suggests substantial transaction volume for medication administration that contributes meaningfully to service mix but is not a primary revenue driver compared with per-diem residential codes.

The provider offers ancillary behavioral health services but they are modest contributors to revenue: psychotherapy 90834 accounts for $622.5K (0.8%) and assessment H0001 contributes $451.4K (0.6%) while H0001 ranks #7 of 188 providers in-state (97th percentile; notably above typical state volume for this code). These figures indicate available outpatient and assessment capacity that supplements the dominant residential offerings but does not materially shift the revenue concentration.

The prominence of lodging and per-diem residential codes (S9976 $7.8M, 10.3%; H0018 $39.4M, 52.3%) combined with the 82.4% concentration in the top three codes implies revenue sensitivity to policy, rate, or utilization changes that affect residential and detox reimbursement. From a payer or competitor perspective, the provider’s revenue profile flags it as a major target segment for any state-level initiatives focused on residential treatment utilization, pricing, or capacity management.

Beyond the top lines, many commonly billed outpatient codes appear at typical state volumes or lower ranks (for example, H0038 ranks #16 of 188, 92th percentile; 90837 ranks #1264 of 1956, 35th percentile), reinforcing the interpretation that the organization’s scale and competitive advantage are concentrated in residential and lodging services rather than broad outpatient dominance.

Medicaid: Complete Services Breakdown

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

21 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	133,540	$300	$39.4M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	32,150	$420	$13.5M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	53,990	$170	$9.1M
S9976	Lodging, per diem, not otherwise classified	204,880	$40	$7.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	224,440	$10	$2M
H0038	Self‑help/peer services, per 15 minutes	26,210	$30	$760K
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…	7,500	$80	$622.5K
T1012	Alcohol and/or substance abuse services, skills development	17,870	$30	$536K
H0001	Alcohol and/or drug assessment	4,000	$110	$451.4K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	1,900	$210	$396.7K

Showing 1–10 of 21

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

Sacred Heart Rehabilitation Center, Inc. — 5 of 21 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

21 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	1	70	3,240	$390	$4.7M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	25	40	288,630	$10	$4.4M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	2	50	3,580	$380	$3.7M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1	30	3,980	$460	$2.5M
S9976	Lodging, per diem, not otherwise classified	1	90	6,650	$60	$1M
A0110	Non-emergency transportation and bus, intra or inter state carrier	7	10	100	$1	$872.1K
H0038	Self‑help/peer services, per 15 minutes	16	190	2,210	$70	$754.1K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	38	90	1,700	$190	$542.3K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	48	100	550	$120	$382.3K
H0012	Behavioral health day treatment, per hour	9	20	510	$520	$378K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sacred Heart Rehabilitation Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sacred Heart Rehabilitation Center, Inc	MI	Community/Behavioral Health Agency	$0	$12.9M
Sacred Heart Rehabilitation Center, Inc	MI	Community/Behavioral Health Agency	$206.2K	$11.1M
Sacred Heart Rehabilitation Center, Inc	MI	Community/Behavioral Health Agency	$0	$6.6M

Nearby Providers

Other providers in the same ZIP code as Sacred Heart Rehabilitation Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Growing Smiles, PLLC	MI	Pediatric Dentistry	$0	$7.7M
Richmond Lenox Ems Ambulance Authority	MI	Ambulance	$458.4K	$2.3M
Hengelberth Montufar	MI	Foot & Ankle Surgery Podiatrist	$169K	$0

Sacred Heart Rehabilitation Center, Inc. — Billing Profile & Reimbursement Data

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Sacred Heart Rehabilitation Center, Inc. — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References