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 Montana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Montana 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. Montana (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.

Michael Ganz (NPI 1356399257)

Field	Value
Entity Type	Individual
Organization	Michael Ganz
Address	2900 12th Ave N
City	Billings
State	MT
ZIP	59101
Taxonomy	Nephrology Physician
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicare	$305.1K
Medicaid	$0

Key Findings

This provider is a nephrology specialist (Nephrology Physician) with an NPI enumerated around 2006-05-04, indicating roughly 20 years of Medicare enrollment and sustained presence in the market. The tenure supports experience in chronic kidney disease and dialysis care settings and aligns with the substantial volume of ESRD-related codes in the Medicare billing mix.

Medicare dominates this provider’s reported payer activity: lifetime Medicare revenue is $305.1K while there is no Medicaid billing on file, making the provider effectively single-payer (Medicare) in the available dataset. Analysts should treat Medicaid-driven insights as not applicable given the absence of Medicaid claims.

Revenue is heavily concentrated in a small set of dialysis management and E/M services: the top 3 Medicare codes by revenue account for 70.6% of total Medicare revenue. The highest-revenue code is 90960 (monthly ESRD face-to-face management), which alone accounts for $137.1K and 45.0% of Medicare revenue, signaling that in-person monthly management of in-center dialysis patients is the core service line.

The provider’s code mix further shows significant recurring dialysis-related work beyond 90960: codes 90966 and 90961 also appear in the top items (home dialysis monthly management and two-to-three face-to-face monthly ESRD management respectively), together with 90960 forming the dominant ESRD care footprint. This pattern indicates a practice focused on ongoing dialysis management across in-center and home modalities rather than episodic, one-off procedures.

In national competitive standing for specific codes, the provider is a high-volume outlier on the top code: 90960 ranks #171 of 6549 providers nationally (97th percentile), which the data labels as “notably above typical national volume for this code.” This suggests the provider is a major contributor nationally for monthly ESRD face-to-face management relative to peers, even though overall lifetime Medicare revenue remains modest at $305.1K.

For common office and hospital E/M services, the provider also reports above-typical volumes but with more modest relative standing. Code 99213 accounts for $39.7K (13.0% of Medicare revenue) and ranks in the 96th percentile nationally (notably above typical volume), while 99232 contributes $38.4K (12.6%) and ranks in the 94th percentile (typical, unremarkable volume label). These figures indicate frequent outpatient and inpatient follow-up visits consistent with ongoing nephrology care.

Several additional ESRD procedure codes appear at typical volume levels and together support the clinical profile: 90966 ($26.6K, 8.7%), 90961 ($23.9K, 7.8%), and 90962 ($11.4K, 3.7%) are all described as typical or unremarkable volume for their national ranks. This spread across monthly management codes suggests the provider manages a mix of frequency/intensity levels of dialysis patients rather than concentrating exclusively on a single service intensity.

Other codes show modest revenue contributions and expected volume patterns: inpatient subsequent visit code 99233 ($8.6K, 2.8%) and new patient office visit 99203 ($5.9K, 1.9%) are present but do not materially change the practice’s revenue concentration in ESRD management. Lower-revenue items such as 90970 and 36415 together comprise only small fractions of Medicare revenue and reflect routine ancillary services tied to dialysis care.

For payer strategy and risk assessment, the lack of Medicaid billing means payers or health systems should consider this provider’s footprint and referral patterns primarily within Medicare populations, particularly ESRD beneficiaries. Any competitive or network decisions that rely on Medicaid capacity should not assume this provider participates in Medicaid based on the available claims file.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	500	$270	$137.1K
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…	650	$60	$39.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	620	$60	$38.4K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	120	$230	$26.6K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	100	$230	$23.9K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	70	$160	$11.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	90	$100	$8.6K
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…	80	$80	$5.9K
99442	N/A	80	$70	$5.5K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	70	$40	$2.8K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Michael Ganz — 3 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	1	20	120	$280	$44.2K
90962	4	10	50	$160	$20.5K
90966	4	10	100	$230	$20K
90961	3	20	50	$230	$14K
99233	127	370	60	$90	$8.9K
99232	7	560	70	$60	$8K
99213	35	1,730	90	$50	$7.2K
99442	6	90	20	$50	$5.3K
99203	122	700	30	$70	$3.1K
99231	59	240	40	$40	$2.2K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scl Health Medical Group - Billings LLC	MT	Clinic/Center	$0	$32.2M
Scl Health Montana	MT	General Acute Care Hospital	$0	$13.5M
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
Scl Health Montana	MT	Durable Medical Equipment & Medical Supplies	$0	$2.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Billings Clinic	MT	General Practice Physician	$0	$53.8M
Rimrock Foundation	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$44.9M
Residential Support Services	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$30.6M
Billings Public School District 2	MT	Local Education Agency (LEA)	$0	$19.2M
South Central Montana Regional Mental Health Center	MT	Clinic/Center	$0	$16.6M
Billings Clinic	MT	Emergency Care Clinic/Center	$0	$15.7M
Community Solutions Incorporated	MT	Clinical Medical Laboratory	$0	$14.1M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$10.8M
American Medical Response Ambulance Service Inc	MT	Ambulance	$2.1M	$6.7M
Yellowstone Pathology Institute, Inc.	MT	Clinical Medical Laboratory	$777.4K	$4.4M

Michael Ganz — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References