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.

Gogue Pediatrics, P.C. (NPI 1265921191)

Gogue Pediatrics, P.C. is a pediatric adolescent medicine physician provider located in Sterling Heights, 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	Gogue Pediatrics, P.C.
Address	39242 Dequindre Rd Ste 101
City	Sterling Heights
State	MI
ZIP	48310
Taxonomy	Pediatric Adolescent Medicine Physician
NPI Enumerated	May 7, 2018

Payer Source	Total Paid
Medicaid	$6.1M
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
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…	45,490	$70	$3M
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…	7,850	$80	$627.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	7,200	$80	$576.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	5,240	$90	$466.2K
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…	4,620	$70	$332.6K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	11,210	$30	$291.5K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	3,310	$30	$112.6K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	4,260	$20	$102.1K
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…	840	$90	$74.3K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	5,580	$10	$66.9K

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

Gogue Pediatrics, P.C. — 4 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…	2,312	4,380	1,000	$70	$289.9K
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…	82	4,770	1,060	$50	$247.8K
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…	45	670	730	$60	$140K
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…	85	590	850	$50	$134.5K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	269	270	1,950	$10	$131.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	33	720	420	$60	$93.9K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	611	860	260	$70	$71.6K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	135	170	200	$60	$67.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	25	720	220	$60	$60.1K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	29	540	650	$20	$57K

Showing 1–10 of 67

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sollars And Associates	MI	Psychologist	$0	$12.4M
Ezra Care LLC	MI	In Home Supportive Care Agency	$0	$11.9M
Universal-macomb Ambulance Service, Inc.	MI	Land Ambulance	$904.4K	$7.8M
Hillsdale Pediatric Clinic PC	MI	Pediatrics Physician	$0	$7M
Care And Transformation Center	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.6M
Marogy Hy Pplc	MI	Dentist	$0	$5.8M
Rana Azzo, Dds, PLLC	MI	Dental Clinic/Center	$0	$5.6M
Prestige Specialty Pharmacy LLC	MI	Community/Retail Pharmacy	$1M	$0
Srinivas Koneru	MI	Cardiovascular Disease Physician	$984.1K	$0
Mark Rosenberg	MI	Family Medicine Physician	$400.6K	$0

Gogue Pediatrics, P.C. — Billing Profile & Reimbursement Data

Sign up for Gogue Pediatrics, P.C. — Billing Profile & Reimbursement Data policy alerts

Gogue Pediatrics, P.C. — Billing Profile & Reimbursement Data

Sign up for Gogue Pediatrics, P.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References