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.

Sparks Behavioral Services LLC (NPI 1891221883)

Field	Value
Entity Type	Organization
Organization	Sparks Behavioral Services LLC
Address	3769 Quarton Rd
City	Bloomfield Township
State	MI
ZIP	48302
Taxonomy	Behavior Analyst
NPI Enumerated	May 11, 2017

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2000	Comprehensive multidisciplinary evaluation	15,860	$230	$3.6M
H0032	Mental health service plan development by non-physician	17,450	$160	$2.8M
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…	200	$1,750	$342K
H0031	Mental health assessment, by non-physician	70	$1,870	$121.5K

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

Sparks Behavioral Services LLC — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0032	Mental health service plan development by non-physician	25	180	2,030	$170	$1.2M
H0031	Mental health assessment, by non-physician	155	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…	33	60	200	$380	$398.1K
H2000	Comprehensive multidisciplinary evaluation	1	150	400	$170	$198.9K

Nearby Providers

Other providers in the same ZIP code as Sparks Behavioral Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bloomfield Hills Surgery Center	MI	Ambulatory Surgical Clinic/Center	$2.2M	$0
Abul Shamsuddoha	MI	Internal Medicine Physician	$24.5K	$761.3K
Township Of Bloomfield	MI	Land Ambulance	$396.6K	$296.8K
Darius Karimipour	MI	Dermatology Physician	$529.2K	$0
Leslie Grosinger	MI	Ophthalmology Physician	$392.7K	$0
Diego Hernandez	MI	Vascular Surgery Physician	$384.2K	$0
Alan Spigelman	MI	Ophthalmology Physician	$308.7K	$0
David Grey	MI	Ophthalmology Physician	$284.7K	$0
Hazem Nassif	MI	Infectious Disease Physician	$231.8K	$0
Marc Wittenberg	MI	Pain Medicine Physician	$228.4K	$0

Sparks Behavioral Services LLC — Billing Profile & Reimbursement Data

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Sparks Behavioral Services LLC — 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