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.

Sound Inpatient Physicians-michigan, PLLC (NPI 1093967861)

Field	Value
Entity Type	Organization
Organization	Sound Inpatient Physicians-michigan, PLLC
Address	1521 Gull Rd
City	Kalamazoo
State	MI
ZIP	49048
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 10, 2008

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	56,580	$60	$3.2M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	24,050	$100	$2.4M
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…	51,930	$40	$2M
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	27,290	$60	$1.6M
99220	N/A	10,050	$90	$934.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	5,510	$120	$650.2K
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…	5,110	$70	$352.2K
99217	N/A	7,510	$40	$262.8K
99219	N/A	2,640	$70	$182.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	4,300	$40	$180.4K

Showing 1–10 of 30

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

Sound Inpatient Physicians-michigan, PLLC — 11 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	40	270	510	$140	$395.2K
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…	4,459	4,770	1,060	$50	$247.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	7	630	430	$60	$180.4K
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…	13	950	740	$40	$166.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4	760	240	$100	$121.4K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	27	40	340	$120	$93.3K
99220	N/A	2	170	160	$100	$87.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2	310	190	$60	$82.5K
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…	20	640	180	$70	$68.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	17	250	330	$30	$68.6K

Showing 1–10 of 30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sound Inpatient Physicians-michigan, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maath Alani	MI	Internal Medicine Physician	$389.3K	$0
Janelle Pilarski	MI	Physician Assistant	$314.4K	$0
Ghaith Ibrahim	MI	Gastroenterology Physician	$268.6K	$0
Manish Kesliker	MI	Internal Medicine Physician	$248.9K	$0
James Starr	MI	Internal Medicine Physician	$210.9K	$0
John Loewen	WI	Family Medicine Physician	$175.2K	$0
Gregg Morrison	MI	Family Nurse Practitioner	$168.4K	$0
Thomas Miller	MI	Cardiovascular Disease Physician	$152.6K	$0
Kimber Gauthier	MI	Family Medicine Physician	$139.2K	$0
Shannon Arora	KY	Family Medicine Physician	$123.2K	$2.4K

Nearby Providers

Other providers in the same ZIP code as Sound Inpatient Physicians-michigan, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension Borgess Hospital	MI	General Acute Care Hospital	$0	$43M
Ascension Medical Group Promed	MI	Internal Medicine Physician	$0	$10.6M
Kalamazoo Emergency Associates, Plc	MI	Emergency Medicine Physician	$0	$9.8M
William Ranger	MI	Vascular Surgery Physician	$464K	$1.1K
Yousuf Schulz	MI	Diagnostic Radiology Physician	$259.9K	$570
Daniel Johnston	MI	Vascular Surgery Physician	$204.5K	$0
John Gustafson	MI	Interventional Cardiology Physician	$167.7K	$0
Vishal Gupta	MI	Interventional Cardiology Physician	$156.4K	$0
Zhigang Liu	MI	Clinical Cardiac Electrophysiology Physician	$145.1K	$0
Shadi Idris	MI	Clinical Cardiac Electrophysiology Physician	$133.9K	$0

Sound Inpatient Physicians-michigan, PLLC — 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