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.

D A Blodgett-st Johns (NPI 1801929435)

Field	Value
Entity Type	Organization
Organization	D A Blodgett-st Johns
Address	2172 Dean Lake Ave Ne
City	Grand Rapids
State	MI
ZIP	49505
Taxonomy	Clinical Social Worker
NPI Enumerated	March 13, 2007

Payer Source	Total Paid
Medicaid	$20.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	30,880	$200	$6.3M
T1016	Case management, each 15 minutes	19,860	$270	$5.4M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	16,330	$170	$2.8M
90834	In 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…	18,670	$70	$1.3M
H2033	Multisystemic therapy for juveniles, per 15 minutes	2,710	$390	$1.1M
T2022	Case management, per month	3,480	$280	$973K
S9482	Family stabilization services, per 15 minutes	4,900	$160	$788.1K
S5111	Home care training, family; per session	8,230	$80	$683.1K
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…	5,560	$70	$411.5K
H2015	Comprehensive community support services, per 15 minutes	4,120	$50	$210K

Showing 1–10 of 19

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

D A Blodgett-st Johns — 0 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	21	40	3,310	$490	$9.4M
T1017	Targeted case management, each 15 minutes	64	180	10,890	$210	$8.1M
H2015	Comprehensive community support services, per 15 minutes	444	610	14,740	$90	$6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	31	90	8,750	$300	$4.7M
T1016	Case management, each 15 minutes	33	120	8,060	$210	$3.4M
T1005	Respite care services, up to 15 minutes	82	110	4,910	$80	$2.2M
H2033	Multisystemic therapy for juveniles, per 15 minutes	4	10	1,220	$400	$1.2M
H0031	Mental health assessment, by non-physician	122	180	1,290	$250	$1.1M
S5111	Home care training, family; per session	14	80	1,460	$160	$664.5K
S9482	Family stabilization services, per 15 minutes	3	20	500	$230	$541.4K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as D A Blodgett-st Johns, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arbor Circle Corporation	MI	Clinical Social Worker	$0	$47.6M
Hope Network	MI	Community/Behavioral Health Agency	$0	$10.1M
Real Life Living Services, Inc	MI	Home Health Agency	$0	$9.7M
Bryan Figueroa	MI	Neurological Surgery Physician	$7.2K	$0

D A Blodgett-st Johns — Billing Profile & Reimbursement Data

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D A Blodgett-st Johns — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References