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.

Emergency Department Physicians, P.C. (NPI 1225083595)

Emergency Department Physicians, P.C. is a emergency medicine physician provider located in Detroit, Michigan. This profile covers 0 Medicare and 46 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	Emergency Department Physicians, P.C.
Address	22101 Moross Rd
City	Detroit
State	MI
ZIP	48236
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$41.2M
Medicare	$0

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

46 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.	212,830	$70	$15.5M
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.	203,200	$60	$12M
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.	152,410	$60	$8.4M
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…	24,800	$120	$3M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	8,640	$60	$509.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	105,920	$1	$423.7K
99292	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…	3,540	$70	$258.4K
31500	The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.	2,240	$80	$177K
99281	The provider sees a patient for the lowest level emergency department visit.	2,520	$50	$133.7K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	5,090	$30	$127.3K

Showing 1–10 of 46

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

Emergency Department Physicians, P.C. — 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

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	1	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.	5	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.	7	450	1,540	$90	$1.3M
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…	5	270	510	$140	$395.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	46	260	2,670	$70	$348.7K
36430	In this procedure, the provider punctures and places a catheter into a vein to transfuse blood or blood components directly into the patient’s bloodstream.	10	30	480	$150	$140.4K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	111	210	950	$30	$103.6K
99281	The provider sees a patient for the lowest level emergency department visit.	29	150	860	$50	$89.3K
99220	N/A	156	170	160	$100	$87.9K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	10	30	170	$180	$82K

Showing 1–10 of 46

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Irwin	GA	Emergency Medicine Physician	$16.8K	$227.5K
Fadi Daouk	MI	Emergency Medicine Physician	$129.1K	$0
Rhett Brandenburg	MI	Emergency Medicine Physician	$95.5K	$0
Nirmal Nandakumar	MI	Emergency Medicine Physician	$73.6K	$1.3K
Milad Asfar	MI	Emergency Medicine Physician	$74.3K	$0
Emre Conklu	MI	Emergency Medicine Physician	$61.7K	$0
Stacy Forbes	VA	Physician Assistant	$57.1K	$0
Trace Dotson	MI	Emergency Medical Services (Emergency Medicine) Physician	$29.8K	$0
Casey Kolp	MI	Physician Assistant	$15.9K	$0
Michael Jakob	—	Emergency Medicine Physician	$7.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health St. John Hospital	MI	Internal Medicine Physician	$0	$41.8M
Toothworks PC	MI	General Practice Dentistry	$0	$21.1M
Eastpointe Radiologists, P.C.	MI	Diagnostic Radiology Physician	$0	$9.3M
Brightstar Counseling PLLC	MI	Psychiatry Physician	$0	$6.3M
Amr Aref	MI	Radiation Oncology Physician	$342.3K	$0
Eric Krutel	MI	Internal Medicine Physician	$236.1K	$0
Paul Chuba	MI	Radiation Oncology Physician	$230.5K	$0
Youssef Rizk	MI	Vascular Surgery Physician	$217.2K	$0
Douglas Piernick	MI	MOHS-Micrographic Surgery Physician	$177.2K	$0
Joseph Arbanas	MI	Foot & Ankle Surgery Podiatrist	$175.4K	$0

Emergency Department Physicians, P.C. — Billing Profile & Reimbursement Data

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Emergency Department Physicians, P.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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