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.

Prime Healthcare Services-port Huron LLC (NPI 1306227764)

Prime Healthcare Services-port Huron LLC is a general acute care hospital provider located in Port Huron, Michigan. This profile covers 0 Medicare and 245 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	Prime Healthcare Services-port Huron LLC
Address	2601 Electric Ave
City	Port Huron
State	MI
ZIP	48060
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 11, 2015

Payer Source	Total Paid
Medicaid	$15.1M
Medicare	$0

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

245 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.	11,480	$300	$3.5M
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.	17,160	$190	$3.2M
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.	20,650	$130	$2.6M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	9,710	$90	$903.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,350	$140	$335.9K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	5,760	$50	$276.7K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	8,020	$30	$240.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,910	$80	$232.8K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	7,180	$30	$229.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,220	$100	$226.1K

Showing 1–10 of 245

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

Prime Healthcare Services-port Huron LLC — 0 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

245 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	107	150	5,330	$50	$2.8M
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.	95	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.	102	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.	82	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.	60	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	65	100	2,820	$180	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	52	160	2,720	$60	$546.6K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	116	230	2,380	$90	$490K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	61	160	2,030	$60	$407.6K
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…	255	270	510	$140	$395.2K

Showing 1–10 of 245

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Simul Parikh	MI	Radiation Oncology Physician	$42.9K	$0
Rita Cherro	MI	Anesthesiology Physician	$18.3K	$0
Kelly Kerhoulas	MI	Certified Registered Nurse Anesthetist	$12K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Clair County Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$157.2M
Mclaren Port Huron	MI	General Acute Care Hospital	$0	$36.9M
Incorporation To Maximize Personal Achievement With Community Training	MI	Counselor	$0	$29.4M
Community Enterprises Of St. Clair County	MI	Developmentally Disabled Services Day Training Agency	$0	$22.9M
Tri Hospital Emergency Medical Services Corporation	MI	Land Ambulance	$1.8M	$8.9M
Medexpress Urgent Care, PC - Michigan	MI	Urgent Care Clinic/Center	$0	$10.6M
Professional Counseling Center,p.c.	MI	Addiction (Substance Use Disorder) Counselor	$0	$8.6M
Marwan Shuayto Md PC	MI	Neurology Physician	$0	$7.8M
Touchstone Services Inc	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6M
Rafia Khalil	MI	Rheumatology Physician	$1.2M	$0

Prime Healthcare Services-port Huron LLC — Billing Profile & Reimbursement Data

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Prime Healthcare Services-port Huron LLC — 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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