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.

Ascension Medical Group Promed (NPI 1497709869)

Ascension Medical Group Promed is a family medicine physician provider located in Portage, Michigan. This profile covers 0 Medicare and 73 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	Ascension Medical Group Promed
Address	7901 Angling Rd
City	Portage
State	MI
ZIP	49024
Taxonomy	Family Medicine Physician
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

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

73 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	48,320	$60	$3M
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…	52,350	$50	$2.5M
99204	The provider sees a new 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 provider…	3,690	$90	$332.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,790	$80	$314.7K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	6,310	$50	$296.3K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	3,010	$80	$232.1K
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…	3,340	$60	$200.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,720	$70	$182.4K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	3,860	$30	$127.4K
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…	1,750	$70	$117.3K

Showing 1–10 of 73

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

Ascension Medical Group Promed — 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

73 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…	48	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…	68	4,770	1,060	$50	$247.8K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	41	140	290	$80	$161.3K
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…	211	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…	234	590	850	$50	$134.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	79	1,170	170	$90	$107.9K
99204	The provider sees a new 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 provider…	110	1,860	220	$90	$96.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	239	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…	193	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.	66	830	210	$70	$73.5K

Showing 1–10 of 73

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bronson Methodist Hospital	MI	Hospitalist Physician	$0	$64.8M
Ascension Medical Group Promed	MI	Internal Medicine Physician	$0	$10.6M
Bronson Battle Creek Hospital	MI	Internal Medicine Physician	$0	$9.8M
Muhammad Hameed	MI	Medical Oncology Physician	$348.5K	$0
Drew Hunter	AZ	Diagnostic Radiology Physician	$306.2K	$0
Jagadeesh Kalavakunta	MI	Interventional Cardiology Physician	$187.2K	$0
Jack Ramage	NC	Gastroenterology Physician	$182.3K	$0
John Gustafson	MI	Interventional Cardiology Physician	$167.7K	$0
Vishal Gupta	MI	Interventional Cardiology Physician	$156.4K	$0
Zhigang Liu	MI	Clinical Cardiac Electrophysiology Physician	$145.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Surgery Center Of Kalamazoo LLC	MI	Ambulatory Surgical Clinic/Center	$1.1M	$0
Ryan Jones	MI	MOHS-Micrographic Surgery Physician	$450.7K	$0
Matthew Kuiper	MI	Interventional Pain Medicine Physician	$420.2K	$0
Barton Wild	MI	Interventional Pain Medicine Physician	$363.7K	$0
Joel Bez	MI	Interventional Pain Medicine Physician	$327.7K	$0
Jeffrey Globerson	MI	Dermatology Physician	$261K	$0
Craig Mohney	MI	Dermatology Physician	$246.5K	$0
Jessica Liggett	MI	Dermatology Physician	$195.5K	$0
David Semler	MI	Dermatology Physician	$180.7K	$0
Jennifer Schiedel	MI	Physical Therapist	$121.2K	$0

Ascension Medical Group Promed — Billing Profile & Reimbursement Data

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Ascension Medical Group Promed — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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