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.

Michael Septer (NPI 1013908060)

Field	Value
Entity Type	Individual
Organization	Michael Septer
Address	2335 Burton St Se Ste 130
City	Grand Rapids
State	MI
ZIP	49506
Taxonomy	Family Medicine Physician
NPI Enumerated	October 31, 2005

Payer Source	Total Paid
Medicare	$44.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	280	$90	$25.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	80	$120	$9.8K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	$120	$3.3K
20552	Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.	80	$40	$3K
98927	The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.	40	$40	$1.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	60	$10	$610
G0444	Annual depression screening, 5 to 15 minutes	30	$20	$540
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	190	$1	$190
J1071	Injection, testosterone cypionate, 1 mg	2,530	$0	$0
J1885	Injection, ketorolac tromethamine, per 15 mg	320	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Michael Septer — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,213	15,470	80	$80	$11.4K
G0439	2,853	4,100	50	$100	$6.6K
99215	792	4,420	30	$110	$6K
98927	36	50	60	$40	$3.1K
20552	7	90	20	$30	$1.1K
G0444	787	1,250	50	$20	$1.1K
96372	626	1,710	40	$10	$830
J3301	444	1,010	150	$1	$300
J1071	6	10	4,290	$1	$230
J1885	21	350	70	$1	$50

Nearby Providers

Other providers in the same ZIP code as Michael Septer, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Health Primary Care Partners	MI	Internal Medicine Physician	$0	$219.9M
Counseling Center Of West Michigan, LLC	MI	Mental Health Counselor	$0	$12.3M
Kent Residential Centers, Inc	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12M
Edward Lee	MI	Radiation Oncology Physician	$393.4K	$0
Byron Slaton	MI	Nephrology Physician	$245.5K	$0
Michael Unruh	MI	Nephrology Physician	$237.5K	$0
Brett Plattner	MI	Nephrology Physician	$206.1K	$0
Matthew Villerot	MI	Pain Medicine (Anesthesiology) Physician	$119.1K	$0
Carl Hinshaw	MI	Pain Medicine (Anesthesiology) Physician	$85.4K	$0
Yijia Chu	MI	Pain Medicine (Anesthesiology) Physician	$78.7K	$0

Michael Septer — Billing Profile & Reimbursement Data

Sign up for Michael Septer — Billing Profile & Reimbursement Data policy alerts

Michael Septer — Billing Profile & Reimbursement Data

Sign up for Michael Septer — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References