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    OpenPayerNPI Medicare & MedicaidFlatrock Manor Inc.
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    Flatrock Manor Inc. — Billing Profile & Reimbursement Data

    NPI 1750824181 · Flushing, MI · Intellectual and/or Developmental Disabilities Residential Treatment Facility

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    Flatrock Manor Inc. is a intellectual and/or developmental disabilities residential treatment facility provider located in Flushing, Michigan. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFlatrock Manor Inc.
    Address7012 River Rd
    CityFlushing
    StateMI
    ZIP48433
    TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
    NPI EnumeratedDecember 3, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$109.9M
    Medicare$0

    Key Findings

    FLATROCK MANOR INC. is effectively a Medicaid-centric provider: Total Medicare revenue is none (no Medicare billing on file), while total Medicaid revenue is $109.9M, indicating near-exclusive dependence on Medicaid reimbursement for its operations. This single-payer concentration makes Medicaid payment policy and state-level rate changes primary drivers of the provider’s revenue risk and growth opportunities.

    Revenue is highly concentrated in a handful of service lines: the precomputed top 3 Medicaid codes by revenue account for 99.7% of this provider's total Medicaid revenue. Those three codes are H2016 ($72.6M, 66.0%), T1020 ($24.3M, 22.1%), and H2015 ($12.8M, 11.6%), which together form the overwhelming majority of reported Medicaid billing and revenue.

    The code mix (H2016 – Comprehensive community support services, per diem; T1020 – Personal care services, per diem; H2015 – Comprehensive community support services, per 15 minutes) points to a residential and community-based long-term support operation. Heavy per-diem billing and large claim volumes (H2016: 150.6K claims; T1020: 142.8K claims; H2015: 34.3K claims) are consistent with ongoing residential care or day habilitation services for individuals with intellectual and developmental disabilities rather than episodic acute-care activity.

    FLATROCK’s statewide competitive standing on its two largest codes is strong: it ranks #9 of 297 providers in-state for H2016 (97th percentile; notably above typical state volume) and #10 of 221 providers in-state for T1020 (96th percentile; notably above typical state volume). These rankings indicate the provider is a major regional participant for per-diem comprehensive community supports and personal care services within Michigan.

    By contrast, H2015 (comprehensive community support services, per 15 minutes) is a routine performer for this provider: it generates $12.8M (11.6% of Medicaid revenue) and ranks #199 of 614 providers in-state (68th percentile), which suggests typical, unremarkable volume for time-based units versus the per-diem models where FLATROCK is concentrated. This split implies operational preference or contracting that favors per-diem reimbursement structures over minute-based billing.

    Ancillary and case-management codes contribute negligible revenue relative to the top three: T1017 produced $220.5K (716 claims), T1016 produced $42.2K (210 claims), and H0032 produced $31.9K (404 claims), each representing 0.2% or less of total Medicaid revenue. These small-dollar streams indicate limited reliance on case management or non-residential mental health plan development as separate revenue drivers.

    Operational implication: the provider’s business model appears to rely on high-volume, per-diem service delivery with relatively predictable recurring revenue per resident (average paid/claim values reported as H2016 $482, T1020 $170, H2015 $372). That profile supports scale advantages in staffing and bed/slot utilization but also concentrates exposure to changes in per-diem reimbursement and program eligibility.

    Tenure and market presence: the NPI was enumerated 2016-12-03 (~10 years ago), giving FLATROCK roughly a decade of billing history in Medicare/Medicaid systems. Combined with the provider’s top-state percentile rankings on H2016 and T1020, the data portray an established regional operator of intellectual and developmental disabilities residential/community support services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem150,610$480$72.6M
    T1020Personal 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…142,770$170$24.3M
    H2015Comprehensive community support services, per 15 minutes34,280$370$12.8M
    T1017Targeted case management, each 15 minutes720$310$220.5K
    T1016Case management, each 15 minutes210$200$42.2K
    H0032Mental health service plan development by non-physician400$80$31.9K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2016Comprehensive community support services, per diem93006,660$310$8.7M
    T1017Targeted case management, each 15 minutes13418010,890$210$8.1M
    H2015Comprehensive community support services, per 15 minutes19961014,740$90$6M
    T1020Personal 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…102207,030$170$4.6M
    T1016Case management, each 15 minutes1101208,060$210$3.4M
    H0032Mental health service plan development by non-physician1231802,030$170$1.2M

    Nearby Providers

    Other providers in the same ZIP code as Flatrock Manor Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Plus Healthcare Services LLCMINursing Care Agency$0$49.7M
    Freedom Work Opportunities Of Genesee County, IncMIDevelopmentally Disabled Services Day Training Agency$0$18.5M
    Madar AbedMICardiovascular Disease Physician$266.7K$0
    Mohammad AlkotobMICardiovascular Disease Physician$201K$0
    Rite Aid Of Michigan IncMICommunity/Retail Pharmacy$28.4K$0
    Ryan McclainMIPhysician Assistant$20.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Michigan Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Flatrock Manor Inc. — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan