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.

Professional Emergency Care, PC (NPI 1326235698)

Field	Value
Entity Type	Organization
Organization	Professional Emergency Care, PC
Address	15855 19 Mile Rd
City	Clinton Township
State	MI
ZIP	48038
Taxonomy	Emergency Medicine Physician
NPI Enumerated	October 1, 2007

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 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.	38,760	$80	$2.9M
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.	26,700	$60	$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.	13,570	$60	$773.4K
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…	2,300	$120	$285.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	960	$50	$47.8K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	40	$20	$940
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	10	$40	$510
29125	The provider applies a static, or rigid, splint to the lower arm extending from the elbow to the palm to immobilize an injury to the forearm or wrist during healing or for stabilization of a fracture…	20	$10	$210
99053	The provider renders overnight services at a 24 hour facility.	1,640	$0	$0
G8806	Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented	210	$0	$0

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

Professional Emergency Care, PC — 0 of 8 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	44	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.	75	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.	119	450	1,540	$90	$1.3M
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…	73	270	510	$140	$395.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	176	260	2,670	$70	$348.7K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	79	90	220	$20	$15.4K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	129	160	290	$20	$14.4K
29125	The provider applies a static, or rigid, splint to the lower arm extending from the elbow to the palm to immobilize an injury to the forearm or wrist during healing or for stabilization of a fracture…	82	90	140	$10	$4.8K
99053	The provider renders overnight services at a 24 hour facility.	20	60	560	$1	$40
G8806	Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented	2	10	210	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Professional Emergency Care, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Bauer	MI	Emergency Medicine Physician	$125.3K	$0
Thomas Bebekoski	IN	Emergency Medicine Physician	$96.3K	$0
Susangeline Strickland	SC	Emergency Medicine Physician	$68.9K	$0
Matthew Bartholomew	VA	Emergency Medicine Physician	$57.1K	$2K
Walter Kaniefski	PA	Emergency Medicine Physician	$47.3K	$4K
Megan O'donovan	PA	Physician Assistant	$19.6K	$0

Nearby Providers

Other providers in the same ZIP code as Professional Emergency Care, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Macomb Hospital Corporation	MI	General Acute Care Hospital	$0	$40.9M
Integrated Living, Inc.	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.5M
Henry Ford Cornerstone Medical Group	MI	Family Medicine Physician	$0	$14.2M
Morc Home Care Inc.	MI	Case Management Agency	$0	$7.6M
Henry Ford Macomb Hospital Corporation	MI	Advanced Practice Midwife	$0	$7.3M
Brian Loder	MI	Foot & Ankle Surgery Podiatrist	$2M	$0
Clinton Partners, LLC	MI	Ambulatory Surgical Clinic/Center	$886.1K	$0
Mohammadreza Kahnamouei	MI	Adult Medicine Physician	$545.6K	$0
Wei Su	MI	Dermatopathology Physician	$528.1K	$0
Kent Krach	MI	MOHS-Micrographic Surgery Physician	$494.1K	$0

Professional Emergency Care, PC — Billing Profile & Reimbursement Data

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Professional Emergency Care, PC — 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