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.

Walloon Lake Recovery Lodge, LLC (NPI 1750791505)

Field	Value
Entity Type	Organization
Organization	Walloon Lake Recovery Lodge, LLC
Address	2329 Center St
City	Boyne Falls
State	MI
ZIP	49713
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 2, 2014

Payer Source	Total Paid
Medicaid	$23.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	19,170	$800	$15.3M
S9976	Lodging, per diem, not otherwise classified	22,010	$110	$2.4M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	2,590	$870	$2.3M
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…	9,370	$130	$1.2M
S0280	Medical home program, comprehensive care coordination and planning, initial plan	3,100	$160	$507.6K
H0012	Behavioral health day treatment, per hour	460	$880	$404.7K
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…	4,390	$70	$311.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,700	$110	$285.8K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	370	$680	$249.8K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	1,810	$50	$88.5K

Showing 1–10 of 19

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

Walloon Lake Recovery Lodge, LLC — 0 of 19 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

19 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	59	70	3,240	$390	$4.7M
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	9	50	3,580	$380	$3.7M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	16	30	3,980	$460	$2.5M
S9976	Lodging, per diem, not otherwise classified	24	90	6,650	$60	$1M
H0038	Self‑help/peer services, per 15 minutes	163	190	2,210	$70	$754.1K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	25	90	1,700	$190	$542.3K
H2034	Alcohol and/or drug abuse halfway house services, per diem	41	40	3,720	$50	$426.4K
H2036	Alcohol and/or other drug treatment program, per diem	8	10	1,520	$90	$418.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	25	100	550	$120	$382.3K
H0012	Behavioral health day treatment, per hour	10	20	510	$520	$378K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Walloon Lake Recovery Lodge, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Okumura	MI	Anesthesiology Physician	$17.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bear River Health	MI	Substance Abuse Rehabilitation Facility	$0	$38.3M

Walloon Lake Recovery Lodge, LLC — Billing Profile & Reimbursement Data

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Walloon Lake Recovery Lodge, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References