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.

Mclaren Lapeer Region (NPI 1205824737)

Mclaren Lapeer Region is a general acute care hospital provider located in Lapeer, Michigan. This profile covers 0 Medicare and 279 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	Mclaren Lapeer Region
Address	1375 N Main St
City	Lapeer
State	MI
ZIP	48446
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 10, 2005

Payer Source	Total Paid
Medicaid	$16.9M
Medicare	$0

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

279 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	12,040	$340	$4.1M
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.	20,210	$180	$3.6M
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.	15,750	$120	$1.8M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	12,390	$90	$1.1M
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.	5,080	$150	$782.6K
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.	12,730	$40	$509.3K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	11,880	$30	$297.1K
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	3,190	$90	$296.2K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	3,960	$70	$288.8K
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…	12,190	$20	$280.4K

Showing 1–10 of 279

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

Mclaren Lapeer Region — 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

279 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	57	150	5,330	$50	$2.8M
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.	91	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.	93	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.	107	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.	55	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	50	100	2,820	$180	$1.1M
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…	126	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.	71	230	2,380	$90	$490K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	135	160	2,030	$60	$407.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	163	270	510	$140	$395.2K

Showing 1–10 of 279

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Majed Nounou	MI	Cardiovascular Disease Physician	$1M	$0
Abdul Alawwa	MI	Cardiovascular Disease Physician	$804.1K	$0
Thomas Giancarlo	MI	Neurology Physician	$458.1K	$0
Fadi Alkhankan	WV	Pulmonary Disease Physician	$277.5K	$0
Hammam Zmily	MI	Cardiovascular Disease Physician	$230.5K	$0
Hassan Almaat	MI	Geriatric Psychiatry Physician	$151.3K	$0
Robert Cleary	MI	Cardiovascular Disease Physician	$116.6K	$0
Vishnu Sharma	MI	Internal Medicine Physician	$69.7K	$0
Robert Travis	MI	Orthopaedic Surgery Physician	$67.1K	$0
Sanjay Batra	MI	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$30.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Lapeer	MI	Community/Behavioral Health Agency	$0	$58.7M
Mclaren Medical Group	MI	Family Medicine Physician	$0	$14.8M
Lapeer Pediatrics, P.C.	MI	Primary Care Clinic/Center	$0	$7.3M
Lapeer Team Work, Inc	MI	Developmentally Disabled Services Day Training Agency	$0	$7.2M
Anesthesia Services Associates, PC	MI	Anesthesiology Physician	$0	$6.1M
Lapeer County Ems Authority	MI	Ambulance	$537.1K	$1.6M
Deepak Mangla	MI	Ophthalmology Physician	$1M	$0
Lapeer County Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$507.7K	$0
Hunaid Hasan	MI	Neurology Physician	$334.4K	$0
Mohammad Zarka	MI	Dermatology Physician	$246.8K	$0

Mclaren Lapeer Region — 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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