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 Fozo (NPI 1114019627)

Field	Value
Entity Type	Individual
Organization	Michael Fozo
Address	21000 E 12 Mile Rd
City	Saint Clair Shores
State	MI
ZIP	48081
Taxonomy	Plastic Surgery within the Head & Neck (Otolaryngology) Physician
NPI Enumerated	September 29, 2006

Payer Source	Total Paid
Medicare	$19.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	50	$100	$5K
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…	50	$80	$4.2K
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…	70	$50	$3.2K
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…	40	$60	$2.5K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	50	$40	$1.9K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	10	$140	$1.6K
92511	The provider examines the nasal passages and throat with an endoscope, a tubular instrument with a light source and camera.	30	$30	$830

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Michael Fozo — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
13132	59	60	40	$210	$14.1K
99214	9,782	15,470	80	$80	$11.4K
99213	6,830	14,810	60	$60	$6.6K
31231	56	160	30	$120	$5.8K
92511	4	10	20	$80	$5K
99204	1,403	6,280	30	$110	$4.2K
99203	1,441	4,560	30	$70	$3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Michael Fozo, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health St. John Hospital	IL	General Acute Care Hospital	$0	$159.7M
Henry Ford Health St. John Hospital	MI	Internal Medicine Physician	$0	$41.8M
Henry Ford Macomb Hospital Corporation	MI	Family Medicine Physician	$0	$9.2M
The Christ Hospital Medical Associates, LLC	OH	Internal Medicine Physician	$0	$6.8M
Adli Yakan	MI	Medical Oncology Physician	$1.7M	$0
Andrew Muskovitz	MI	Hematology & Oncology Physician	$1.2M	$0
Srinivas Koneru	MI	Cardiovascular Disease Physician	$984.1K	$0
Lokesh Nagori	MI	Medical Oncology Physician	$719.1K	$0
Amir Kaki	MI	Interventional Cardiology Physician	$492.4K	$0
Mark Zainea	MI	Interventional Cardiology Physician	$478.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Life Styles Inc	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.9M
Alliance Physician Services Of Michigan, P.C.	MI	Urology Physician	$0	$8.9M
Andrew Sulich	MI	Rheumatology Physician	$1.7M	$0
Amar Majjhoo	MI	Rheumatology Physician	$1.6M	$0
City Of St. Clair Shores	MI	Land Ambulance	$448.5K	$1M
Rima Tinawi-aljundi	MI	Anatomic Pathology Physician	$766.3K	$0
Eastside Associates, LLC	MI	Endoscopy Clinic/Center	$677.6K	$2.9K
Juan Frontera	MI	Urology Physician	$432.4K	$0
Shiva Maralani	MI	Urology Physician	$367.9K	$0
Michael Clune	MI	Ophthalmology Physician	$364.7K	$0

Michael Fozo — Billing Profile & Reimbursement Data

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Michael Fozo — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References