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.

Barbara Ann Karmanos Cancer Hospital (NPI 1316900277)

Field	Value
Entity Type	Organization
Organization	Barbara Ann Karmanos Cancer Hospital
Address	4100 John R St
City	Detroit
State	MI
ZIP	48201
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 10, 2006

Payer Source	Total Paid
Medicaid	$42.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

236 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	2,260	$5,910	$13.4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	69,650	$60	$4.5M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	17,320	$170	$2.9M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	7,230	$270	$2M
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	2,490	$770	$1.9M
J9299	Injection, nivolumab, 1 mg	370	$4,830	$1.8M
77412	The provider delivers radiation therapy at level 3 complexity. This includes photon therapy delivered to multiple isocenters, photon therapy with active motion management, total skin electron…	12,120	$120	$1.5M
J9355	Injection, trastuzumab, excludes biosimilar, 10 mg	560	$2,020	$1.1M
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	18,670	$50	$914.9K
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.	4,880	$180	$878.6K

Showing 1–10 of 236

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

Barbara Ann Karmanos Cancer Hospital — 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

236 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	3	10	90	$6,340	$5.2M
J9299	Injection, nivolumab, 1 mg	3	10	370	$4,840	$3.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	30	150	5,330	$50	$2.8M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	116	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	81	100	2,820	$180	$1.1M
J9355	Injection, trastuzumab, excludes biosimilar, 10 mg	2	10	430	$2,270	$990.9K
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	2	10	1,870	$270	$984K
J2505	Injection, pegfilgrastim, 6 mg	4	10	130	$2,420	$942.2K
J0897	Injection, denosumab, 1 mg	4	10	110	$1,290	$806.4K
Q5117	Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg	2	10	130	$2,160	$739.4K

Showing 1–10 of 236

Nearby Providers

Other providers in the same ZIP code as Barbara Ann Karmanos Cancer Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vhs Childrens Hospital Of Michigan Inc	MI	Children's Hospital	$0	$180.4M
University Pediatricians	MI	Pediatrics Physician	$0	$106.9M
University Physician Group	MI	Internal Medicine Physician	$0	$87.4M
Vhs Harper-hutzel Hospital Inc	MI	General Acute Care Hospital	$0	$76.6M
The Children's Center Of Wayne Co., Inc.	MI	Community/Behavioral Health Agency	$0	$74.3M
Vhs Detroit Receiving Hospital Inc	MI	General Acute Care Hospital	$0	$60.6M
Medical Center Emergency Services	MI	Emergency Medical Services (Emergency Medicine) Physician	$0	$44.1M
Detroit Central City Community Mental Health Inc.	MI	Federally Qualified Health Center (FQHC)	$0	$29.2M
Vhs University Laboratories Inc	MI	Clinical Medical Laboratory	$677.7K	$26.3M
Vhs Rehabilitation Institute Of Michigan Inc	MI	Rehabilitation Hospital	$0	$24.1M

Barbara Ann Karmanos Cancer Hospital — Billing Profile & Reimbursement Data

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Barbara Ann Karmanos Cancer Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References