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.

Hills & Dales General Hospital, Inc. (NPI 1154367001)

Hills & Dales General Hospital, Inc. is a critical access hospital provider located in Cass City, Michigan. This profile covers 0 Medicare and 197 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	Hills & Dales General Hospital, Inc.
Address	4675 Hill St
City	Cass City
State	MI
ZIP	48726
Taxonomy	Critical Access Hospital
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

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

197 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	9,160	$140	$1.3M
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.	11,910	$110	$1.3M
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.	2,880	$320	$911.7K
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…	10,150	$50	$507.5K
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…	4,580	$60	$283.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3,970	$70	$269.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	7,390	$40	$265.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	1,890	$120	$222.4K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	6,640	$20	$139.5K
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…	1,370	$100	$131.2K

Showing 1–10 of 197

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

Hills & Dales General Hospital, Inc. — 0 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

197 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	173	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.	150	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.	130	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.	115	150	7,610	$90	$1.2M
T1015	Clinic visit/encounter, all-inclusive	235	290	5,950	$50	$689.7K
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…	85	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.	188	230	2,380	$90	$490K
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.	108	140	5,720	$40	$381.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	107	260	2,670	$70	$348.7K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	127	170	2,390	$80	$345K

Showing 1–10 of 197

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Jensen	MI	Urology Physician	$649.8K	$0
David Stockman	MI	Dermatopathology Physician	$570.4K	$0
Nick Buttar	MI	Family Medicine Physician	$157.1K	$0
Jiab Suleiman	MI	Orthopaedic Surgery Physician	$154.8K	$0
David Dubriwny	MI	Diagnostic Radiology Physician	$138.2K	$0
Binu Malhotra	MI	Hematology & Oncology Physician	$114.7K	$0
Amer Alame	MI	Colon & Rectal Surgery Physician	$97.2K	$0
Joseph Czaja	IN	Anatomic Pathology & Clinical Pathology Physician	$90.2K	$0
Aaron Goldfarb	MI	Anatomic Pathology & Clinical Pathology Physician	$73.9K	$0
Moutaz Haiba	MI	Anatomic Pathology & Clinical Pathology Physician	$67.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thumb Area Psychological Services, LLC	MI	Behavior Analyst	$0	$11.2M
Thumb Mri Center, LLC	MI	Magnetic Resonance Imaging (MRI) Clinic/Center	$63.8K	$232.5K

Hills & Dales General Hospital, Inc. — Billing Profile & Reimbursement Data

Sign up for Hills & Dales General Hospital, Inc. — Billing Profile & Reimbursement Data policy alerts

Hills & Dales General Hospital, Inc. — Billing Profile & Reimbursement Data

Sign up for Hills & Dales General Hospital, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References