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.

Mclaren Medical Group (NPI 1346396066)

Mclaren Medical Group is a family medicine physician provider located in Lapeer, Michigan. This profile covers 0 Medicare and 135 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	Mclaren Medical Group
Address	1254 N Main St
City	Lapeer
State	MI
ZIP	48446
Taxonomy	Family Medicine Physician
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$14.8M
Medicare	$0

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

135 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	58,250	$70	$4M
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.	32,580	$80	$2.5M
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…	36,960	$70	$2.5M
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…	34,450	$50	$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.	12,240	$60	$758.8K
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…	5,600	$90	$526.6K
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…	3,900	$120	$471.9K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	350	$940	$324.5K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	3,600	$90	$320.1K
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…	4,870	$60	$302.1K

Showing 1–10 of 135

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

Mclaren Medical Group — 3 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

135 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.	51	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.	30	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.	127	450	1,540	$90	$1.3M
T1015	Clinic visit/encounter, all-inclusive	288	290	5,950	$50	$689.7K
J0585	Injection, onabotulinumtoxina, 1 unit	28	40	260	$510	$684.9K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	110	130	200	$750	$636K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	65	160	260	$820	$506.6K
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…	53	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.	206	260	2,670	$70	$348.7K
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…	68	4,380	1,000	$70	$289.9K

Showing 1–10 of 135

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
Muhammad Khan	MI	Vascular & Interventional Radiology Physician	$455.8K	$0
Vasken Artinian	MI	Pulmonary Disease Physician	$207.4K	$0
Mark Camens	MI	Diagnostic Radiology Physician	$176.6K	$0
Victor Hunyadi	MI	Cardiovascular Disease Physician	$172.3K	$0
Brian Puzsar	MI	Diagnostic Radiology Physician	$166K	$0
Nicolas Mouawad	MI	Vascular Surgery Physician	$160.9K	$0
Melissa Ianitelli	MI	Cardiovascular Disease Physician	$157.4K	$0
Valluru Reddy	MI	Internal Medicine Physician	$152.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Lapeer	MI	Community/Behavioral Health Agency	$0	$58.7M
Mclaren Lapeer Region	MI	General Acute Care Hospital	$0	$16.9M
Lapeer Pediatrics, P.C.	MI	Primary Care Clinic/Center	$0	$7.3M
Lapeer Team Work, Inc	MI	Developmentally Disabled Services Day Training Agency	$0	$7.2M
Anesthesia Services Associates, PC	MI	Anesthesiology Physician	$0	$6.1M
Lapeer County Ems Authority	MI	Ambulance	$537.1K	$1.6M
Majed Nounou	MI	Cardiovascular Disease Physician	$1M	$0
Deepak Mangla	MI	Ophthalmology Physician	$1M	$0
Abdul Alawwa	MI	Cardiovascular Disease Physician	$804.1K	$0
Lapeer County Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$507.7K	$0

Mclaren Medical Group — Billing Profile & Reimbursement Data

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Mclaren Medical Group — 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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