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.

Kalkaska Memorial Health Center (NPI 1497751309)

Field	Value
Entity Type	Organization
Organization	Kalkaska Memorial Health Center
Address	419 S Coral St
City	Kalkaska
State	MI
ZIP	49646
Taxonomy	Critical Access Hospital
NPI Enumerated	June 24, 2005

Payer Source	Total Paid
Medicaid	$11.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

188 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	13,820	$150	$2.1M
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.	6,570	$240	$1.5M
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.	10,170	$90	$925.1K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5,870	$120	$728K
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.	1,730	$320	$559.2K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7,780	$60	$489.8K
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.	1,930	$210	$395.2K
A0425	Ground mileage, per statute mile	3,560	$110	$391.8K
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…	11,540	$30	$323.2K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	1,150	$220	$255.1K

Showing 1–10 of 188

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

Kalkaska Memorial Health Center — 0 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

188 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	68	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.	196	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.	168	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.	118	450	1,540	$90	$1.3M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	98	160	1,880	$230	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	86	150	7,610	$90	$1.2M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	58	70	1,790	$130	$1M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	129	150	1,570	$150	$951.3K
A0425	Ground mileage, per statute mile	89	200	2,950	$50	$648.5K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	29	70	680	$100	$604K

Showing 1–10 of 188

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roberto Corpus	MI	Cardiovascular Disease Physician	$386.1K	$0
Brian Heeringa	MI	Surgery Physician	$153.4K	$0
John Reineck	MI	Orthopaedic Surgery Physician	$117.6K	$0
Michael Vanwagner	MI	Orthopaedic Surgery Physician	$114K	$0
Christopher Chuinard	MI	Orthopaedic Surgery Physician	$108.9K	$0
Andrew Cole	MI	Physical Medicine & Rehabilitation Physician	$102.9K	$0
John Milliken	MI	Gastroenterology Physician	$100.1K	$0
Andrew Boyce	MI	Orthopaedic Surgery Physician	$82.5K	$0
Michael Peters	MI	Orthopaedic Surgery Physician	$76.8K	$0
Lori Lemonnier	MI	Otolaryngology Physician	$58K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marc Krakow	MI	Emergency Medical Services (Emergency Medicine) Physician	$21.7K	$0

Kalkaska Memorial Health Center — Billing Profile & Reimbursement Data

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Kalkaska Memorial 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