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.

Sault Tribe Of Chippewa Indians (NPI 1205004884)

Sault Tribe Of Chippewa Indians is a family nurse practitioner provider located in Sault Sainte Marie, Michigan. This profile covers 0 Medicare and 21 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	Sault Tribe Of Chippewa Indians
Address	2864 Ashmun St
City	Sault Sainte Marie
State	MI
ZIP	49783
Taxonomy	Family Nurse Practitioner
NPI Enumerated	February 15, 2008

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	13,670	$420	$5.8M
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…	8,570	$10	$85.7K
G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more…	140	$280	$39.1K
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…	1,600	$20	$28.7K
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,…	1,210	$10	$9.7K
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…	60	$80	$4.3K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	330	$10	$4.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	90	$20	$1.8K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	640	$1	$1.3K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	190	$1	$760

Showing 1–10 of 21

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

Sault Tribe Of Chippewa Indians — 0 of 20 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	98	290	5,550	$70	$1.4M
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…	1,804	4,380	1,000	$70	$289.9K
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…	679	4,770	1,060	$50	$247.8K
G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more…	153	200	650	$80	$126.9K
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…	1,042	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…	1,333	1,860	220	$90	$96.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	765	830	210	$70	$73.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	782	860	260	$70	$71.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	488	720	220	$60	$60.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,230	1,420	590	$20	$57.1K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sault Tribe Of Chippewa Indians	MI	Federally Qualified Health Center (FQHC)	$0	$18.6M
Sault Tribe Of Chippewa Indians	MI	Clinical Medical Laboratory	$140.2K	$514.9K
Christine Hamilton	MN	Family Medicine Physician	$2.1K	$33.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hiawatha Community Behavioral Health Authority	MI	Community/Behavioral Health Agency	$0	$38.6M
Mymichigan Medical Center Sault	MI	General Acute Care Hospital	$0	$13.5M
James Howard	MI	Urology Physician	$107.4K	$10.4K
Jamie Adair	MI	Surgery Physician	$24.9K	$0
Thomas Choponis	MI	Optometrist	$21.8K	$0
Ralph Duman	MI	Diagnostic Radiology Physician	$21.3K	$0
Peter Ranta	MI	Allergy & Immunology (Internal Medicine) Physician	$12K	$0
Jade Small	MI	Medical Physician Assistant	$3.4K	$0

Sault Tribe Of Chippewa Indians — Billing Profile & Reimbursement Data

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Sault Tribe Of Chippewa Indians — 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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