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.

W.a. Foote Memorial Hospital, Inc (NPI 1366988347)

W.a. Foote Memorial Hospital, Inc is a nurse practitioner provider located in Jackson, Michigan. This profile covers 0 Medicare and 57 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	W.a. Foote Memorial Hospital, Inc
Address	205 N. East Ave
City	Jackson
State	MI
ZIP	49201
Taxonomy	Nurse Practitioner
NPI Enumerated	January 13, 2017

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

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

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	34,470	$60	$1.9M
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…	40,210	$40	$1.6M
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…	5,100	$70	$341.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	4,040	$80	$327K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,860	$100	$189.8K
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…	3,390	$40	$145.6K
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…	1,750	$60	$108.5K
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…	2,270	$40	$97.4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,320	$70	$91.2K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,130	$80	$85.9K

Showing 1–10 of 57

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

W.a. Foote Memorial Hospital, Inc — 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

57 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	73	4,380	1,000	$70	$289.9K
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…	101	4,770	1,060	$50	$247.8K
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…	287	630	430	$60	$180.4K
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…	294	950	740	$40	$166.5K
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…	211	670	730	$60	$140K
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…	228	590	850	$50	$134.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	114	760	240	$100	$121.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	73	1,170	170	$90	$107.9K
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…	75	1,860	220	$90	$96.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	264	720	420	$60	$93.9K

Showing 1–10 of 57

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
W.a. Foote Memorial Hospital	MI	General Acute Care Hospital	$0	$41.3M
W.a. Foote Memorial Hospital, Inc.	MI	General Acute Care Hospital	$0	$40M
Abdulkareem Sharaf	CA	Cardiovascular Disease Physician	$1.2M	$1.2M
John Carey	MI	Immunopathology Physician	$1.3M	$220
Tareq Baghal	MI	Cardiovascular Disease Physician	$1M	$0
Janakkumar Kansagra	AZ	Interventional Cardiology Physician	$798.6K	$0
Yaser Badr	CA	Neurological Surgery Physician	$756.3K	$13.2K
Patrick Mclaughlin	MI	Radiation Oncology Physician	$737.5K	$0
Aharon Feldman	MI	Radiation Oncology Physician	$653.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Family Health	MI	Federally Qualified Health Center (FQHC)	$0	$24.7M
Center For Family Health	MI	Federally Qualified Health Center (FQHC)	$0	$8.6M
Surgical Services Of Michigan, LLC	MI	Ambulatory Surgical Clinic/Center	$1.7M	$28.4K
Vivek Kak	MI	Infectious Disease Physician	$460.2K	$0
Donna O'neill	MI	Infectious Disease Physician	$436.5K	$0
John Smarch	MI	Chiropractor	$46.9K	$190.7K
Samir Parikh	MI	Diagnostic Radiology Physician	$219.8K	$0
Kavita Luthra	MI	Nephrology Physician	$206.5K	$0
Gary Lynd	MI	Family Medicine Physician	$205.1K	$0
Waseem Ullah	MI	Diagnostic Radiology Physician	$201K	$0

W.a. Foote Memorial Hospital, Inc — 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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