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.

Copper Country Community Mental Health Services (NPI 1881607497)

Field	Value
Entity Type	Organization
Organization	Copper Country Community Mental Health Services
Address	901 W. Memorial Dr.
City	Houghton
State	MI
ZIP	49931
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 14, 2006

Payer Source	Total Paid
Medicaid	$79.2M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: reported Total Medicaid revenue is $79.2M and there is no Medicare billing on file, so its revenue base and payer exposure are concentrated almost entirely in Medicaid rather than a dual Medicare/Medicaid mix. That single-payer footprint increases sensitivity to state Medicaid policy and reimbursement changes.

Revenue concentration is very high: the precomputed top-3 Medicaid codes account for 57.6% of this provider's total Medicaid revenue, with H2016 at $26.4M (33.4% of Medicaid revenue), T1020 at $10.4M (13.2%), and H2015 at $8.7M (11.1%). This indicates a heavy reliance on a small set of community-support and personal-care service lines for the majority of cash flow.

The code mix and volumes point to a community-based behavioral health model: H2016 (Comprehensive community support services, per diem) shows 132.4K claims and $26.4M revenue, and T1020 (Personal care services, per diem) shows 130.2K claims and $10.4M revenue, indicating day-rate, community-support and personal-care delivery at scale. Complementary codes such as H2015 (comprehensive community support, per 15 minutes), H0039 (Assertive community treatment), T1017 (Targeted case management) and H2030 (clubhouse services) show the provider operates integrated community mental health, case management, and rehabilitation programs rather than a narrow outpatient-only clinic.

Competitive standing is uneven by service line: for H2016 the provider ranks #13 of 297 in-state (96th percentile), which by rank places it among the larger statewide providers for that service, although the dataset characterizes that H2016 volume as "typical, unremarkable volume for this code." By contrast, T1020 ranks #12 of 221 (95th percentile) and is explicitly described as "notably above typical state volume," signaling that the provider is a high-volume, above-typical deliverer of personal care per diem services within Michigan.

Beyond the top three drivers, the provider maintains a broad service footprint that includes intensive and specialty community supports: H0039 (Assertive community treatment) generated $5.6M (7.0%), T1017 (Targeted case management) $4.1M (5.2%), and H2030 (Mental health clubhouse services) $3.3M (4.1%). This mix — together with non-procedural mental health codes such as H0032, H0031 and multiple psychotherapy and E/M codes — supports characterization as a community mental health center delivering ACT, case management, clubhouse programming and both individual and group psychotherapy.

There are notable per-claim payment concentrations for a few low-volume codes: H2011 (crisis intervention) shows a $1107 avg paid/claim with $732.8K revenue (0.9% of Medicaid revenue) and T1023 (screening per encounter) shows a $2545 avg paid/claim with $300.3K revenue (0.4%). Both codes have modest statewide ranks (H2011 #47 of 76, 39th percentile; T1023 #72 of 107, 33th percentile) but their high avg paid/claim suggests episodic high-reimbursement events within an otherwise per-diem and time-based payment mix.

Clinical outpatient activity meaningfully supplements community supports: 99213 generated $2.1M (2.7%) and 99214 $1.8M (2.3%), while psychotherapy codes such as 90837 produced $1.6M (2.1%) and 90834 $1.1M (1.3%). These E/M and psychotherapy revenues rank in elevated state percentiles (for example 99213 at 81th percentile and 90837 at 82th percentile), indicating the organization also operates a sizable traditional outpatient/office-visit component alongside its community programs.

The provider has long tenure in the NPI registry (enumerated 2006-08-14, approximately 20 years ago), which, combined with $79.2M lifetime Medicaid revenue and the heavy concentration in core community-support codes, suggests an established, stable community mental health operation with deep reliance on state Medicaid contracting and service categories.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	132,430	$200	$26.4M
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…	130,190	$80	$10.4M
H2015	Comprehensive community support services, per 15 minutes	34,400	$250	$8.7M
H0039	Assertive community treatment, face-to-face, per 15 minutes	20,710	$270	$5.6M
T1017	Targeted case management, each 15 minutes	13,680	$300	$4.1M
H2030	Mental health clubhouse services, per 15 minutes	21,480	$150	$3.3M
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…	7,300	$390	$2.8M
H2014	Skills training and development, per 15 minutes	21,330	$120	$2.5M
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…	6,230	$340	$2.1M
T1016	Case management, each 15 minutes	9,320	$220	$2M

Showing 1–10 of 31

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

Copper Country Community Mental Health Services — 1 of 25 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	13	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	85	180	10,890	$210	$8.1M
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…	78	130	11,590	$190	$7.6M
H2015	Comprehensive community support services, per 15 minutes	198	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	34	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	69	90	8,750	$300	$4.7M
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…	12	220	7,030	$170	$4.6M
H2014	Skills training and development, per 15 minutes	64	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	55	120	8,060	$210	$3.4M
H2030	Mental health clubhouse services, per 15 minutes	29	60	22,740	$80	$2.3M

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with Copper Country Community Mental Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sasi Nayudu	GA	Psychiatry Physician	$43.8K	$11.5K

Copper Country Community Mental Health Services — Billing Profile & Reimbursement Data

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Copper Country Community Mental Health Services — 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

Related Providers

Frequently Asked Questions

References