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.

Helene Johnson (NPI 1215966528)

Field	Value
Entity Type	Individual
Organization	Helene Johnson
Address	42 N Saint Joseph Ave
City	Niles
State	MI
ZIP	49120
Taxonomy	General Practice Physician
NPI Enumerated	June 30, 2006

Payer Source	Total Paid
Medicare	$28.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	460	$20	$11K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	70	$130	$9.4K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	80	$110	$8.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Helene Johnson — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99310	119	350	50	$110	$12.4K
99306	141	350	60	$140	$12.2K
G0317	3	30	60	$20	$2.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Helene Johnson, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bronson Methodist Hospital	MI	Hospitalist Physician	$0	$64.8M
Ut Regional One Physicians Inc	TN	Surgery Physician	$0	$24.1M
Lakeland Medical Practices	MI	Internal Medicine Physician	$0	$20.9M
Lakeland Community Hospital Watervliet	MI	General Acute Care Hospital	$0	$9.8M
Bronson Battle Creek Hospital	MI	Internal Medicine Physician	$0	$9.8M
Theoria Medical	MI	Internal Medicine Physician	$0	$9.6M
Lakeland Community Hospital Watervliet	MI	Rural Health Clinic/Center	$0	$9.1M
Stanley Mathew	IA	Physical Medicine & Rehabilitation Physician	$1.7M	$31.9K
Ray Silao	AZ	Internal Medicine Physician	$921.6K	$691.2K
Michelle Alexandre	IL	Family Medicine Physician	$21.7K	$639.7K

Nearby Providers

Other providers in the same ZIP code as Helene Johnson, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeland Immediate Care Center	MI	Federally Qualified Health Center (FQHC)	$0	$5.8M
Southwestern Michigan Community Ambulance Service	MI	Ambulance	$513.2K	$2.4M
John-phillip Markovic	MI	Internal Medicine Physician	$118.8K	$0
Jennifer Thompson-boothe	MI	Occupational Therapist	$98.3K	$0
William Fox	MI	Podiatrist	$76.5K	$0
Lloyd Redington	MI	Chiropractor	$45.7K	$0
Sharon Rooney-gandy	MI	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$35.2K	$0
Tracy Tacket	MI	Family Medicine Physician	$35.1K	$0
Lenser Ochieng	MI	Certified Registered Nurse Anesthetist	$31.5K	$0
Melanie Shephard	MI	Speech-Language Pathologist	$28.6K	$0

Helene Johnson — Billing Profile & Reimbursement Data

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Helene Johnson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References