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.

Family Orthopedic Associates P L C (NPI 1215930490)

Family Orthopedic Associates P L C is a orthopaedic surgery physician provider located in Flint, Michigan. This profile covers 0 Medicare and 67 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	Family Orthopedic Associates P L C
Address	4466 W Bristol Rd
City	Flint
State	MI
ZIP	48507
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	May 23, 2005

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

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

67 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	45,800	$30	$1.5M
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…	26,330	$40	$1.1M
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…	13,550	$60	$745K
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.	16,190	$30	$437.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	9,840	$30	$246K
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…	2,570	$90	$221.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	8,950	$20	$205.9K
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…	2,630	$60	$165.4K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	3,350	$50	$160.6K
J7321	Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	1,590	$80	$130.1K

Showing 1–10 of 67

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

Family Orthopedic Associates P L C — 9 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

67 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…	1,358	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.	38	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…	206	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…	24	550	2,350	$30	$240.6K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	58	360	1,410	$20	$136.3K
L3984	Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment	4	10	700	$200	$116.8K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	147	430	2,070	$20	$107.7K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	22	40	130	$160	$106.1K
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…	179	1,860	220	$90	$96.9K
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…	36	2,000	260	$60	$84.2K

Showing 1–10 of 67

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seann Willson	MI	Orthopaedic Surgery Physician	$124.2K	$0
Arun Dass	MI	Orthopaedic Surgery Physician	$119.9K	$0
Jason Samona	MI	Orthopaedic Hand Surgery Physician	$84.6K	$0
Jacob Martin	MI	Physician Assistant	$72.3K	$0
Matthew Hettle	MI	Physical Medicine & Rehabilitation Physician	$68K	$0
Curtis Young	MI	Surgery of the Hand (Surgery) Physician	$48.5K	$0
Martie Reigle	MI	Certified Registered Nurse Anesthetist	$41K	$0
Ouida Brown	MI	Occupational Therapist	$30K	$0
Susan Mosier-laclair	MI	Orthopaedic Surgery Physician	$25.6K	$0
Natalie Dycus	MI	Occupational Therapist	$24.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesee Health System	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$159.9M
Flint Odyssey House Inc.	MI	Substance Abuse Rehabilitation Facility	$0	$42.4M
First Day Homecare, LLC	MI	Nursing Care Agency	$0	$14.3M
Patriot Ambulance Service, Inc.	MI	Land Ambulance	$1.8M	$12.3M
Jawad A Shah, Md PC	MI	Specialist	$0	$11.5M
Regional Medical Imaging, P.C.	MI	Diagnostic Radiology Physician	$0	$11.1M
Alternative Community Living Inc	MI	Adult Mental Health Clinic/Center	$0	$9.3M
Deluxe Dental Associates PLLC	MI	General Practice Dentistry	$0	$7.6M
Alternative Community Living Inc	MI	Adult Mental Health Clinic/Center	$0	$7M
Swartz Ambulance Service Inc	MI	Ambulance	$205.1K	$6.6M

Family Orthopedic Associates P L C — Billing Profile & Reimbursement Data

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Family Orthopedic Associates P L 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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