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.

Marlette Regional Hospital (NPI 1346325214)

Field	Value
Entity Type	Organization
Organization	Marlette Regional Hospital
Address	2770 Main St
City	Marlette
State	MI
ZIP	48453
Taxonomy	Critical Access Hospital
NPI Enumerated	October 26, 2006

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

116 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	10,770	$150	$1.6M
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.	6,450	$230	$1.5M
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.	3,040	$360	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	3,600	$110	$389.2K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	1,460	$250	$358.7K
A0425	Ground mileage, per statute mile	2,230	$160	$350.6K
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.	1,260	$200	$256.4K
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.	2,640	$90	$240.4K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	1,970	$110	$207.1K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	1,670	$110	$181.7K

Showing 1–10 of 116

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

Marlette Regional 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

116 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	142	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.	170	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.	171	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.	139	450	1,540	$90	$1.3M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	89	160	1,880	$230	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	99	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	88	100	2,820	$180	$1.1M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	147	150	1,570	$150	$951.3K
A0425	Ground mileage, per statute mile	110	200	2,950	$50	$648.5K
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…	106	160	2,720	$60	$546.6K

Showing 1–10 of 116

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Stockman	MI	Dermatopathology Physician	$570.4K	$0
Sabry Mansour	MI	Urology Physician	$191.5K	$0
Tyler Conway	MI	Dermatology Physician	$171K	$15.9K
Mark Zaki	MI	Radiation Oncology Physician	$184.7K	$0
James Fugazzi	MI	Radiation Oncology Physician	$172.7K	$0
Nick Buttar	MI	Family Medicine Physician	$157.1K	$0
Sundar Ramanathan	MI	Nephrology Physician	$141.7K	$0
Aaron Goldfarb	MI	Anatomic Pathology & Clinical Pathology Physician	$73.9K	$0
Jay Szekely	MI	Facial Plastic Surgery Physician	$72K	$0
Moutaz Haiba	MI	Anatomic Pathology & Clinical Pathology Physician	$67.4K	$0

Marlette Regional Hospital — Billing Profile & Reimbursement Data

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Marlette Regional 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

Related Providers

Frequently Asked Questions

References