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.

Stuart T.wilson C.p.a.,p.c. (NPI 1760618961)

Field	Value
Entity Type	Organization
Organization	Stuart T.wilson C.p.a.,p.c.
Address	222 N Saginaw Rd
City	Midland
State	MI
ZIP	48640
Taxonomy	Supports Brokerage Agency
NPI Enumerated	June 3, 2009

Payer Source	Total Paid
Medicaid	$229.4M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a Medicaid-only billing entity, reporting Total Medicaid revenue of $229.4M. The absence of Medicare claims means payer mix is overwhelmingly concentrated on state Medicaid programs rather than dual Medicare/Medicaid lines.

Revenue is extremely concentrated in a very small set of codes: the top 3 Medicaid codes account for 95.5% of this provider's total Medicaid revenue. H2015 alone represents $186.4M (81.3% of total Medicaid revenue), with T1005 and T2025 contributing $18.8M (8.2%) and $13.9M (6.0%) respectively, indicating a narrowly focused service portfolio driving nearly all earnings.

Business/service-line implications from the dominant codes point to a community-based long-term services and supports model: H2015 (Comprehensive community support services, per 15 minutes) as the primary revenue driver suggests intensive, minute-level community support services; T1005 (Respite care services, up to 15 minutes) and T2025 (Waiver services; nos) further indicate a focus on respite and waiver-funded care lines rather than medical/procedural services. Together these codes are consistent with a brokerage/supportive services agency operation rather than a clinical or acute care provider.

Competitive standing in-state is strong for the provider's marquee services. For H2015 the provider ranks #2 of 614 in-state and is described as an extreme outlier (100th percentile), indicating it is a dominant statewide supplier for that specific community support service. T1005 ranks #4 of 106 (97th percentile) and T2025 ranks #2 of 34 (97th percentile), both described as notably above typical state volume and underscoring the provider's high-market-share position across multiple waiver and respite payment lines.

Volume and billing cadence imply operational scale and workforce intensity: H2015 accounts for 2.1M claims at an average paid/claim of $89 and T1005 and T2025 account for 227K and 142.9K claims respectively. The very large count of small-unit claims (per 15-minute increments) suggests this provider operates a high-volume service delivery model that likely requires substantial scheduling, field staffing, and billing infrastructure to manage minute-level encounters.

While the top codes dominate, the provider also reports material but much smaller activity in related services that broaden its service footprint: S0215 (non-emergency transportation) appears at $956.8K and ranks #3 of 107 (98th percentile), indicating the organization also supports substantial transport services; H0043 (supported housing) and H0045 (respite care, not in home) show typical, unremarkable volumes but extend the provider's coverage into housing and facility-based respite services.

The provider’s long tenure — NPI enumerated 2009-06-03 (~17 years ago) — indicates it is an established market participant with sustained relationships in the state Medicaid system, which aligns with the high ranks and concentrated volume observed in waiver and community support codes. This longevity supports the view that the current code mix reflects an entrenched operational model rather than a recent pivot.

The combination of extreme revenue concentration in a single code (H2015 at $186.4M) and top-percentile statewide rankings for multiple waiver/respite codes signals both a strategic strength and a concentration risk: the organization is a dominant provider of specific community support and waiver services in-state, but its financial exposure is highly dependent on the continued stability and reimbursement of those few high-volume codes.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	2,094,120	$90	$186.4M
T1005	Respite care services, up to 15 minutes	227,020	$80	$18.8M
T2025	Waiver services; not otherwise specified (nos)	142,900	$100	$13.9M
T2027	Specialized childcare, waiver; per 15 minutes	72,260	$90	$6.1M
H0043	Supported housing, per diem	15,320	$160	$2.5M
S0215	Non-emergency transportation; mileage, per mile	63,790	$20	$956.8K
H0045	Respite care services, not in the home, per diem	3,200	$170	$538.1K
S5151	Unskilled respite care, not hospice; per diem	900	$110	$94.2K
T2036	Therapeutic camping, overnight, waiver; each session	320	$70	$21.7K
H0038	Self‑help/peer services, per 15 minutes	310	$30	$8.2K

Showing 1–10 of 11

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

Stuart T.wilson C.p.a.,p.c. — 4 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	2	610	14,740	$90	$6M
T2027	Specialized childcare, waiver; per 15 minutes	7	40	23,640	$70	$4.8M
H0043	Supported housing, per diem	48	130	10,330	$210	$4.5M
T2025	Waiver services; not otherwise specified (nos)	2	30	2,980	$100	$2.3M
T1005	Respite care services, up to 15 minutes	4	110	4,910	$80	$2.2M
S5151	Unskilled respite care, not hospice; per diem	6	10	4,190	$130	$885.6K
H0038	Self‑help/peer services, per 15 minutes	150	190	2,210	$70	$754.1K
H0045	Respite care services, not in the home, per diem	6	30	510	$250	$385K
S0215	Non-emergency transportation; mileage, per mile	3	110	2,100	$30	$250.8K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	4	10	770	$10	$136.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Stuart T.wilson C.p.a.,p.c., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central State Community Services, Inc.	MI	Home Health Agency	$0	$77.3M
Personal Assistance Options, Inc	MI	In Home Supportive Care Agency	$0	$14.3M
Arnold Center, Inc.	MI	Community/Behavioral Health Agency	$0	$12.4M
Ten Sixteen Recovery Network	MI	Addiction (Substance Use Disorder) Psychologist	$0	$7.8M
Vail House-midland Inc.	MI	Home Health Agency	$0	$6.2M
Nps Associates, LLC	MI	Ambulatory Surgical Clinic/Center	$652.1K	$215.2K
Adeel Khan	MI	Nephrology Physician	$310.9K	$0
Jennifer Nash	MI	Dermatology Physician	$237.3K	$0
Opesanmi Esan	MI	Clinical Cardiac Electrophysiology Physician	$182.2K	$0
Angela Miller	MI	Nurse Practitioner	$180.1K	$0

Stuart T.wilson C.p.a.,p.c. — Billing Profile & Reimbursement Data

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Stuart T.wilson C.p.a.,p.c. — 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