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.

Cns Healthcare (NPI 1770538068)

Field	Value
Entity Type	Organization
Organization	Cns Healthcare
Address	24230 Karim Blvd
City	Novi
State	MI
ZIP	48375
Taxonomy	Psychiatry Physician
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$214.3M
Medicare	$0

Key Findings

CNS HEALTHCARE is effectively a single‑payer Medicaid provider at scale: there is no Medicare billing on file and the lifetime Medicaid revenue on record is $214.3M, indicating the organization’s entire observed federal reimbursement footprint is concentrated in Medicaid. This concentration has implications for payer dependence and contract negotiations with state Medicaid programs.

Revenue is highly concentrated in a small set of community behavioral health service lines: the top three Medicaid codes — T1040 ($87.5M, 41.1%), T1017 ($38.4M, 18.0%), and H0039 ($16.4M, 7.7%) — together account for 66.9% of the provider’s total Medicaid revenue. This concentration shows the business is driven primarily by per‑diem CBHC services, targeted case management, and assertive community treatment.

The code mix points to an operation structured around intensive community behavioral health models rather than primarily office‑based psychiatry. Heavy revenue from T1040 (Medicaid certified community behavioral health clinic services, per diem), T1017 (targeted case management, each 15 minutes), and H0039 (assertive community treatment, per 15 minutes) indicates integrated care coordination, high case management intensity, and multidisciplinary outreach teams delivering services in community settings.

CNS HEALTHCARE is a dominant statewide performer on several Medicaid activity metrics. T1017 ranks #3 of 175 providers in‑state (99th percentile; extreme outlier) and H0039 ranks #2 of 67 (98th percentile; extreme outlier), which together suggest the provider is among the top suppliers of targeted case management and ACT services in Michigan; T1040 also ranks strongly at #5 of 42 (90th percentile; notably above typical state volume).

Beyond the top three codes, the provider records exceptionally high volume on several supportive service lines that enable community programs: T1002 (Rn services) is #1 of 110 providers in‑state (100th percentile; extreme outlier), S9445 (patient education, non‑physician) ranks #2 of 50 (98th percentile; extreme outlier), and 96372 (injections) ranks #12 of 1419 (99th percentile; extreme outlier). These rankings point to operational capacity for nursing, education, and procedure support integral to community behavioral health workflows.

CNS HEALTHCARE also reports large office/outpatient E&M and psychotherapy activity alongside community services, indicating a blended model of clinic- and community‑based care. Examples include 99213 (92.7K claims, $9.5M, 4.5% of Medicaid revenue) which ranks #21 of 4766 in‑state (100th percentile; extreme outlier) and psychotherapy code 90837 (25.6K claims, $6.4M, 3.0% of Medicaid revenue) which ranks #48 of 1956 (98th percentile; notably above typical state volume).

While revenue is concentrated in a few high‑impact codes, the provider’s overall Medicaid portfolio shows meaningful diversification across care coordination and psychosocial supports: codes such as S0280 (medical home program), H2030 (mental health clubhouse), H0038 (self‑help/peer services), and multiple psychotherapy codes (90834, 90832) contribute nontrivial shares of revenue and reflect a multi‑modal service offering. This diversification may reduce operational risk tied to any single payment modality.

The provider has an extended tenure in the NPI registry, enumerated 2006‑05‑24 (~20 years ago), which supports the interpretation that these high volumes and statewide rankings are built over a long operating history rather than representing a very recent expansion. Longevity combined with the extreme percentile rankings for several codes suggests entrenched Medicaid relationships and established service lines in Michigan.

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1040	Medicaid certified community behavioral health clinic services, per diem	291,560	$300	$87.5M
T1017	Targeted case management, each 15 minutes	284,300	$140	$38.4M
H0039	Assertive community treatment, face-to-face, per 15 minutes	119,580	$140	$16.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	92,680	$100	$9.5M
H2030	Mental health clubhouse services, per 15 minutes	65,020	$120	$7.9M
H0038	Self‑help/peer services, per 15 minutes	55,530	$120	$6.8M
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…	25,600	$250	$6.4M
T1002	Rn services, up to 15 minutes	65,780	$80	$5.1M
S0280	Medical home program, comprehensive care coordination and planning, initial plan	13,280	$320	$4.2M
H0031	Mental health assessment, by non-physician	14,910	$230	$3.4M

Showing 1–10 of 40

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

Cns Healthcare — 11 of 25 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	3	180	10,890	$210	$8.1M
T1040	Medicaid certified community behavioral health clinic services, per diem	5	40	30,550	$80	$6.8M
H0039	Assertive community treatment, face-to-face, per 15 minutes	2	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	56	90	8,750	$300	$4.7M
H2030	Mental health clubhouse services, per 15 minutes	6	60	22,740	$80	$2.3M
H2019	Therapeutic behavioral services, per 15 minutes	10	30	3,330	$200	$1.6M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	65	110	480	$530	$1.5M
H2023	Supported employment, per 15 minutes	49	110	5,150	$90	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	16	50	1,690	$460	$1.4M
H2011	Crisis intervention service, per 15 minutes	42	80	1,470	$310	$1.4M

Showing 1–10 of 40

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cns Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammad Yousuf	MI	Pulmonary Disease Physician	$35.3K	$0
Michele Leno	MI	Clinical Psychologist	$31.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Biotech Clinical Laboratories Inc	MI	Clinical Medical Laboratory	$8.1M	$49.9M
Theoria Medical	MI	Internal Medicine Physician	$0	$9.6M
University Pediatricians Autism Center	MI	Behavior Analyst	$0	$9.1M
Novi Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$1.5M	$0
Eric Kovan	MI	Physical Medicine & Rehabilitation Physician	$510.6K	$0
Dorin Deitch	MI	Physical Medicine & Rehabilitation Physician	$283.1K	$0
Jenny Michaels	MI	Physical Medicine & Rehabilitation Physician	$251K	$0
Jessica Martinelli	MI	Nurse Practitioner	$178.5K	$0
Michael Haenick	MI	Physical Medicine & Rehabilitation Physician	$167.1K	$0
Thomas Sheppard	MI	Physical Therapist	$153.2K	$0

Cns Healthcare — Billing Profile & Reimbursement Data

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Cns Healthcare — 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