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    OpenPayerNPI Medicare & MedicaidCommunity Homes, Inc.
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    Community Homes, Inc. — Billing Profile & Reimbursement Data

    NPI 1780891614 · Royal Oak, MI · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

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    Community Homes, Inc. is a intellectual and/or developmental disabilities community based residential treatment facility provider located in Royal Oak, Michigan. This profile covers 0 Medicare and 10 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
    OrganizationCommunity Homes, Inc.
    Address3925 Rochester Rd
    CityRoyal Oak
    StateMI
    ZIP48073
    TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    NPI EnumeratedMay 17, 2007

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

    Payer SourceTotal Paid
    Medicaid$7.5M
    Medicare$0

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2015Comprehensive community support services, per 15 minutes84,660$60$5.3M
    H2016Comprehensive community support services, per diem10,780$150$1.6M
    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…11,610$50$557.1K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…40$0$0
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…30$0$0
    H0038Self‑help/peer services, per 15 minutes30$0$0
    H2011Crisis intervention service, per 15 minutes300$0$0
    T1001Nursing assessment / evaluation10$0$0
    T1002Rn services, up to 15 minutes40$0$0
    T1023Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter170$0$0

    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

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2016Comprehensive community support services, per diem1223006,660$310$8.7M
    H2015Comprehensive community support services, per 15 minutes10061014,740$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…892207,030$170$4.6M
    T1023Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter66110480$530$1.5M
    H2011Crisis intervention service, per 15 minutes55801,470$310$1.4M
    H0038Self‑help/peer services, per 15 minutes1831902,210$70$754.1K
    T1002Rn services, up to 15 minutes971101,160$130$508.1K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…232290300$240$336.5K
    T1001Nursing assessment / evaluation6160400$190$284.7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…1,2201,420590$20$57.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William Beaumont HospitalMIHospitalist Physician$0$167.9M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$162.4M
    Judson Center, Inc.MICommunity/Behavioral Health Agency$0$21.2M
    Associated Retinal Consultants, PCMIOphthalmology Physician$0$21.1M
    Allergy & Asthma Associates Of Mi PCMIAllergy & Immunology Physician$0$15.9M
    Sandeep RandhawaMIRetina Specialist (Ophthalmology) Physician$7M$0
    American Anesthesiology Of Michigan PCMIAnesthesiology Physician$0$5.7M
    Joshua RobinsonMIOphthalmology Physician$3.7M$0
    Jeremy WolfeMIRetina Specialist (Ophthalmology) Physician$3.7M$0
    Tamer MahmoudMIRetina Specialist (Ophthalmology) Physician$2.8M$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.

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    Medicaid Revenue by Year vs. Michigan Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Community Homes, Inc. — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan