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.

Ella E M Brown Charitable Circle (NPI 1366591794)

Ella E M Brown Charitable Circle is a psychiatry physician provider located in Marshall, Michigan. This profile covers 0 Medicare and 187 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	Ella E M Brown Charitable Circle
Address	200 N Madison St
City	Marshall
State	MI
ZIP	49068
Taxonomy	Psychiatry Physician
NPI Enumerated	January 8, 2007

Payer Source	Total Paid
Medicaid	$13.8M
Medicare	$0

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

187 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	74,750	$50	$3.7M
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…	45,920	$70	$3.4M
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…	11,070	$60	$675.5K
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…	6,970	$90	$647.9K
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…	650	$860	$554.7K
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…	6,840	$60	$437.6K
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…	530	$700	$374.3K
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…	4,450	$80	$343K
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,…	8,720	$30	$261.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,990	$80	$241.9K

Showing 1–10 of 187

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

Ella E M Brown Charitable Circle — 6 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

187 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	141	150	5,330	$50	$2.8M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	20	50	150	$1,300	$889.5K
T1015	Clinic visit/encounter, all-inclusive	280	290	5,950	$50	$689.7K
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…	51	130	200	$750	$636K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	44	50	230	$760	$523.3K
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…	51	160	260	$820	$506.6K
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…	53	4,380	1,000	$70	$289.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	43	220	440	$180	$249.7K
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…	32	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…	179	310	850	$90	$215.4K

Showing 1–10 of 187

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ella E. M. Brown Charitable Circle	MI	General Acute Care Hospital	$0	$16.6M
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Muhammad Khan	MI	Vascular & Interventional Radiology Physician	$455.8K	$0
Muhammad Hameed	MI	Medical Oncology Physician	$348.5K	$0
David Byrens	MI	Family Medicine Physician	$57.3K	$238.6K
John Nay	MI	Diagnostic Radiology Physician	$244K	$0
Hassan Semaan	OH	Diagnostic Radiology Physician	$232.7K	$0
Soo Chon Kim	FL	Diagnostic Radiology Physician	$224.8K	$0
Adam Chornoby	MI	Cardiovascular Disease Physician	$222.4K	$0
Luther Adair	IN	Diagnostic Radiology Physician	$203K	$9.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marshall Area Firefighters Ambulance Authority	MI	Ambulance	$396.3K	$1.1M
Darren Hathaway	MI	Ophthalmology Physician	$197K	$0
Angela Robin	MI	Foot & Ankle Surgery Podiatrist	$88.8K	$0
John Tobin	MI	Psychologist	$64K	$0
Subhash Thakur	MI	Vascular Surgery Physician	$59K	$0
Michael Sterrett	MI	Otolaryngology Physician	$35.2K	$0

Ella E M Brown Charitable Circle — Billing Profile & Reimbursement Data

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Ella E M Brown Charitable Circle — 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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