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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPatricia Hawkins
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    Patricia Hawkins — Billing Profile & Reimbursement Data

    NPI 1801004999 · Grand Rapids, MI · Mental Health Counselor

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    Patricia Hawkins is a mental health counselor provider located in Grand Rapids, Michigan. This profile covers 0 Medicare and 18 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 TypeIndividual
    OrganizationPatricia Hawkins
    Address339 Division Ave S
    CityGrand Rapids
    StateMI
    ZIP49503
    TaxonomyMental Health Counselor
    NPI EnumeratedMay 20, 2007

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

    Payer SourceTotal Paid
    Medicaid$5.3M
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem1,230$1,870$2.3M
    T1017Targeted case management, each 15 minutes4,220$160$653.8K
    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…1,240$450$552K
    T1016Case management, each 15 minutes2,920$140$418.1K
    T2022Case management, per month1,650$240$403.1K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…2,150$130$279K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…1,730$120$198.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,030$160$161.6K
    99213The 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…1,320$120$154.8K
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem70$1,580$105.9K

    Showing 1–10 of 18

    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

    18 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2022Case management, per month25403,310$490$9.4M
    H2016Comprehensive community support services, per diem2243006,660$310$8.7M
    T1017Targeted case management, each 15 minutes10618010,890$210$8.1M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem66703,240$390$4.7M
    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…1742207,030$170$4.6M
    H0043Supported housing, per diem13013010,330$210$4.5M
    T1016Case management, each 15 minutes851208,060$210$3.4M
    S9976Lodging, per diem, not otherwise classified89906,650$60$1M
    H0038Self‑help/peer services, per 15 minutes1621902,210$70$754.1K
    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…258290300$240$336.5K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pine Rest Christian Mental Health ServicesMIPsychiatric Hospital$0$54.8M
    Family Outreach CenterMIMental Health Clinic/Center (Including Community Mental Health Center)$0$15.6M
    Shady ShebakMIPsychiatry Physician$109.3K$120.8K
    Amy ReedMIPsychiatric/Mental Health Nurse Practitioner$73.5K$0
    Jonathan DargoMIPsychiatry Physician$36.4K$0
    Louis NykampMIPsychiatry Physician$33.1K$0
    Philip FoxMIPsychiatry Physician$30.3K$0
    Kathleen ReganMIPsychiatry Physician$24.2K$0
    Afiah AhsanWVPsychiatry Physician$20.7K$0
    Nagy YoussefMIPsychiatry Physician$16.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectrum Health HospitalsMIGeneral Acute Care Hospital$0$243.2M
    Kent County Cmh AuthorityMICommunity/Behavioral Health Agency$0$97.6M
    Saint Mary's Health ServicesMIGeneral Acute Care Hospital$0$92M
    Cancer & Hematology Centers Of Western Mi, P.C.MISpecialist$0$59.5M
    Cherry Street Services, Inc.MIFederally Qualified Health Center (FQHC)$0$50.9M
    Ecs Western Michigan PCMIEmergency Medicine Physician$0$50.6M
    Neo Natal Associates PlcMINeonatal-Perinatal Medicine Physician$0$27.7M
    Spectrum Health HospitalsMIHospitalist Physician$0$25.2M
    Life Ems IncMILand Ambulance$3.1M$22M
    Cherry Street Services, Inc.MIFederally Qualified Health Center (FQHC)$0$24.6M

    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
    2 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Patricia Hawkins — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan