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.

W.a. Foote Memorial Hospital (NPI 1053403402)

W.a. Foote Memorial Hospital is a general acute care hospital provider located in Jackson, Michigan. This profile covers 0 Medicare and 472 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	W.a. Foote Memorial Hospital
Address	205 N East Ave
City	Jackson
State	MI
ZIP	49201
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 29, 2006

Payer Source	Total Paid
Medicaid	$41.3M
Medicare	$0

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

472 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	28,800	$300	$8.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	94,980	$40	$4.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	15,850	$180	$2.9M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20,980	$130	$2.6M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	17,300	$90	$1.6M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	12,370	$80	$964.5K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	2,060	$400	$816.6K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	2,580	$300	$759.9K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	16,000	$40	$704.1K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	10,770	$60	$614.1K

Showing 1–10 of 472

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

W.a. Foote Memorial Hospital — 1 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

472 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	23	150	5,330	$50	$2.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	58	400	1,510	$190	$2.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	105	480	1,350	$110	$1.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	79	450	1,540	$90	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	43	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	47	100	2,820	$180	$1.1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	38	50	150	$1,300	$889.5K
J0585	Injection, onabotulinumtoxina, 1 unit	26	40	260	$510	$684.9K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	32	160	2,720	$60	$546.6K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	82	230	2,380	$90	$490K

Showing 1–10 of 472

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
W.a. Foote Memorial Hospital, Inc.	MI	General Acute Care Hospital	$0	$40M
W.a. Foote Memorial Hospital, Inc	MI	Nurse Practitioner	$0	$5.3M
Abdulkareem Sharaf	CA	Cardiovascular Disease Physician	$1.2M	$1.2M
John Carey	MI	Immunopathology Physician	$1.3M	$220
Tareq Baghal	MI	Cardiovascular Disease Physician	$1M	$0
Janakkumar Kansagra	AZ	Interventional Cardiology Physician	$798.6K	$0
Yaser Badr	CA	Neurological Surgery Physician	$756.3K	$13.2K
Patrick Mclaughlin	MI	Radiation Oncology Physician	$737.5K	$0
Aharon Feldman	MI	Radiation Oncology Physician	$653.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Family Health	MI	Federally Qualified Health Center (FQHC)	$0	$24.7M
Center For Family Health	MI	Federally Qualified Health Center (FQHC)	$0	$8.6M
Surgical Services Of Michigan, LLC	MI	Ambulatory Surgical Clinic/Center	$1.7M	$28.4K
Vivek Kak	MI	Infectious Disease Physician	$460.2K	$0
Donna O'neill	MI	Infectious Disease Physician	$436.5K	$0
John Smarch	MI	Chiropractor	$46.9K	$190.7K
Samir Parikh	MI	Diagnostic Radiology Physician	$219.8K	$0
Kavita Luthra	MI	Nephrology Physician	$206.5K	$0
Gary Lynd	MI	Family Medicine Physician	$205.1K	$0
Waseem Ullah	MI	Diagnostic Radiology Physician	$201K	$0

W.a. Foote Memorial Hospital — Billing Profile & Reimbursement Data

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W.a. Foote Memorial Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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