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.

Mclaren Flint (NPI 1275807372)

Mclaren Flint is a general practice physician provider located in Flint, Michigan. This profile covers 0 Medicare and 107 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	Mclaren Flint
Address	401 S Ballenger Hwy
City	Flint
State	MI
ZIP	48532
Taxonomy	General Practice Physician
NPI Enumerated	March 7, 2012

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

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

107 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…	58,670	$30	$1.6M
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…	42,530	$40	$1.5M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	17,600	$40	$668.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,600	$90	$327.8K
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…	5,640	$50	$259.3K
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…	350	$740	$257.9K
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…	3,150	$80	$239.3K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	4,590	$50	$238.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3,320	$70	$222.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	4,010	$50	$216.3K

Showing 1–10 of 107

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

Mclaren Flint — 6 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

107 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	58	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…	68	160	260	$820	$506.6K
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…	171	270	510	$140	$395.2K
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…	57	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…	59	4,770	1,060	$50	$247.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	133	630	430	$60	$180.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	950	740	$40	$166.5K
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…	209	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…	159	590	850	$50	$134.5K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	163	240	1,040	$50	$133.3K

Showing 1–10 of 107

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Mclaren Flint	MI	General Acute Care Hospital	$0	$43.4M
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
Majed Nounou	MI	Cardiovascular Disease Physician	$1M	$0
Artin Aharonian	MD	Diagnostic Radiology Physician	$1M	$0
Mustafa Hassan	MI	Clinical Cardiac Electrophysiology Physician	$730.1K	$0
Ryan Jean-baptiste	CA	Diagnostic Radiology Physician	$517K	$47K
Thomas Giancarlo	MI	Neurology Physician	$458.1K	$0
Muhammad Khan	MI	Vascular & Interventional Radiology Physician	$455.8K	$0
Ahmad Abdel Halim	MI	Internal Medicine Physician	$436K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alternative Community Living, Inc.	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$63.3M
Hope Network S E	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$48.6M
Alternative Community Living, Inc.	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.5M
Bio-med Behavioral Health Services	MI	Addiction (Substance Use Disorder) Counselor	$0	$15.4M
Flint Neurological Centre PC	MI	Specialist	$0	$10.7M
Pediatric & Adolescent Advance Care PLLC	MI	Pediatrics Physician	$0	$10.1M
Homes Of Opportunity Incorporated	MI	Community/Behavioral Health Agency	$0	$9.8M
Sacred Heart Rehabilitation Center, Inc	MI	Community/Behavioral Health Agency	$0	$6.6M
Pulmonary Associates, PC	MI	Pulmonary Disease Physician	$0	$6.3M
Mei Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$669.8K	$201.2K

Mclaren Flint — 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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