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.

Michigan Healthcare Professionals PC (NPI 1295023547)

Field	Value
Entity Type	Organization
Organization	Michigan Healthcare Professionals PC
Address	29992 Northwestern Hwy
City	Farmington Hills
State	MI
ZIP	48334
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 20, 2011

Payer Source	Total Paid
Medicaid	$106.2M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and reports $106.2M in lifetime Medicaid revenue, making its financial footprint effectively single‑payer (Medicaid) in the available data. Analysts should treat Medicaid as the dominant — and essentially sole — payer relationship reflected in these claims records.

Revenue for this provider is highly concentrated: the precomputed top 3 codes account for 55.9% of the provider’s total Medicaid revenue. Those top contributors are 99214 ($23M, 26.3%), J9271 ($18M, 20.6%), and 99213 ($7.8M, 8.9%), indicating that a small set of services drives the majority of receipts.

Although listed under the Internal Medicine Physician taxonomy, the code mix points to a hybrid operation combining extremely high-volume outpatient E/M work with outpatient infusion/oncology services. High-volume office visit codes such as 99214 (314.9K claims) and 99213 (161.6K claims) sit alongside expensive biologic drug administrations (J9271: 2.4K claims; J0897: 2.8K claims; J2505: 1.3K claims) and chemotherapy administration (96413: 20.5K claims), suggesting the practice operates both primary/ambulatory care clinics and an infusion/oncology service line.

The provider is a dominant statewide performer on multiple Medicaid codes. 99214 ranks #2 of 4380 providers in-state (100th percentile; extreme outlier), 99213 ranks #8 of 4766 (100th percentile; extreme outlier), and J9271 ranks #1 of 13 providers in-state (100th percentile; notably above typical state volume), signaling market leadership or unusually concentrated specialty activity for these services within Michigan.

Multiple inpatient/observation E/M codes are also unusually large for this provider, indicating substantial hospital-based activity in addition to office work. For example, 99232 (102.4K claims, $4M revenue) ranks #4 of 947 providers in-state (100th percentile; extreme outlier), 99233 (28.6K claims, $1.7M) ranks #11 of 625 (98th percentile), and 99223 (30.3K claims, $3.1M) ranks #3 of 757 (100th percentile), which together point to significant engagement in inpatient or observation care.

The practice’s oncology and high-cost biologic footprint is clear from both volume and payment intensity: J9271 shows $7494 avg paid/claim and $18M revenue, J9299 shows $5844 avg paid/claim and $2.8M revenue, and J9022 shows $6986 avg paid/claim and $1.4M revenue. Presence of supportive agents and growth‑factor drugs (J2505 avg $2492 paid/claim) and chemotherapy administration code 96413 further confirm a clinically and financially significant infusion/oncology program.

Because a single drug code (J9271) and a single high-volume office visit code (99214) together represent a very large share of revenue, this provider’s Medicaid receipts are sensitive to utilization shifts or reimbursement changes for those services. The concentration in a few high-revenue lines — top 3 codes = 55.9% of Medicaid revenue — means coverage policy changes or payer edits affecting those codes could materially affect total revenue.

The NPI has been enumerated since 2011-07-20 (~15 years ago), and the sustained, high-volume billing across a broad set of E/M, inpatient, and infusion codes is consistent with a well‑established, high‑throughput clinical operation. Combined longevity and the extreme percentile rankings on many codes suggest entrenched scale in Michigan for both ambulatory E/M and specialty infusion services.

Medicaid: Complete Services Breakdown

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

513 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	314,890	$70	$23M
J9271	Injection, pembrolizumab, 1 mg	2,400	$7,490	$18M
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…	161,590	$50	$7.8M
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…	102,430	$40	$4M
J0897	Injection, denosumab, 1 mg	2,830	$1,340	$3.8M
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…	40,100	$90	$3.7M
J2505	Injection, pegfilgrastim, 6 mg	1,350	$2,490	$3.4M
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…	30,340	$100	$3.1M
J9299	Injection, nivolumab, 1 mg	490	$5,840	$2.8M
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…	28,620	$60	$1.7M

Showing 1–10 of 513

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

Michigan Healthcare Professionals PC — 20 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

513 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	1	10	90	$6,340	$5.2M
J9299	Injection, nivolumab, 1 mg	2	10	370	$4,840	$3.6M
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.	246	480	1,350	$110	$1.7M
J9173	Injection, durvalumab, 10 mg	2	10	330	$4,940	$1.6M
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.	276	450	1,540	$90	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	123	150	7,610	$90	$1.2M
Q5122	Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg	2	10	500	$2,090	$1.1M
J9355	Injection, trastuzumab, excludes biosimilar, 10 mg	3	10	430	$2,270	$990.9K
J2505	Injection, pegfilgrastim, 6 mg	2	10	130	$2,420	$942.2K
J2315	Injection, naltrexone, depot form, 1 mg	12	30	310	$1,140	$869.9K

Showing 1–10 of 513

Related Providers

Other providers that share a Tax Identification Number (TIN) with Michigan Healthcare Professionals PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Jeffrey Margolis	MI	Hematology & Oncology Physician	$3M	$0
Faisal Musa	MI	Hematology & Oncology Physician	$3M	$0
Richard Zekman	MI	Medical Oncology Physician	$1.4M	$0
Ishmael Jaiyesimi	MI	Hematology & Oncology Physician	$1.3M	$0
Joshua Grant	MI	Ophthalmology Physician	$1.3M	$0
Christopher Sweet	MI	Diagnostic Radiology Physician	$1.3M	$0
Susanna Gaikazian	FL	Medical Oncology Physician	$1.2M	$0
Andrew Muskovitz	MI	Hematology & Oncology Physician	$1.2M	$0

Nearby Providers

Other providers in the same ZIP code as Michigan Healthcare Professionals PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centria Healthcare LLC	MI	Home Health Agency	$0	$591M
Area Agency On Aging 1-b	MI	Case Management Agency	$0	$143.1M
Glendale Neurological Associates P C	MI	Neurology Physician	$0	$52.6M
Centria Healthcare	MI	Clinic/Center	$0	$10.1M
Bioprecision Laboratories, Inc.	MI	Clinical Medical Laboratory	$7M	$1.4K
Martin Belkin	MI	Neurology Physician	$4.7M	$0
Michigan Endoscopy Center LLC	MI	Ambulatory Surgical Clinic/Center	$1M	$11.9K
Ronald Bergman	MI	Ophthalmology Physician	$593.7K	$0
Aaron Ellenbogen	MI	Neurology Physician	$549.8K	$0
George Dirani	MI	Cardiovascular Disease Physician	$514.1K	$0

Michigan Healthcare Professionals PC — Billing Profile & Reimbursement Data

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Michigan Healthcare Professionals PC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References