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.

Premier Care Assisted Living (NPI 1841790102)

Field	Value
Entity Type	Organization
Organization	Premier Care Assisted Living
Address	1109 16th St
City	Bay City
State	MI
ZIP	48708
Taxonomy	Foster Care Agency
NPI Enumerated	February 13, 2018

Payer Source	Total Paid
Medicaid	$13.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	3,510	$3,640	$12.8M
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…	1,760	$340	$602.3K

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

Premier Care Assisted Living — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	183	300	6,660	$310	$8.7M
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…	163	220	7,030	$170	$4.6M

Nearby Providers

Other providers in the same ZIP code as Premier Care Assisted Living, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bay-arenac Behavioral Health	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$78.6M
Mclaren Bay Region	MI	General Acute Care Hospital	$0	$31.8M
Liberty Living Inc	MI	Adult Care Home Facility	$0	$10.9M
Mclaren Bay Region	MI	Family Medicine Physician	$0	$9.3M
Recovery Pathways, LLC	MI	Medical Specialty Clinic/Center	$0	$8.1M
In Your Golden Years, LLC	MI	Home Health Agency	$0	$7.7M
Paramount Rehabilitation Services, PC	MI	Physical Therapist	$0	$5.5M
Japhet Joseph	MI	Cardiovascular Disease Physician	$414.3K	$16.3K
Richard Horbal	MI	Allergy & Immunology Physician	$424.8K	$0
Robert Graham	MI	Ophthalmology Physician	$358.5K	$0

Premier Care Assisted Living — Billing Profile & Reimbursement Data

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Premier Care Assisted Living — 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