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.

Lenawee Community Mental Health Authority (NPI 1962576983)

Field	Value
Entity Type	Organization
Organization	Lenawee Community Mental Health Authority
Address	1040 S Winter St
City	Adrian
State	MI
ZIP	49221
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 20, 2006

Payer Source	Total Paid
Medicaid	$32M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	88,970	$130	$11.8M
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…	15,350	$230	$3.6M
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…	9,090	$370	$3.4M
T1016	Case management, each 15 minutes	17,920	$130	$2.3M
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…	8,760	$170	$1.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	7,900	$180	$1.4M
H0038	Self‑help/peer services, per 15 minutes	10,750	$100	$1.1M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,450	$720	$1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,670	$390	$1M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	2,450	$330	$814.7K

Showing 1–10 of 26

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

Lenawee Community Mental Health Authority — 0 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	21	180	10,890	$210	$8.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	50	90	8,750	$300	$4.7M
H2014	Skills training and development, per 15 minutes	109	130	20,660	$50	$3.8M
T1016	Case management, each 15 minutes	35	120	8,060	$210	$3.4M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	31	110	480	$530	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	27	50	1,690	$460	$1.4M
H2011	Crisis intervention service, per 15 minutes	36	80	1,470	$310	$1.4M
H0032	Mental health service plan development by non-physician	58	180	2,030	$170	$1.2M
H0031	Mental health assessment, by non-physician	53	180	1,290	$250	$1.1M
H0038	Self‑help/peer services, per 15 minutes	38	190	2,210	$70	$754.1K

Showing 1–10 of 26

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Renaissance Community Homes	MI	Mental Illness Community Based Residential Treatment Facility	$0	$84.9M
Emma L. Bixby Medical Center	MI	General Acute Care Hospital	$0	$18.4M
Hospice Of Lenawee, Inc.	MI	Community Based Hospice Care Agency	$0	$9M
Goodwill Industries Of Southeastern Michigan, Inc.	MI	Community/Behavioral Health Agency	$0	$6.6M
4m Monroe Medical Services PLLC	MI	Emergency Medicine Physician	$0	$6.4M
Jlc Care Services	MI	In Home Supportive Care Agency	$0	$6M
Mccullough, Vargas, & Associates, Inc.	MI	Addiction (Substance Use Disorder) Counselor	$0	$5.7M
William Rhoades	MI	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
City Of Adrian	MI	Land Ambulance	$317.7K	$1.3M
Lawrence Desjarlais	MI	Dermatology Physician	$346.4K	$0

Lenawee Community Mental Health Authority — Billing Profile & Reimbursement Data

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Lenawee Community Mental Health Authority — 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