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.

Oakwood Healthcare, Inc. (NPI 1487605168)

Field	Value
Entity Type	Organization
Organization	Oakwood Healthcare, Inc.
Address	10000 Telegraph Rd
City	Taylor
State	MI
ZIP	48180
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicaid	$50.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

346 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.	51,540	$310	$15.7M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	88,490	$60	$5.4M
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.	21,440	$190	$4.1M
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.	14,020	$140	$1.9M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	55,990	$30	$1.8M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	20,630	$80	$1.7M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	4,010	$360	$1.5M
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,860	$540	$1M
G0378	Hospital observation service, per hour	6,290	$160	$994.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	6,220	$150	$938.6K

Showing 1–10 of 346

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

Oakwood Healthcare, Inc. — 3 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

346 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	26	150	5,330	$50	$2.8M
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.	31	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.	88	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.	116	450	1,540	$90	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	38	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	32	100	2,820	$180	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	66	160	2,720	$60	$546.6K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	56	230	2,380	$90	$490K
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…	131	270	510	$140	$395.2K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	41	140	5,720	$40	$381.8K

Showing 1–10 of 346

Related Providers

Other providers that share a Tax Identification Number (TIN) with Oakwood Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$165.3M
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$55.5M
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$23.2M
Rajesh Gulati	MI	Cardiovascular Disease Physician	$181.2K	$0
Douglas Plagens	MI	Orthopaedic Surgery Physician	$120.4K	$0

Nearby Providers

Other providers in the same ZIP code as Oakwood Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pas - Personal Accounting Services, Incorporated	MI	Home Health Agency	$0	$192.6M
Michigan Neuroscience Clinic PLLC	MI	Neurology Physician	$0	$14.9M
Downriver Mental Health Clinic PC	MI	Psychologist	$0	$12.5M
Cabb Community Supports LLC	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.7M
Eai Employment Resources, Inc.	MI	Developmentally Disabled Services Day Training Agency	$0	$6.5M
Western Wayne Family Health Centers	MI	Federally Qualified Health Center (FQHC)	$0	$6.2M
Golnick Pediatric Dental Associates	MI	Dental Clinic/Center	$0	$5.3M
City Of Taylor	MI	Land Ambulance	$402K	$2.7M
Priti Bhardwaj	MI	Internal Medicine Physician	$536.4K	$0
Nawaf Murshed	MI	Neurology Physician	$397.4K	$0

Oakwood Healthcare, Inc. — 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