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    OpenPayerNPI Medicare & MedicaidUpper Michigan Associates LLC
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    Upper Michigan Associates LLC — Billing Profile & Reimbursement Data

    NPI 1184245771 · Marquette, MI · Ambulatory Surgical Clinic/Center

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    Upper Michigan Associates LLC is a ambulatory surgical clinic/center provider located in Marquette, Michigan. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationUpper Michigan Associates LLC
    Address1414 W Fair Ave Ste 235
    CityMarquette
    StateMI
    ZIP49855
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedMay 5, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In 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…90$6,670$593.7K
    27130In 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…40$6,650$292.6K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…320$780$249K
    27446In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…20$6,580$98.7K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…50$780$40K
    64624The provider uses a chemical, heat, or radiofrequency as a neurolytic agent to destroy branches of the genicular nerves that supply the knee joint; imaging guidance is included, if performed, so it…50$610$28.7K
    C9290Injection, bupivacaine liposome, 1 mg18,890$1$18.9K
    64640Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.220$80$16.6K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…30$590$15.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669845248070$470$69.5K
    27446152020$2,460$61.4K
    274471736030$1,470$50.1K
    271303224020$1,410$40.8K
    669821813030$630$22.2K
    6462421050$350$12.9K
    647214310020$410$12.4K
    C92901106,720$1$8.7K
    6464021050$70$7.2K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Upper Michigan Associates LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dlp Marquette General Hospital LLCMIGeneral Acute Care Hospital$0$16.3M
    Dlp Marquette General Hospital LLCMILand Ambulance$1.1M$4.4M
    Peter SkellengerMICertified Registered Nurse Anesthetist$40.4K$0
    Tricia TollenaarMICertified Registered Nurse Anesthetist$31.8K$0
    Michael ReckkerMICertified Registered Nurse Anesthetist$7.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Upper Michigan Associates LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    PathwaysMIMental Health Clinic/Center (Including Community Mental Health Center)$0$89.1M
    Adult Learning Systems-u.p.MIIntellectual Disabilities Intermediate Care Facility$0$65.8M
    Dlp Marquette Physician Practices IncMIObesity Medicine (Internal Medicine) Physician$0$17.8M
    Great Lakes Recovery CentersMISubstance Use Disorder Rehabilitation Clinic/Center$0$8M
    Prac Holdings, Inc.MIIn Home Supportive Care Agency$0$6M
    Nelson WinklerMIOphthalmology Physician$1M$0
    Sean RooneyMIOphthalmology Physician$843.7K$0
    Zachary LeonardMIOrthopaedic Surgery Physician$220.4K$0
    Keith ConnollyMIOrthopaedic Surgery Physician$197.8K$0
    John SullivanMIDiagnostic Radiology Physician$149.5K$4.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Upper Michigan Associates LLC — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan