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.

Michigan Surgery Specialists, P.C. (NPI 1184828451)

Michigan Surgery Specialists, P.C. is a surgery physician provider located in Warren, Michigan. This profile covers 0 Medicare and 65 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	Michigan Surgery Specialists, P.C.
Address	11012 E 13 Mile Rd Ste 112
City	Warren
State	MI
ZIP	48093
Taxonomy	Surgery Physician
NPI Enumerated	June 12, 2007

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

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

65 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…	21,510	$60	$1.4M
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…	12,430	$90	$1.1M
29075	The provider applies a cast encasing the lower arm. A short arm cast treats fractures of the bones in the lower arm and corrects deformities of the hand and wrist.	14,790	$50	$709.7K
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…	12,660	$40	$556.9K
73130	In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.	22,900	$20	$458K
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…	5,730	$60	$332.2K
73110	The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.	11,420	$20	$251.3K
64721	Neuroplasty 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…	1,260	$180	$230.2K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	7,760	$30	$209.5K
Q4010	Cast supplies, short arm cast, adult (11 years +), fiberglass	14,540	$10	$203.5K

Showing 1–10 of 65

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

Michigan Surgery Specialists, P.C. — 14 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

65 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	146	4,380	1,000	$70	$289.9K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	261	390	1,660	$40	$281.8K
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…	472	4,770	1,060	$50	$247.8K
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…	531	550	2,350	$30	$240.6K
26440	In this procedure, the provider performs tenolysis, which releases the flexor tendon of the palm or finger from adhesions. This surgical procedure is limited to either the palm or finger.	1	10	380	$470	$177.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	873	1,170	170	$90	$107.9K
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…	22	1,860	220	$90	$96.9K
20680	Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…	2	20	40	$350	$91.5K
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…	97	2,000	260	$60	$84.2K
20526	The provider injects medication into the carpal tunnel to provide short term relief of symptoms of carpal tunnel syndrome, or CTS. CTS is a condition where the patient experiences pain, numbness, and…	2	20	60	$50	$72.8K

Showing 1–10 of 65

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Samona	MI	Orthopaedic Hand Surgery Physician	$159.6K	$0
Caroline Wurtzel	MI	Surgery of the Hand (Surgery) Physician	$136.8K	$0
Richard Singer	MI	Surgery of the Hand (Surgery) Physician	$132.7K	$0
John Gorski	MI	Surgery of the Hand (Plastic Surgery) Physician	$102.4K	$0
Jeremy Ciullo	MI	Surgery of the Hand (Surgery) Physician	$100K	$0
Ronald Rook	MI	Sports Medicine (Orthopaedic Surgery) Physician	$96.5K	$0
Avery Arora	MI	Surgery of the Hand (Surgery) Physician	$92.7K	$0
Mehul Mehta	MI	Surgery of the Hand (Surgery) Physician	$89.3K	$0
Alexander Colen	MI	Orthopaedic Surgery Physician	$82.1K	$0
Edward Haass	MI	Surgery of the Hand (Surgery) Physician	$79.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health Macomb Oakland Hospital	MI	General Acute Care Hospital	$0	$59.2M
Macomb Pediatric Associatea P.C	MI	Pediatrics Physician	$0	$6M
Consortiums Laboratory Services LLC	MI	Clinical Medical Laboratory	$767.1K	$489.3K
Siraj Panchbhaiya	MI	Foot & Ankle Surgery Podiatrist	$1.2M	$0
Mylab Inc	MI	Clinical Medical Laboratory	$268.1K	$857K
Alan Parent	MI	Ophthalmology Physician	$968.9K	$0
Jessie Alperin	MI	Rheumatology Physician	$788.9K	$0
Anthony Baron	MI	Rheumatology Physician	$745.6K	$0
Harjot Grover	MI	Internal Medicine Physician	$467.6K	$0
Sudhir Lingnurkar	MI	Psychiatry Physician	$461.7K	$0

Michigan Surgery Specialists, P.C. — Billing Profile & Reimbursement Data

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Michigan Surgery Specialists, P.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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