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.

Oakland Community Health Network (NPI 1851478622)

Field	Value
Entity Type	Organization
Organization	Oakland Community Health Network
Address	5505 Corporate Dr
City	Troy
State	MI
ZIP	48098
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$19.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	42,950	$240	$10.1M
0365T	Adaptive behavior tx addl	16,920	$170	$2.8M
H0002	Behavioral health screening to determine eligibility for admission to treatment program	13,870	$200	$2.7M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	9,110	$180	$1.6M
0364T	Behavior treatment	10,200	$50	$458.8K
H0031	Mental health assessment, by non-physician	940	$360	$339.1K
0369T	Duodenal mucosal resurfacing, endoscopic	2,190	$150	$337.1K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	2,660	$90	$225.8K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	510	$340	$175.1K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	570	$270	$149.7K

Showing 1–10 of 14

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

Oakland Community Health Network — 1 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	27	130	11,590	$190	$7.6M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	35	130	3,170	$180	$2.2M
0365T	Adaptive behavior tx addl	6	70	3,180	$170	$1.5M
H0031	Mental health assessment, by non-physician	94	180	1,290	$250	$1.1M
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	21	60	200	$380	$398.1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	3	100	550	$120	$382.3K
0369T	Duodenal mucosal resurfacing, endoscopic	13	70	740	$160	$299.1K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	21	100	910	$90	$283.6K
0364T	Behavior treatment	11	70	2,990	$30	$231.4K
0368T	Behavior treatment modified additional	15	70	900	$60	$131K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Oakland Community Health Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usc, LLC	MI	Ambulatory Surgical Clinic/Center	$2.7M	$0
Surgical Centers Of Michigan, LLC.	MI	Ambulatory Surgical Clinic/Center	$830.8K	$10.3K
Hassan Bazzi	MI	Internal Medicine Physician	$359.7K	$0
Joseph Skoney	MI	Internal Medicine Physician	$314.7K	$0
Neil Fraser	MI	Internal Medicine Physician	$309.5K	$0
Brian Williamson	MI	Clinical Cardiac Electrophysiology Physician	$296K	$0
Janet Dubeck	MI	Internal Medicine Physician	$260.2K	$0
Jami Small	MI	Internal Medicine Physician	$253.1K	$0
Timothy Tinetti	MI	Internal Medicine Physician	$249.1K	$0
David Cragg	MI	Cardiovascular Disease Physician	$243.3K	$0

Oakland Community Health Network — Billing Profile & Reimbursement Data

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Oakland Community Health Network — 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