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.

Quest, Inc. (NPI 1871538108)

Field	Value
Entity Type	Organization
Organization	Quest, Inc.
Address	36141 Schoolcraft Rd
City	Livonia
State	MI
ZIP	48150
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	June 19, 2006

Payer Source	Total Paid
Medicaid	$72.8M
Medicare	$0

Key Findings

QUEST, INC. is effectively a Medicaid-focused provider with no Medicare billing on file and $72.8M in lifetime Medicaid revenue; the absence of Medicare activity indicates the organization operates primarily within state Medicaid programs rather than serving traditional Medicare beneficiaries.

Revenue concentration is very high: the precomputed top 3 Medicaid codes account for 84.4% of the provider's total Medicaid revenue, indicating a business model tightly centered on a few service types rather than a broad mix of billable activities.

H2016 (Comprehensive community support services, per diem) is the single largest revenue driver with $30.5M (41.9% of Medicaid revenue) across 34.9K claims and a $873 avg paid/claim; the provider ranks #65 of 297 in-state (78th percentile), which suggests typical but substantial volume for this service within Michigan.

T1020 (Personal care services, per diem) contributes $19M (26.1% of Medicaid revenue) from 35.6K claims at a $534 avg paid/claim and ranks #47 of 221 providers in-state (79th percentile); this underscores a major operational emphasis on personal care delivered under individualized plans.

H0043 (Supported housing, per diem) generates $11.9M (16.4% of Medicaid revenue) over 35.8K claims with a $334 avg paid/claim and ranks #22 of 130 providers in-state (84th percentile), indicating a strong competency and significant scale in supported housing relative to most peers.

The broader code mix (including H2015 at $6.5M and T2027 at $3.1M) shows the organization offers a continuum of community-based developmental and residential supports—comprehensive community support, per-diem personal care, supported housing, skills training, and specialized childcare—consistent with its taxonomy as an Intellectual and/or Developmental Disabilities Residential Treatment Facility.

Competitive standing across key Medicaid services is generally in the mid-to-high percentile range rather than dominant: ranks cluster in the 61st–93rd percentile band (for example H2015 at the 93th percentile and H0043 at the 84th), which signals that QUEST, INC. is a solid regional player with above-typical volumes for several codes but not an outlier monopolist.

QUEST, INC. has a long operational tenure, with an NPI enumerated on 2006-06-19 (~20 years ago), supporting the interpretation that its Medicaid-centric service lines and payer relationships are established and persistent over time.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	34,940	$870	$30.5M
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…	35,570	$530	$19M
H0043	Supported housing, per diem	35,760	$330	$11.9M
H2015	Comprehensive community support services, per 15 minutes	187,030	$40	$6.5M
T2027	Specialized childcare, waiver; per 15 minutes	88,970	$40	$3.1M
H2014	Skills training and development, per 15 minutes	40,450	$40	$1.5M
H2023	Supported employment, per 15 minutes	3,180	$70	$213K

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

Quest, Inc. — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	65	300	6,660	$310	$8.7M
H2015	Comprehensive community support services, per 15 minutes	45	610	14,740	$90	$6M
T2027	Specialized childcare, waiver; per 15 minutes	5	40	23,640	$70	$4.8M
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…	47	220	7,030	$170	$4.6M
H0043	Supported housing, per diem	22	130	10,330	$210	$4.5M
H2014	Skills training and development, per 15 minutes	50	130	20,660	$50	$3.8M
H2023	Supported employment, per 15 minutes	63	110	5,150	$90	$1.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lajoy Group	MI	Home Health Agency	$0	$46M
Lajoy Fi	MI	Supports Brokerage Agency	$0	$45.1M
Hegira Health, Inc	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.4M
Wayne Center	MI	Psychologist	$0	$22.6M
Domel Incorporated	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21M
New Outlook, Inc.	MI	Adult Companion	$0	$17.6M
Inpatient Consultants Of Michigan PC	MI	Hospitalist Physician	$0	$12.9M
Zelexa, LLC	MI	Behavior Analyst	$0	$12M
Resource Transportation Group, LLC	MI	Non-emergency Medical Transport (VAN)	$0	$6.8M
Juliana Grey	MI	Internal Medicine Physician	$897.9K	$0

Quest, Inc. — Billing Profile & Reimbursement Data

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Quest, 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