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.

Northwest Michigan Community Health Agency (NPI 1447441720)

Field	Value
Entity Type	Organization
Organization	Northwest Michigan Community Health Agency
Address	220 W Garfield Ave
City	Charlevoix
State	MI
ZIP	49720
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	August 5, 2007

Payer Source	Total Paid
Medicaid	$53.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	75,720	$60	$4.5M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	99,360	$40	$4.2M
D5110	N/A	4,530	$610	$2.7M
D1351	Sealant - per tooth	91,380	$30	$2.7M
D2150	Amalgam - two surfaces, primary or permanent	38,370	$70	$2.6M
D0120	Periodic oral evaluation - established patient	102,550	$20	$2.5M
D1120	Prophylaxis–child	49,790	$40	$2M
D0210	Intraoral - complete series of radiographic images	31,970	$60	$1.9M
D5120	N/A	3,090	$600	$1.9M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	65,080	$30	$1.6M

Showing 1–10 of 72

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

Northwest Michigan Community Health Agency — 24 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	12	200	660	$190	$434.6K
D5120	N/A	2	40	40	$580	$310.5K
D5110	N/A	2	70	50	$590	$296.7K
D5214	N/A	2	30	30	$680	$236.6K
D2751	N/A	6	10	90	$470	$235K
D2740	N/A	5	270	140	$610	$219.4K
D5213	N/A	2	20	20	$680	$215.7K
D3330	N/A	74	100	110	$630	$176.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2	640	440	$70	$174K
D5751	N/A	2	10	100	$170	$163.7K

Showing 1–10 of 72

Nearby Providers

Other providers in the same ZIP code as Northwest Michigan Community Health Agency, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Munson Healthcare Charlevoix Hospital	MI	Critical Access Hospital	$0	$8.3M
Northwest Michigan Community Health Agency	MI	Public Health or Welfare Agency	$105.3K	$5M
Tova Rogers	MI	Dermatology Physician	$156.7K	$0
Thomas De Korte	MI	Podiatrist	$60.5K	$16.5K
Aaron Wilkin	MI	Chiropractor	$27.5K	$4K
Michael Johnson	MI	Certified Registered Nurse Anesthetist	$20.4K	$0

Northwest Michigan Community Health Agency — Billing Profile & Reimbursement Data

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Northwest Michigan Community Health Agency — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References