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.

Munson Healthcare Charlevoix Hospital (NPI 1346260692)

Munson Healthcare Charlevoix Hospital is a critical access hospital provider located in Charlevoix, Michigan. This profile covers 0 Medicare and 138 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	Munson Healthcare Charlevoix Hospital
Address	14700 Lake Shore Drive
City	Charlevoix
State	MI
ZIP	49720
Taxonomy	Critical Access Hospital
NPI Enumerated	July 20, 2006

Payer Source	Total Paid
Medicaid	$8.3M
Medicare	$0

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

138 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	32,100	$60	$2M
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.	5,330	$240	$1.3M
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.	6,930	$150	$1.1M
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.	2,620	$360	$940.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	3,360	$120	$396.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	10,020	$30	$320.7K
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.	1,150	$220	$247.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,680	$60	$158.1K
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.	3,570	$40	$156.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,560	$60	$148.5K

Showing 1–10 of 138

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

Munson Healthcare Charlevoix Hospital — 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

138 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	44	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.	177	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.	184	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.	171	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.	101	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	78	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…	103	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.	142	230	2,380	$90	$490K
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.	88	140	5,720	$40	$381.8K
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.	166	260	2,670	$70	$348.7K

Showing 1–10 of 138

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michelle Lung	MI	Diagnostic Radiology Physician	$169.5K	$0
Jesse Johnson	MI	Diagnostic Radiology Physician	$161.6K	$0
Clark Phelps	MI	Diagnostic Radiology Physician	$160.3K	$0
Brian Heeringa	MI	Surgery Physician	$153.4K	$0
Lafayette Richmond	MI	Diagnostic Radiology Physician	$141.9K	$0
Dino Recchia	MI	Cardiovascular Disease Physician	$132.8K	$0
Robert Kennedy	MI	Clinical Cardiac Electrophysiology Physician	$124.1K	$0
Anthony Livorine	MI	Diagnostic Radiology Physician	$120.2K	$0
Anna Stone	MI	Cardiovascular Disease Physician	$110.2K	$0
Anna Booher	MI	Cardiovascular Disease Physician	$107.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Michigan Community Health Agency	MI	Public Health or Welfare Agency	$0	$53.2M
Northwest Michigan Community Health Agency	MI	Public Health or Welfare Agency	$105.3K	$5M
Tova Rogers	MI	Dermatology Physician	$156.7K	$0
Thomas De Korte	MI	Podiatrist	$60.5K	$16.5K
Aaron Wilkin	MI	Chiropractor	$27.5K	$4K
Michael Johnson	MI	Certified Registered Nurse Anesthetist	$20.4K	$0

Munson Healthcare Charlevoix Hospital — Billing Profile & Reimbursement Data

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Munson Healthcare Charlevoix 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

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