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.

Childrens Health Center (NPI 1447423447)

Field	Value
Entity Type	Organization
Organization	Childrens Health Center
Address	10326 W Warren Ave
City	Dearborn
State	MI
ZIP	48126
Taxonomy	Health Service Clinic/Center
NPI Enumerated	April 10, 2008

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

76 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	70,290	$70	$4.6M
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	4,390	$90	$377.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4,270	$80	$354.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,470	$80	$344K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,650	$80	$281.4K
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…	2,690	$100	$274.5K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	2,140	$100	$205.4K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	15,470	$10	$154.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,210	$70	$150.4K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	5,800	$20	$121.8K

Showing 1–10 of 76

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

Childrens Health Center — 8 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

76 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,341	4,380	1,000	$70	$289.9K
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…	42	4,770	1,060	$50	$247.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	151	190	2,610	$20	$160.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	116	670	730	$60	$140K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	175	590	850	$50	$134.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	63	720	420	$60	$93.9K
99203	The provider sees a new 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 provider…	491	2,000	260	$60	$84.2K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	100	830	210	$70	$73.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	43	860	260	$70	$71.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	36	720	220	$60	$60.1K

Showing 1–10 of 76

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$58M
Central Iowa Hospital Corporation	IA	Clinical Medical Laboratory	$3M	$26.7M
Central Iowa Hospital Corporation	IA	Pediatrics Physician	$0	$25.4M
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$14.7M
Central Iowa Hospital Corporation	IA	Emergency Medicine Physician	$0	$13.1M
Central Iowa Hospital Corporation	IA	Internal Medicine Physician	$0	$2.5M
Central Iowa Hospital Corporation	IA	Family Medicine Physician	$0	$1.6M
Iowa Physicians Clinic Medical Foundation	IA	General Practice Physician	$0	$1.2M
Central Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$1.2M
Central Iowa Hospital Corporation	IA	Mental Health Counselor	$0	$999.4K

Nearby Providers

Other providers in the same ZIP code as Childrens Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Psygenics Inc	MI	Clinical Social Worker	$0	$41.4M
Children's Dental Care PLLC	MI	Pediatric Dentistry	$0	$37.5M
Arab Community Center For Economic And Social Services Access	MI	Community/Behavioral Health Agency	$0	$25.1M
Alzohaili Medical Consultants Md PC	MI	Endocrinology, Diabetes & Metabolism Physician	$0	$13.3M
Patient First Medical Clinic PLLC	MI	Addiction Medicine (Internal Medicine) Physician	$0	$11.6M
Chase Pediatrics	MI	Primary Care Clinic/Center	$0	$11M
Basel Khatib, M.d., P.C.	MI	Pediatrics Physician	$0	$8.3M
Mohamed Ayad, M.d., P.C.	MI	Family Medicine Physician	$0	$6.7M
Ali Sobh	MI	Dentist	$0	$6.3M
Patterns Behavioral Services Michigan, Inc.	MI	Behavior Analyst	$0	$6.2M

Childrens Health Center — Billing Profile & Reimbursement Data

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Childrens Health Center — 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