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.

Megan Spicer (NPI 1114335106)

Field	Value
Entity Type	Individual
Organization	Megan Spicer
Address	744 W Michigan Ave
City	Jackson
State	MI
ZIP	49201
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	July 23, 2014

Payer Source	Total Paid
Medicare	$23K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 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…	140	$60	$8.5K
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…	120	$50	$6K
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…	30	$90	$3K
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…	30	$70	$1.8K
51720	This is a common treatment for bladder cancer. It involves instilling an anticarcinogenic agent into the bladder through a catheter. The provider leaves the agent in the bladder for a period of time…	60	$30	$1.6K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	60	$10	$480
99442	N/A	10	$30	$480
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$30	$350
99441	N/A	20	$20	$320
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	80	$1	$250

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Megan Spicer — 0 of 11 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

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,088	15,470	80	$80	$11.4K
99213	4,115	14,810	60	$60	$6.6K
99204	2,554	6,280	30	$110	$4.2K
99203	2,373	4,560	30	$70	$3K
51720	10	30	50	$50	$2.7K
99442	604	730	30	$50	$2.6K
99212	2,582	2,750	30	$40	$2K
51798	151	250	90	$10	$1.3K
99441	231	310	20	$30	$1.1K
81003	775	1,210	30	$1	$230

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Munson Healthcare Otsego Memorial Hospital	MI	General Acute Care Hospital	$0	$14.2M
Munson Healthcare Grayling	MI	Rural Acute Care Hospital	$0	$13.9M
Munson Healthcare Otsego Memorial Hospital	MI	Rural Health Clinic/Center	$0	$6.2M
Brian Heeringa	MI	Surgery Physician	$153.4K	$0
Joseph Mcgraw	MI	Adult Reconstructive Orthopaedic Surgery Physician	$143.1K	$0
Robert Kennedy	MI	Clinical Cardiac Electrophysiology Physician	$124.1K	$0
John Reineck	MI	Orthopaedic Surgery Physician	$117.6K	$0
Brian Stirling	MI	Urology Physician	$114.2K	$0
Michael Vanwagner	MI	Orthopaedic Surgery Physician	$114K	$0
Jacob Maclean	MI	Family Medicine Physician	$97K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
W.a. Foote Memorial Hospital	MI	General Acute Care Hospital	$0	$41.3M
W.a. Foote Memorial Hospital, Inc.	MI	General Acute Care Hospital	$0	$40M
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
W.a. Foote Memorial Hospital, Inc	MI	Nurse Practitioner	$0	$5.3M
Surgical Services Of Michigan, LLC	MI	Ambulatory Surgical Clinic/Center	$1.7M	$28.4K
Tareq Baghal	MI	Cardiovascular Disease Physician	$1M	$0
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

Megan Spicer — Billing Profile & Reimbursement Data

Sign up for Megan Spicer — Billing Profile & Reimbursement Data policy alerts

Megan Spicer — Billing Profile & Reimbursement Data

Sign up for Megan Spicer — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References