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 1386771053)

Field	Value
Entity Type	Organization
Organization	Mymichigan Medical Center Midland
Address	4000 Wellness Dr
City	Midland
State	MI
ZIP	48670
Taxonomy	Emergency Medicine Physician
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	34,900	$70	$2.4M
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.	36,450	$70	$2.4M
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.	22,370	$80	$1.8M
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.	6,480	$70	$440.4K
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…	550	$130	$70.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	13,620	$10	$68.1K
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…	540	$30	$16.3K
12002	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 2.6 to 7.5 cm in…	20	$40	$570

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 — 0 of 8 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

8 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.	64	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.	57	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.	47	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…	132	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.	62	260	2,670	$70	$348.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	49	430	890	$1	$32.2K
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…	62	160	290	$20	$14.4K
12002	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 2.6 to 7.5 cm in…	76	90	130	$20	$11.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mymichigan Medical Center Midland, ranked by combined Medicare and Medicaid revenue.

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	General Acute Care Hospital	$0	$9.9M
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

Nearby Providers

Other providers in the same ZIP code as Mymichigan Medical Center Midland, ranked by combined Medicare and Medicaid revenue.

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

Sign up for Mymichigan Medical Center Midland — Billing Profile & Reimbursement Data policy alerts

Mymichigan Medical Center Midland — Billing Profile & Reimbursement Data

Sign up for Mymichigan Medical Center Midland — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References