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.

Vpa PC (NPI 1336153295)

Field	Value
Entity Type	Organization
Organization	Vpa PC
Address	500 Kirts Blvd
City	Troy
State	MI
ZIP	48084
Taxonomy	Family Medicine Physician
NPI Enumerated	July 28, 2006

Payer Source	Total Paid
Medicaid	$19.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

122 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	21,730	$280	$6.1M
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	10,320	$320	$3.3M
99343	N/A	8,380	$330	$2.8M
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	38,300	$50	$2.1M
99336	N/A	22,050	$40	$970.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,910	$300	$567.3K
99203	The provider sees a new 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 provider…	2,080	$220	$446.3K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	1,940	$180	$352.7K
99201	Deleted code, effective Jan. 1, 2021	970	$340	$328.8K
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…	1,160	$250	$290.5K

Showing 1–10 of 122

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

Vpa PC — 15 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

122 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	1	10	30	$320	$373.9K
99343	N/A	1	10	50	$320	$321.1K
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…	2,012	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…	2,361	4,770	1,060	$50	$247.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	126	310	850	$90	$215.4K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	232	270	1,720	$10	$131.8K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	228	520	710	$20	$112K
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…	1,021	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…	400	1,860	220	$90	$96.9K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	114	130	620	$40	$87.2K

Showing 1–10 of 122

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vpa PC	MI	Clinical Medical Laboratory	$4.6M	$8.1M
Vpa PC	OH	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$247.6K	$1.3M
Vpa PC	KS	Family Medicine Physician	$0	$1.2M
Vpa PC	MI	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$501.6K	$80.8K
Vpa PC	VA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$234.8K	$40.3K
Gene Hao	WA	Internal Medicine Physician	$164.2K	$0
Michael Amlog	MI	Family Medicine Physician	$152.8K	$0
Donald Hastings	VA	Family Medicine Physician	$144.9K	$0
Eliza Thornton	CA	Adult Medicine Physician	$91.4K	$0
Timothy Trotter	PA	Family Nurse Practitioner	$85.3K	$480

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integra Partners LLC	MI	Customized Equipment (DME)	$0	$422.5M
The Arc Of Oakland County, Inc	MI	Voluntary or Charitable Agency	$0	$171.1M
Bower Enterprises Inc	MI	Community/Behavioral Health Agency	$0	$59.2M
Behavioral Outcomes Management,llc	MI	Community/Behavioral Health Agency	$0	$48.8M
Integra Partners Ipa (florida), LLC	MI	Durable Medical Equipment & Medical Supplies	$0	$27.5M
Lahser Pre-vocational Centers, Inc.	MI	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Quality Choice Home Healthcare Inc.	MI	Home Health Agency	$0	$6.6M
Dental Associates Ii PC	MI	Dentist	$0	$6.5M
Advisacare Healthcare Solutions, Inc.	MI	Home Health Agency	$0	$5.3M
Birmingham Ambulatory Surgical Center, PLLC	MI	Ambulatory Surgical Clinic/Center	$2.8M	$0

Vpa PC — Billing Profile & Reimbursement Data

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Vpa 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