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.

Pine Rest Christian Mental Health Services (NPI 1982672762)

Field	Value
Entity Type	Organization
Organization	Pine Rest Christian Mental Health Services
Address	300 68th St Se
City	Grand Rapids
State	MI
ZIP	49548
Taxonomy	Psychiatric Hospital
NPI Enumerated	March 9, 2006

Payer Source	Total Paid
Medicaid	$54.8M
Medicare	$0

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	19,610	$1,310	$25.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	8,560	$930	$7.9M
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…	19,430	$270	$5.2M
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…	63,880	$80	$4.8M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	69,720	$50	$3.4M
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…	49,950	$60	$2.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	11,460	$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…	8,360	$100	$852.5K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	1,410	$570	$805.9K
S0201	Partial hospitalization services, less than 24 hours, per diem	940	$530	$495.3K

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

Pine Rest Christian Mental Health Services — 7 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	93	300	6,660	$310	$8.7M
T1017	Targeted case management, each 15 minutes	175	180	10,890	$210	$8.1M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	25	70	3,240	$390	$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…	72	220	7,030	$170	$4.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	88	150	5,330	$50	$2.8M
S9976	Lodging, per diem, not otherwise classified	76	90	6,650	$60	$1M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	33	40	1,230	$60	$495.3K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	1	10	840	$490	$407.7K
S0201	Partial hospitalization services, less than 24 hours, per diem	1	10	850	$470	$401.8K
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…	12	1,960	870	$100	$376.5K

Showing 1–10 of 31

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patricia Hawkins	MI	Mental Health Counselor	$0	$5.3M
Shady Shebak	MI	Psychiatry Physician	$109.3K	$120.8K
Amy Reed	MI	Psychiatric/Mental Health Nurse Practitioner	$73.5K	$0
Jonathan Dargo	MI	Psychiatry Physician	$36.4K	$0
Louis Nykamp	MI	Psychiatry Physician	$33.1K	$0
Philip Fox	MI	Psychiatry Physician	$30.3K	$0
Kathleen Regan	MI	Psychiatry Physician	$24.2K	$0
Afiah Ahsan	WV	Psychiatry Physician	$20.7K	$0
Nagy Youssef	MI	Psychiatry Physician	$16.4K	$0
Mark Steenwyk	IN	Clinical Psychologist	$8.1K	$0

Nearby Providers

Other providers in the same ZIP code as Pine Rest Christian Mental Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carelinc Medical Equipment & Supply Co LLC	MI	Durable Medical Equipment & Medical Supplies	$0	$20M
Spectrum Health Primary Care Partners	MI	Urgent Care Clinic/Center	$0	$14.5M
Hope Network West Michigan	MI	Rehabilitation Clinic/Center	$0	$7.2M
Shawn Mccomb	MI	Occupational Therapist	$44.1K	$0

Pine Rest Christian Mental Health Services — Billing Profile & Reimbursement Data

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Pine Rest Christian Mental Health Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References