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.

4m Monroe Medical Services PLLC (NPI 1477962199)

4m Monroe Medical Services PLLC is a emergency medicine physician provider located in Adrian, Michigan. This profile covers 0 Medicare and 33 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	4m Monroe Medical Services PLLC
Address	5640 N Adrian Hwy
City	Adrian
State	MI
ZIP	49221
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 6, 2014

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

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
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.	42,580	$60	$2.6M
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.	26,240	$80	$2.1M
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.	34,560	$40	$1.4M
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…	2,340	$110	$260.1K
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.	1,670	$30	$53.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	11,930	$1	$47.7K
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…	1,040	$30	$27K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	210	$50	$11.6K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	310	$30	$10.1K
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…	170	$40	$6.4K

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

4m Monroe Medical Services PLLC — 0 of 13 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.	59	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.	44	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.	48	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…	72	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.	157	260	2,670	$70	$348.7K
99281	The provider sees a patient for the lowest level emergency department visit.	128	150	860	$50	$89.3K
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…	38	40	60	$100	$44.2K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	62	110	250	$70	$39.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	55	430	890	$1	$32.2K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	44	90	220	$20	$15.4K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Renaissance Community Homes	MI	Mental Illness Community Based Residential Treatment Facility	$0	$84.9M
Lenawee Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$32M
Emma L. Bixby Medical Center	MI	General Acute Care Hospital	$0	$18.4M
Hospice Of Lenawee, Inc.	MI	Community Based Hospice Care Agency	$0	$9M
Goodwill Industries Of Southeastern Michigan, Inc.	MI	Community/Behavioral Health Agency	$0	$6.6M
Jlc Care Services	MI	In Home Supportive Care Agency	$0	$6M
Mccullough, Vargas, & Associates, Inc.	MI	Addiction (Substance Use Disorder) Counselor	$0	$5.7M
William Rhoades	MI	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
City Of Adrian	MI	Land Ambulance	$317.7K	$1.3M
Lawrence Desjarlais	MI	Dermatology Physician	$346.4K	$0

4m Monroe Medical Services PLLC — Billing Profile & Reimbursement Data

Sign up for 4m Monroe Medical Services PLLC — Billing Profile & Reimbursement Data policy alerts

4m Monroe Medical Services PLLC — Billing Profile & Reimbursement Data

Sign up for 4m Monroe Medical Services PLLC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Kern	MI	Emergency Medicine Physician	$74.9K	$0
Jeffrey Clinton	MI	Family Nurse Practitioner	$33.2K	$0