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.

Mymichigan Medical Center Midland (NPI 1376973149)

Mymichigan Medical Center Midland is a general acute care hospital provider located in Midland, Michigan. This profile covers 0 Medicare and 82 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	Mymichigan Medical Center Midland
Address	4000 Wellness Dr
City	Midland
State	MI
ZIP	48670
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 15, 2013

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

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

82 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	152,790	$60	$8.9M
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…	1,820	$80	$138.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	12,220	$10	$134.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	3,060	$30	$91.8K
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…	1,180	$80	$90.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	4,380	$20	$74.5K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	5,310	$10	$69K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	440	$150	$65K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	3,580	$20	$64.5K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	160	$240	$39.1K

Showing 1–10 of 82

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

Mymichigan Medical Center Midland — 2 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

82 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	15	150	5,330	$50	$2.8M
J0585	Injection, onabotulinumtoxina, 1 unit	36	40	260	$510	$684.9K
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…	729	1,960	870	$100	$376.5K
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…	371	950	610	$80	$328.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	459	780	140	$190	$192.4K
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…	544	670	560	$60	$165.2K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	6	10	100	$140	$141.2K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	254	520	710	$20	$112K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	62	130	330	$40	$89.4K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	81	170	200	$60	$67.1K

Showing 1–10 of 82

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mymichigan Medical Center Midland	MI	General Acute Care Hospital	$0	$50M
Mymichigan Medical Center Midland	MI	Multi-Specialty Clinic/Center	$0	$24.3M
Mymichigan Medical Center Midland	MI	Emergency Medicine Physician	$0	$7.2M
Kathleen Settle-ladonna	MD	Radiation Oncology Physician	$858.9K	$0
Eyad Abu-isa	MI	Radiation Oncology Physician	$409K	$0
Fadi Rzouq	NE	Gastroenterology Physician	$370.1K	$0
Mouhammed Joumaa	MI	Interventional Cardiology Physician	$360K	$0
Alain Fondjo Domkam	MS	Vascular Surgery Physician	$251.1K	$0
Beeravolu Reddy	MI	Interventional Cardiology Physician	$248.6K	$0
Jennifer Nash	MI	Dermatology Physician	$237.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mymichigan Medical Group	MI	Multi-Specialty Clinic/Center	$0	$8.1M
William Michael Mellana	MI	Clinical Cardiac Electrophysiology Physician	$156.2K	$0
Remi Hamel	MI	Dermatology Physician	$126.6K	$0
Adam Pinney	MI	Sports Medicine (Family Medicine) Physician	$109.9K	$0
Rajnikant Mehta	MI	Radiation Oncology Physician	$98.3K	$0
Rajesh Kotecha	MI	Radiation Oncology Physician	$92.5K	$0
Jacob Frisbie	MI	Vascular Surgery Physician	$86.1K	$0
Alex Dombrowski	MI	Diagnostic Radiology Physician	$56.3K	$0
Amy Doornbos	MI	Medical Physician Assistant	$46.3K	$0
Timothy Berka	MI	Diagnostic Radiology Physician	$35.2K	$0

Mymichigan Medical Center Midland — Billing Profile & Reimbursement Data

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Mymichigan Medical Center Midland — 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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