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.

Vhs Physicians Of Michigan (NPI 1073827101)

Key Findings

Field	Value
Entity Type	Organization
Organization	Vhs Physicians Of Michigan
Address	29201 Telegraph Rd Ste 404n
City	Southfield
State	MI
ZIP	48034
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 30, 2010

Payer Source	Total Paid
Medicaid	$73.9M
Medicare	$0

This provider is effectively single-payer in scope for the available data: there is no Medicare billing on file while total Medicaid revenue is $73.9M, and the NPI was enumerated on 2010-07-30 (~16 years ago), indicating an established billing presence concentrated on Medicaid payers. Analysts should treat Medicaid as the primary commercial footprint for revenue and utilization analysis.

Revenue is highly concentrated in a few evaluation-and-management codes: the precomputed top three Medicaid codes (99214, 99213, 99204) account for 47.2% of this provider's total Medicaid revenue. Individually those codes are $9.4M (99214, 17.6%), $9.3M (99213, 17.3%), and $6.6M (99204, 12.3%), so nearly half of Medicaid dollars flow through high-volume office E/M services.

The code mix for the top revenue drivers points to a large ambulatory/internal medicine footprint: 99213 has 211K claims ($9.3M) and 99214 has 151.8K claims ($9.4M), while 99204 (new-patient visits) has 79.2K claims ($6.6M). These volumes and the dominance of outpatient E/M codes are consistent with a high-volume primary care or clinic-based operation with substantial established- and new-patient panels.

Competitive standing for core E/M codes is dominant statewide: 99213 ranks #2 of 4766 providers in-state (100th percentile; extreme outlier), 99214 ranks #7 of 4380 (100th percentile; extreme outlier), and 99204 ranks #1 of 1864 (100th percentile; extreme outlier). Those ranks indicate this NPI is an outlier in Michigan for routine and new-patient office visit volume, and should be considered a major provider for ambulatory E/M services in-state.

Beyond outpatient visits, the Medicaid billing mix shows substantial hospital-based E/M and inpatient activity: 99232 (90.6K claims, $3.8M) ranks #6 of 947 (99th percentile; extreme outlier) and 99222 (22.9K claims, $1.7M) ranks #4 of 639 (100th percentile; extreme outlier), with additional volume in 99233 and 99223. This pattern indicates meaningfully integrated inpatient/observation care alongside outpatient clinics rather than a purely office-based practice.

Obstetric and maternity services are a notable secondary service line: 59409 ($2.7M, 5.0% of Medicaid revenue) ranks #10 of 132 (93th percentile; notably above typical state volume), 59426 ($2.2M, 4.2%) ranks #6 of 155 (97th percentile; notably above typical), and postpartum code 59430 appears with $583.4K (1.1%) and a 95th-percentile rank. The presence and ranking of multiple delivery and ante/postpartum codes demonstrate a meaningful maternity care component in the billed mix.

The provider's procedural and imaging footprint is unusually broad for an Internal Medicine taxonomy: high-ranking procedure codes include 27447 ($1M, ranks #1 of 7, 100th percentile), 27130 ($621.1K, ranks #1 of 5, 100th percentile) and 42820 ($733.4K, ranks #2 of 50, 98th percentile), and imaging volumes such as 71045 (123.3K claims, $616.5K, rank #4 of 271, 99th percentile) and 70450 (24.7K claims, $593.6K, rank #10 of 225, 96th percentile) are also high. This combination indicates high throughput in surgical and imaging services billed to Medicaid in addition to E/M care.

Because the taxonomy is Internal Medicine Physician while the code portfolio includes high-volume obstetrics, major joint replacement, and other surgical codes, analysts should consider that billing may reflect group- or system-level service lines or shared billing arrangements. The divergence between listed taxonomy and the breadth of procedures suggests attribution and network-structure checks are important when using these results for contract, utilization management, or competitive analyses.

Medicaid: Complete Services Breakdown

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

459 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…	151,750	$60	$9.4M
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…	211,000	$40	$9.3M
99204	The provider sees a new 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 provider…	79,190	$80	$6.6M
99203	The provider sees a new 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 provider…	77,650	$50	$4.1M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	90,600	$40	$3.8M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	3,530	$760	$2.7M
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	2,930	$760	$2.2M
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	22,900	$80	$1.7M
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	1,600	$830	$1.3M
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…	15,440	$80	$1.3M

Showing 1–10 of 459

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

Vhs Physicians Of Michigan — 22 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

459 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	287	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.	300	450	1,540	$90	$1.3M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	2	50	150	$1,300	$889.5K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	1	10	30	$1,930	$660.8K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	10	130	200	$750	$636K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	10	50	230	$760	$523.3K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	6	160	260	$820	$506.6K
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.	27	230	2,380	$90	$490K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	1	10	20	$1,730	$438.4K
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…	258	950	610	$80	$328.2K

Showing 1–10 of 459

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elizabeth Pensler	MI	Surgery Physician	$777.6K	$0
Kourosh Naeini	CA	Diagnostic Radiology Physician	$709.1K	$120
Yahya Murad	MI	Geriatric Medicine (Internal Medicine) Physician	$297.7K	$0
Maciej Uzieblo	MI	Vascular Surgery Physician	$240.9K	$0
Feras Mossa-basha	MI	Diagnostic Radiology Physician	$210.3K	$0
Marc Webb	MI	Surgery Physician	$196.3K	$0
Ahmed El-sabbagh	MO	Geriatric Medicine (Internal Medicine) Physician	$192.6K	$0
Richard Amato	OH	Diagnostic Radiology Physician	$181.2K	$0
Anna Miller	MI	Diagnostic Radiology Physician	$169.9K	$6.3K
Conor Zuk	MI	Neuroradiology Physician	$153.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pro Care Unlimited, LLC	MI	Home Health Agency	$0	$216M
Coordinated Community Living	MI	Home Health Agency	$0	$85.8M
Angels' Place	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$18.1M
North West Labs, Inc.	MI	Clinical Medical Laboratory	$1.4M	$10.9M
Great Lakes Surgical Center LLC	MI	Ambulatory Surgical Clinic/Center	$82.6K	$4M
City Of Southfield	MI	Ambulance	$845.3K	$1.8M
Biogenetics Laboratories, Inc.	MI	Clinical Medical Laboratory	$648.4K	$1.9M
Michael Ober	MI	Ophthalmology Physician	$1.8M	$0
Robert Scribner	MI	Gerontology Nurse Practitioner	$1.5M	$0
Darrin Levin	MI	Ophthalmology Physician	$1.5M	$0

Vhs Physicians Of Michigan — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References