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.

Erica Spalding (NPI 1386205912)

Field	Value
Entity Type	Individual
Organization	Erica Spalding
Address	1900 Wealthy St Se Ste 200
City	Grand Rapids
State	MI
ZIP	49506
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	June 25, 2019

Payer Source	Total Paid
Medicare	$15.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	120	$100	$11.6K
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…	30	$80	$2.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	60	$10	$460
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	100	$1	$390

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Erica Spalding — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,926	15,470	80	$80	$11.4K
99204	249	6,280	30	$110	$4.2K
36415	1,076	1,860	70	$10	$1.6K
93005	6	150	20	$1	$130

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Health Hospitals	MI	General Acute Care Hospital	$0	$243.2M
Spectrum Health Primary Care Partners	MI	Internal Medicine Physician	$0	$219.9M
Spectrum Health Hospitals	MI	Hospitalist Physician	$0	$25.2M
Spectrum Health Primary Care Partners	MI	Urgent Care Clinic/Center	$0	$14.5M
Spectrum Health Hospitals	MI	Air Ambulance	$413.8K	$1.1M
Jeremiah Johns	MI	Emergency Medicine Physician	$432.1K	$0
Enid Ling-stowers	MI	Emergency Medicine Physician	$253.4K	$67.6K
Rima Shah	MI	Internal Medicine Physician	$264.5K	$0
Harvinder Singh	MI	Cardiovascular Disease Physician	$249K	$0
Sampson Ho	MI	Physical Medicine & Rehabilitation Physician	$115.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Counseling Center Of West Michigan, LLC	MI	Mental Health Counselor	$0	$12.3M
Kent Residential Centers, Inc	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12M
Edward Lee	MI	Radiation Oncology Physician	$393.4K	$0
Byron Slaton	MI	Nephrology Physician	$245.5K	$0
Michael Unruh	MI	Nephrology Physician	$237.5K	$0
Brett Plattner	MI	Nephrology Physician	$206.1K	$0
Matthew Villerot	MI	Pain Medicine (Anesthesiology) Physician	$119.1K	$0
Carl Hinshaw	MI	Pain Medicine (Anesthesiology) Physician	$85.4K	$0
Yijia Chu	MI	Pain Medicine (Anesthesiology) Physician	$78.7K	$0
Hopemarie Hower	MI	Occupational Therapist	$52.7K	$0

Erica Spalding — Billing Profile & Reimbursement Data

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Erica Spalding — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References