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.

Epmg Of Michigan, P.C. (NPI 1386688992)

Field	Value
Entity Type	Organization
Organization	Epmg Of Michigan, P.C.
Address	36475 5 Mile Rd
City	Livonia
State	MI
ZIP	48154
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicaid	$21.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	132,450	$60	$8.5M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	109,400	$60	$6.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	91,920	$50	$5M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	9,160	$120	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	8,880	$50	$461.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	24,260	$10	$121.3K
99220	N/A	990	$100	$99.2K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	950	$100	$92K
99281	The provider sees a patient for the lowest level emergency department visit.	1,750	$50	$87.7K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	3,130	$30	$84.5K

Showing 1–10 of 33

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

Epmg Of Michigan, P.C. — 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	9	400	1,510	$190	$2.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	15	480	1,350	$110	$1.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	16	450	1,540	$90	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	24	270	510	$140	$395.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	45	260	2,670	$70	$348.7K
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…	598	630	430	$60	$180.4K
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…	287	760	240	$100	$121.4K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	134	210	950	$30	$103.6K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	20	40	340	$120	$93.3K
99281	The provider sees a patient for the lowest level emergency department visit.	44	150	860	$50	$89.3K

Showing 1–10 of 33

Related Providers

Other providers that share a Tax Identification Number (TIN) with Epmg Of Michigan, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epmg Downriver PLLC	MI	Emergency Medicine Physician	$0	$11.2M
Manish Acharya	WI	Emergency Medicine Physician	$59.4K	$86.4K
Jason Moore	MN	Emergency Medicine Physician	$72.9K	$21.2K
Laura Thayer	IA	Physician Assistant	$18.2K	$0
Katherine Kruger	GU	Acute Care Nurse Practitioner	$11.2K	$0

Nearby Providers

Other providers in the same ZIP code as Epmg Of Michigan, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Life Center, Inc	MI	Adult Companion	$0	$29.9M
St Mary Mercy Hospital	MI	General Acute Care Hospital	$0	$27.8M
Community Opportunity Center	MI	Chore Provider	$0	$27.1M
Domus Vita	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$21.5M
City Of Livonia	MI	Land Ambulance	$701.9K	$1.5M
John Iljas	MI	Vascular Surgery Physician	$990.3K	$0
Pioneer Central Medical Laboratory LLC	MI	Clinical Medical Laboratory	$38.9K	$654.3K
Jeffrey Schock	MI	Urology Physician	$321.1K	$0
Mark Uzansky	MI	Otolaryngology/Facial Plastic Surgery Physician	$276.1K	$0
Salwan Anton	MI	Cardiovascular Disease Physician	$275.7K	$0

Epmg Of Michigan, P.C. — Billing Profile & Reimbursement Data

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Epmg Of Michigan, P.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References