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.

Mymichigan Medical Center Midland (NPI 1205889490)

Mymichigan Medical Center Midland is a multi-specialty clinic/center provider located in Midland, Michigan. This profile covers 0 Medicare and 219 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	Mymichigan Medical Center Midland
Address	4000 Wellness Dr
City	Midland
State	MI
ZIP	48670
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$24.3M
Medicare	$0

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

219 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…	99,820	$60	$6M
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…	138,020	$40	$5.8M
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…	14,570	$80	$1.2M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12,520	$70	$888.6K
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…	8,220	$80	$665.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12,330	$50	$641.3K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	780	$810	$631.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	8,360	$70	$568.7K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	570	$860	$483.6K
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…	9,470	$50	$483K

Showing 1–10 of 219

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

Mymichigan Medical Center Midland — 12 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

219 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	402	450	1,540	$90	$1.3M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	49	130	200	$750	$636K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	44	160	260	$820	$506.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	544	1,960	870	$100	$376.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	121	290	300	$240	$336.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	260	950	610	$80	$328.2K
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…	13	4,380	1,000	$70	$289.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	147	220	440	$180	$249.7K
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…	11	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…	429	550	2,350	$30	$240.6K

Showing 1–10 of 219

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mymichigan Medical Center Midland	MI	General Acute Care Hospital	$0	$50M
Mymichigan Medical Center Midland	MI	General Acute Care Hospital	$0	$9.9M
Mymichigan Medical Center Midland	MI	Emergency Medicine Physician	$0	$7.2M
Kathleen Settle-ladonna	MD	Radiation Oncology Physician	$858.9K	$0
Eyad Abu-isa	MI	Radiation Oncology Physician	$409K	$0
Fadi Rzouq	NE	Gastroenterology Physician	$370.1K	$0
Mouhammed Joumaa	MI	Interventional Cardiology Physician	$360K	$0
Alain Fondjo Domkam	MS	Vascular Surgery Physician	$251.1K	$0
Beeravolu Reddy	MI	Interventional Cardiology Physician	$248.6K	$0
Jennifer Nash	MI	Dermatology Physician	$237.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mymichigan Medical Group	MI	Multi-Specialty Clinic/Center	$0	$8.1M
William Michael Mellana	MI	Clinical Cardiac Electrophysiology Physician	$156.2K	$0
Remi Hamel	MI	Dermatology Physician	$126.6K	$0
Adam Pinney	MI	Sports Medicine (Family Medicine) Physician	$109.9K	$0
Rajnikant Mehta	MI	Radiation Oncology Physician	$98.3K	$0
Rajesh Kotecha	MI	Radiation Oncology Physician	$92.5K	$0
Jacob Frisbie	MI	Vascular Surgery Physician	$86.1K	$0
Alex Dombrowski	MI	Diagnostic Radiology Physician	$56.3K	$0
Amy Doornbos	MI	Medical Physician Assistant	$46.3K	$0
Timothy Berka	MI	Diagnostic Radiology Physician	$35.2K	$0

Mymichigan Medical Center Midland — Billing Profile & Reimbursement Data

Sign up for Mymichigan Medical Center Midland — Billing Profile & Reimbursement Data policy alerts

Mymichigan Medical Center Midland — Billing Profile & Reimbursement Data

Sign up for Mymichigan Medical Center Midland — 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