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.

The Arc Of Oakland County, Inc (NPI 1932570595)

Field	Value
Entity Type	Organization
Organization	The Arc Of Oakland County, Inc
Address	1641 W Big Beaver Rd
City	Troy
State	MI
ZIP	48084
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	October 8, 2015

Payer Source	Total Paid
Medicaid	$171.1M
Medicare	$0

Key Findings

THE ARC OF OAKLAND COUNTY, INC has no Medicare billing on file and is effectively a single-payer Medicaid operator at scale, with lifetime Medicaid revenue of $171.1M reported. This concentration means payer strategy and competitive analysis should focus almost entirely on Medicaid program behavior and state waiver dynamics rather than Medicare fee-for-service markets.

Revenue is highly concentrated in a very small set of service codes: the precomputed top three Medicaid codes (H2015, T1005, T2027) together account for 95.3% of the provider’s Medicaid revenue. Specifically, H2015 alone generates $142.7M (83.4% of Medicaid revenue), T1005 generates $14.1M (8.3%), and T2027 generates $6.1M (3.6%), so changes to reimbursement or utilization for any of these codes would materially affect total revenue.

The code mix indicates an operational focus on community-based long-term support and short-interval direct services: H2015 (comprehensive community support services, per 15 minutes) and H2014 (skills training and development, per 15 minutes) suggest intensive, recurring per-15-minute service delivery, while T1005, T2025, S5151 and H0045 reflect a complementary emphasis on respite and waiver-based care. Together these codes are consistent with an organization delivering large volumes of home- and community-based services, respite care, and specialized childcare under Medicaid waivers.

H2015 is a clear outlier in state competition: the provider reported 1M claims for H2015 at an average paid amount of $137 per claim, and ranks #5 of 614 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). That ranking and volume indicate market leadership for comprehensive community support services in Michigan and a very large operational footprint for per-15-minute services.

T1005 is also a strong statewide performer: with 178.9K claims, $79 average paid/claim and $14.1M revenue it ranks #6 of 106 providers in-state (95th percentile; notably above typical state volume). By contrast, T2027 (70.5K claims, $87 avg, $6.1M revenue) ranks #9 of 39 (79th percentile; typical, unremarkable volume), indicating that the provider’s dominance is concentrated in a subset of waiver/respite service lines rather than across all specialized-childcare providers.

Beyond the top three, the provider reports additional Medicaid lines that diversify offerings but represent modest shares: T2025 ($4M), S5151 ($2M), H2014 ($1.1M) and H0045 ($989K). These codes show presence in waiver/NOS services, unskilled respite per diem, skills training and non-home respite, demonstrating a multi-service portfolio even though these lines are much smaller contributors to total revenue.

Operationally, the predominance of per-15-minute codes like H2015 and H2014 and high claim counts (e.g., 1M H2015 claims) imply heavy scheduling, documentation and billing throughput; administrative capacity to support high-frequency short-unit billing is likely a key competency for this provider. Payers and partners should treat utilization management, authorization controls, and unit-rate changes for per-15-minute services as primary levers that could quickly influence overall spend.

The provider’s NPI has been enumerated since 2015-10-08 (~11 years ago), and the $171.1M Medicaid lifetime revenue coupled with the ranking data suggests an established, mature presence in Michigan’s Medicaid waiver and respite ecosystem rather than a new entrant. Historical tenure plus the extreme outlier status on H2015 indicate entrenched operational scale in core community-support services.

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
H2015	Comprehensive community support services, per 15 minutes	1,041,950	$140	$142.7M
T1005	Respite care services, up to 15 minutes	178,860	$80	$14.1M
T2027	Specialized childcare, waiver; per 15 minutes	70,550	$90	$6.1M
T2025	Waiver services; not otherwise specified (nos)	57,260	$70	$4M
S5151	Unskilled respite care, not hospice; per diem	10,720	$190	$2M
H2014	Skills training and development, per 15 minutes	7,010	$150	$1.1M
H0045	Respite care services, not in the home, per diem	3,990	$250	$989K

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

The Arc Of Oakland County, Inc — 2 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
H2015	Comprehensive community support services, per 15 minutes	5	610	14,740	$90	$6M
T2027	Specialized childcare, waiver; per 15 minutes	9	40	23,640	$70	$4.8M
H2014	Skills training and development, per 15 minutes	85	130	20,660	$50	$3.8M
T2025	Waiver services; not otherwise specified (nos)	5	30	2,980	$100	$2.3M
T1005	Respite care services, up to 15 minutes	6	110	4,910	$80	$2.2M
S5151	Unskilled respite care, not hospice; per diem	2	10	4,190	$130	$885.6K
H0045	Respite care services, not in the home, per diem	3	30	510	$250	$385K

Nearby Providers

Other providers in the same ZIP code as The Arc Of Oakland County, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integra Partners LLC	MI	Customized Equipment (DME)	$0	$422.5M
Bower Enterprises Inc	MI	Community/Behavioral Health Agency	$0	$59.2M
Behavioral Outcomes Management,llc	MI	Community/Behavioral Health Agency	$0	$48.8M
Integra Partners Ipa (florida), LLC	MI	Durable Medical Equipment & Medical Supplies	$0	$27.5M
Vpa PC	MI	Family Medicine Physician	$0	$19.2M
Vpa PC	MI	Clinical Medical Laboratory	$4.6M	$8.1M
Lahser Pre-vocational Centers, Inc.	MI	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Quality Choice Home Healthcare Inc.	MI	Home Health Agency	$0	$6.6M
Dental Associates Ii PC	MI	Dentist	$0	$6.5M
Advisacare Healthcare Solutions, Inc.	MI	Home Health Agency	$0	$5.3M

The Arc Of Oakland County, Inc — Billing Profile & Reimbursement Data

Sign up for The Arc Of Oakland County, Inc — Billing Profile & Reimbursement Data policy alerts

The Arc Of Oakland County, Inc — Billing Profile & Reimbursement Data

Sign up for The Arc Of Oakland County, Inc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References