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.

Community Mental Health For Central Michigan (NPI 1881622892)

Field	Value
Entity Type	Organization
Organization	Community Mental Health For Central Michigan
Address	301 S Crapo St
City	Mt Pleasant
State	MI
ZIP	48858
Taxonomy	Psychiatry Physician
NPI Enumerated	June 29, 2006
NPI Deactivated	November 23, 2018

Payer Source	Total Paid
Medicaid	$255.8M
Medicare	$0

Key Findings

This entity is effectively a single-payer Medicaid provider: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $255.8M, indicating its operations and revenue base are almost entirely Medicaid-driven. Analysts should treat Medicaid patterns as representative of the organization’s scale and service mix rather than a mixed Medicare/Medicaid profile.

Revenue is concentrated in a small set of high-volume community behavioral health services: the top 3 Medicaid codes account for 37.4% of the provider’s total Medicaid revenue, with T1017 alone generating $51.7M (21.6% of Medicaid revenue). This concentration signals dependency on targeted case management and similar care coordination services for a large share of overall revenue.

T1017 (Targeted case management) is the single largest revenue driver at $51.7M and ranks #6 of 175 providers in-state (97th percentile), which positions the provider among the state’s largest users of this service. High ranking and the code’s share of revenue imply a major operational emphasis on case management and population-level care coordination.

Clinical psychotherapy and family therapy are large-volume lines: 90837 (70K claims, $14.5M; ranked at the 100th percentile among 1956 in-state providers and labeled an extreme outlier) and 90847 (48.8K claims, $9.6M; rank #1 of 174, 100th percentile, extreme outlier) show very high psychotherapy throughput. These extreme outlier rankings indicate the provider delivers psychotherapy at a scale far above typical state volume, consistent with a high-capacity outpatient behavioral health operation.

The provider shows strong statewide competitive standing across multiple community mental health service codes: H0036 ($19.7M, rank #5 of 93, 96th percentile), H0039 ($18.3M, rank #5 of 67, 94th percentile), and 90791 ($8.5M, rank #6 of 784, 99th percentile) all rank in the top percentiles for Michigan, indicating the organization is a major in-state player for assertive community treatment, community psychiatric supportive treatment, and psychiatric evaluation services. These rankings suggest broad service delivery capabilities across both therapy and intensive community-based programs.

Primary care/office visit E/M codes also appear at scale—99214 ($14.1M, rank #58 of 4380, 99th percentile) and 99213 ($7.4M, rank #152 of 4766, 97th percentile)—which signals substantial ongoing outpatient management of established patients in addition to specialty behavioral services. The combination of high E/M volumes with intensive community codes indicates integrated outpatient management alongside community-based interventions.

Several high per-claim reimbursement codes contribute material revenue and reflect specialized program activity: T1023 ($12.8M, $1011 avg paid/claim, rank #9 of 107, 92nd percentile), 97155 ($4.6M, $979 avg paid/claim, rank #58 of 129, 55th percentile), and 90792 ($4.4M, $1032 avg paid/claim, rank #24 of 288, 92nd percentile). These items point to billable screening, adaptive behavior treatment modifications, and evaluation-with-medical-services that supplement the provider’s core case management and therapy mix.

The provider has a long tenure in claims data, with NPI enumerated 2006-06-29 (~20 years ago), which supports interpreting these high-volume Medicaid patterns as established operational behavior rather than a short-term spike. Given the combination of long tenure and repeated extreme outlier rankings on multiple therapy and community-service codes, the organization appears to be a well-established, high-capacity Medicaid behavioral health provider in Michigan.

Medicaid: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	202,920	$260	$51.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	53,070	$370	$19.7M
H0039	Assertive community treatment, face-to-face, per 15 minutes	71,670	$260	$18.3M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	70,000	$210	$14.5M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	42,160	$330	$14.1M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	12,630	$1,010	$12.8M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	6,240	$1,770	$11M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	48,820	$200	$9.6M
T1016	Case management, each 15 minutes	50,930	$190	$9.4M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	13,400	$630	$8.5M

Showing 1–10 of 53

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

Community Mental Health For Central Michigan — 13 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	6	180	10,890	$210	$8.1M
H2015	Comprehensive community support services, per 15 minutes	377	610	14,740	$90	$6M
H0039	Assertive community treatment, face-to-face, per 15 minutes	5	70	20,710	$180	$5.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	5	90	8,750	$300	$4.7M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	19	40	4,680	$30	$4M
H2014	Skills training and development, per 15 minutes	86	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	7	120	8,060	$210	$3.4M
H2030	Mental health clubhouse services, per 15 minutes	11	60	22,740	$80	$2.3M
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…	58	130	3,170	$180	$2.2M
H2019	Therapeutic behavioral services, per 15 minutes	2	30	3,330	$200	$1.6M

Showing 1–10 of 53

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Katelyn Campbell	MI	Occupational Therapist	$7.6K	$0

Nearby Providers

Other providers in the same ZIP code as Community Mental Health For Central Michigan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcbride Quality Care Services, Inc	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$84.6M
Crisis Center Inc	MI	Community/Behavioral Health Agency	$0	$50.8M
Christian Home Services Inc	MI	Home Health Agency	$0	$32.4M
Michigan Therapeutic Consultants PC	MI	Methadone Clinic	$530K	$23.8M
Mid-michigan Industries, Inc.	MI	Developmentally Disabled Services Day Training Agency	$0	$21.7M
Mclaren Central Michigan	MI	Rural Acute Care Hospital	$0	$14.9M
Cencare Foster Care Home, Inc	MI	Foster Care Agency	$0	$11.2M
Central Michigan Non Profit Housing	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.3M
Family Home Health Care Services Inc	MI	Home Health Agency	$0	$7M
Isabella Citizens For Health, Inc.	MI	Federally Qualified Health Center (FQHC)	$0	$5.8M

Community Mental Health For Central Michigan — Billing Profile & Reimbursement Data

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Community Mental Health For Central Michigan — 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

Nearby Providers

Frequently Asked Questions

References