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.

Beacon Specialized Living Services, Inc. (NPI 1790835296)

Field	Value
Entity Type	Organization
Organization	Beacon Specialized Living Services, Inc.
Address	555 Railroad St
City	Bangor
State	MI
ZIP	49013
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	January 10, 2007

Payer Source	Total Paid
Medicaid	$302.4M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation: there is no Medicare billing on file and lifetime Medicaid revenue is $302.4M, indicating the organization’s entire recorded public reimbursement footprint for the reviewed period is Medicaid‑driven. The absence of Medicare activity suggests services are targeted to Medicaid populations rather than traditional Medicare beneficiaries.

Revenue is highly concentrated in a very small set of per‑diem service codes: the top 3 Medicaid codes account for 97.7% of the provider’s total Medicaid revenue, with H2016 alone representing $225.7M (74.6% of Medicaid revenue). This concentration implies the organization’s business model is built around a narrow set of high‑volume, recurring daily services rather than a broad mix of episodic clinical procedures.

Operational profile is consistent with a residential/intellectual‑developmental disability service model: the dominant codes are H2016 (Comprehensive community support services, per diem), T1020 (Personal care services, per diem), and H0043 (Supported housing, per diem). High claim counts (183.1K claims for H2016 and 179.5K claims for T1020) coupled with per‑diem payments ($1233 avg paid/claim for H2016; $359 avg paid/claim for T1020; $376 avg paid/claim for H0043) indicate day‑to‑day care and housing support are core revenue drivers.

Competitive standing in‑state is strong for the two largest codes: H2016 ranks #6 of 297 providers in‑state (98th percentile) and T1020 ranks #4 of 221 providers in‑state (99th percentile), each labeled as notably above typical state volume. These rankings position the provider as a major regional operator for comprehensive community support and personal care per‑diem services, while H0043 is more typical in scale (rank #52 of 130, 60th percentile).

The provider’s service mix suggests scale efficiencies in high‑volume per‑diem delivery rather than specialty outpatient care: despite some billing for office E/M and therapy codes, these account for negligible revenue compared with the top per‑diem codes (e.g., 99212 appears but contributes only $135.7K). This pattern is consistent with a network focused on long‑duration residential and support services where per‑diem rates drive cash flow.

From a payer risk and contract management perspective, reliance on a tiny set of high‑volume per‑diem codes creates material concentration exposure: H2016 and T1020 together make up $225.7M + $64.5M of the $302.4M total and are explicitly described as notably above typical state volume. Any Medicaid policy, rate, or authorization changes affecting those per‑diem codes could materially affect this provider’s revenue.

Tenure is long enough to suggest established operations: the NPI was enumerated 2007-01-10 (~19 years ago), indicating nearly two decades of participation in the Medicaid system. That longevity, combined with the provider’s high in‑state ranks on core codes, supports the characterization of an entrenched regional provider for IDD residential/support services.

Beyond the two dominant codes, the remaining billed codes are low‑volume and broadly distributed across typical behavioral‑health and case‑management CPT/H codes, each contributing only fractional shares of revenue. These smaller lines of billing (for example H2015, H0018, and various case‑management and outpatient E/M codes) appear operationally ancillary to the provider’s core per‑diem housing and support business rather than primary revenue drivers.

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	183,060	$1,230	$225.7M
T1020	Personal 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…	179,540	$360	$64.5M
H0043	Supported housing, per diem	14,190	$380	$5.3M
H2015	Comprehensive community support services, per 15 minutes	12,610	$240	$3M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	2,720	$900	$2.4M
T1017	Targeted case management, each 15 minutes	9,440	$80	$764.6K
S9976	Lodging, per diem, not otherwise classified	6,450	$30	$167.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	680	$200	$135.7K
T1016	Case management, each 15 minutes	390	$170	$66.2K
H2000	Comprehensive multidisciplinary evaluation	640	$90	$57.9K

Showing 1–10 of 29

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

Beacon Specialized Living Services, Inc. — 2 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	6	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	90	180	10,890	$210	$8.1M
H2015	Comprehensive community support services, per 15 minutes	322	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	63	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	88	90	8,750	$300	$4.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	37	70	3,240	$390	$4.7M
T1020	Personal 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…	4	220	7,030	$170	$4.6M
H0043	Supported housing, per diem	52	130	10,330	$210	$4.5M
H2014	Skills training and development, per 15 minutes	116	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	107	120	8,060	$210	$3.4M

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as Beacon Specialized Living Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Our Haus Inc	MI	Assisted Living Facility	$0	$15.9M
Cornerstone I Inc.	MI	Mental Illness Community Based Residential Treatment Facility	$0	$7.1M

Beacon Specialized Living Services, Inc. — Billing Profile & Reimbursement Data

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Beacon Specialized Living Services, Inc. — 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