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.

Great Lakes Bay Health Centers (NPI 1376040881)

Great Lakes Bay Health Centers is a federally qualified health center (fqhc) provider located in Saginaw, Michigan. This profile covers 0 Medicare and 79 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	Great Lakes Bay Health Centers
Address	3023 Davenport Ave
City	Saginaw
State	MI
ZIP	48602
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 11, 2018

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

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

79 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	64,450	$60	$3.9M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	38,050	$50	$2.1M
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…	28,730	$20	$488.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	19,970	$20	$319.5K
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…	13,070	$20	$287.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	7,250	$20	$173.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	11,540	$10	$138.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	3,290	$40	$131.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,350	$40	$127.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	6,320	$20	$101.1K

Showing 1–10 of 79

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

Great Lakes Bay Health Centers — 4 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

79 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	40	290	5,550	$70	$1.4M
99402	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	131	140	1,890	$80	$453.8K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	2	260	1,950	$80	$389.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	260	1,960	870	$100	$376.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	27	290	300	$240	$336.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	45	950	610	$80	$328.2K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	154	170	370	$150	$317.9K
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…	281	4,380	1,000	$70	$289.9K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	352	390	1,660	$40	$281.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	118	210	740	$70	$255.2K

Showing 1–10 of 79

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Great Lakes Bay Health Centers	MI	Federally Qualified Health Center (FQHC)	$0	$10.3M
Great Lakes Bay Health Centers	MI	Federally Qualified Health Center (FQHC)	$0	$5.9M
Steve Min	MI	Diagnostic Radiology Physician	$380.4K	$0
Arlene Sussman	MN	Diagnostic Radiology Physician	$242.3K	$29.9K
Biren Shah	MI	Diagnostic Radiology Physician	$246.4K	$0
Harvey Yee	MI	Diagnostic Radiology Physician	$178.7K	$0
Peter Morden	MI	Diagnostic Radiology Physician	$146.6K	$0
Sanjay Talati	MI	Diagnostic Radiology Physician	$144.5K	$0
Kimberly Johnson	MI	Diagnostic Radiology Physician	$142.9K	$0
Michael Warren	MI	Vascular & Interventional Radiology Physician	$130.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saginaw County Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$172.1M
Covenant Medical Center, Inc.	MI	General Acute Care Hospital	$0	$96.6M
Covenant Medical Center, Inc	MI	Family Medicine Physician	$0	$19.3M
Covenant Medical Center, Inc.	MI	Emergency Medicine Physician	$0	$14.7M
Aps Employment Services, Inc.	MI	Home Health Agency	$0	$13.2M
Valley Ob Gyn Clinic PC	MI	Specialist	$0	$10.1M
Covenant Medical Center, Inc.	MI	Family Medicine Physician	$0	$6M
Saginaw Cooperative Hospitals, Inc	MI	Obstetrics & Gynecology Physician	$0	$5.8M
Parthiv Amin	MI	Cardiovascular Disease Physician	$267.7K	$0
Bhikam Mehta	MI	Internal Medicine Physician	$212.4K	$21.3K

Great Lakes Bay Health Centers — Billing Profile & Reimbursement Data

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Great Lakes Bay Health Centers — 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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