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.

Iha Health Services Corporation (NPI 1306121405)

Field	Value
Entity Type	Organization
Organization	Iha Health Services Corporation
Address	5301 E Huron River Dr
City	Ypsilanti
State	MI
ZIP	48197
Taxonomy	Hospitalist Physician
NPI Enumerated	October 20, 2011

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	52,270	$40	$2.1M
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…	29,080	$60	$1.7M
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…	14,550	$100	$1.5M
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	15,870	$60	$951.9K
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…	8,870	$70	$638.7K
99220	N/A	3,630	$100	$348.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	6,660	$40	$273K
99219	N/A	2,200	$70	$153.9K
99217	N/A	3,900	$40	$144.2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	2,480	$20	$59.5K

Showing 1–10 of 24

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

Iha Health Services Corporation — 6 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	262	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…	2,625	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…	2,829	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…	9	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…	12	950	740	$40	$166.5K
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…	12	760	240	$100	$121.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,005	1,170	170	$90	$107.9K
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…	1,709	1,860	220	$90	$96.9K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	38	40	340	$120	$93.3K
99220	N/A	13	170	160	$100	$87.9K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Iha Health Services Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iha Health Services Corporation	MI	Urgent Care Clinic/Center	$0	$9.1M
Iha Health Services Corporation	MI	Pediatrics Physician	$0	$9.1M
John Carey	MI	Immunopathology Physician	$1.3M	$220
Cory Rubin	MI	Clinical & Laboratory Dermatological Immunology Physician	$556K	$0
Mohammad Alhaji	MI	Nephrology Physician	$522.6K	$0
Montgomery Gillard	MI	MOHS-Micrographic Surgery Physician	$509.1K	$0
Kent Krach	MI	MOHS-Micrographic Surgery Physician	$494.1K	$0
Hong Jun Yun	IL	Interventional Cardiology Physician	$432.4K	$15.9K
Molly Buckland	MT	MOHS-Micrographic Surgery Physician	$420.2K	$0
Zijian Zheng	MI	Dermatology Physician	$352.1K	$0

Nearby Providers

Other providers in the same ZIP code as Iha Health Services Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Network	MI	Voluntary or Charitable Agency	$0	$129.4M
St Joseph Mercy Hospital	MI	General Acute Care Hospital	$0	$65.2M
Synod Residential Services	MI	Mental Illness Community Based Residential Treatment Facility	$0	$15.1M
Home Sweet Home Care Services LLC	MI	Home Health Agency	$0	$14.9M
Dawn, Inc	MI	Substance Abuse Rehabilitation Facility	$0	$13.5M
Huron Valley Radiology PC	MI	Diagnostic Radiology Physician	$0	$12.5M
Michigan Learning Community, LLC	MI	Behavior Analyst	$0	$11.5M
Community Residence Corporation	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.8M
Personal Touch Home Health Care Services Inc	MI	Home Health Agency	$0	$7.8M
Probility Therapy Services	MI	Physical Therapist	$0	$5.6M

Iha Health Services Corporation — Billing Profile & Reimbursement Data

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Iha Health Services Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References