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.

Pokagon Band Of Potawatomi Indians (NPI 1497833271)

Field	Value
Entity Type	Organization
Organization	Pokagon Band Of Potawatomi Indians
Address	32652 Kno Drive
City	Dowagiac
State	MI
ZIP	49047
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

66 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	14,410	$370	$5.3M
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	8,930	$380	$3.4M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,280	$200	$446.9K
G0468	Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle…	1,670	$270	$443.3K
D0140	Limited oral evaluation – problem focused	1,100	$290	$318.6K
D0120	Periodic oral evaluation - established patient	2,340	$120	$288.2K
D0150	Comprehensive oral evaluation – new or established patient	1,160	$230	$261.5K
G0469	Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner…	890	$220	$198.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,100	$150	$160.3K
D2392	Post 2 surface resin‑based composite	810	$190	$152.2K

Showing 1–10 of 66

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

Pokagon Band Of Potawatomi Indians — 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

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	94	290	5,550	$70	$1.4M
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	36	260	1,950	$80	$389.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	164	950	610	$80	$328.2K
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…	1,093	4,380	1,000	$70	$289.9K
G0468	Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle…	26	70	910	$70	$254.1K
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…	767	4,770	1,060	$50	$247.8K
D2740	N/A	202	270	140	$610	$219.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	532	780	140	$190	$192.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	230	640	440	$70	$174K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	145	670	560	$60	$165.2K

Showing 1–10 of 66

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pokagon Band Of Potawatomi Indians, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gerald Morris	IN	Family Medicine Physician	$85.3K	$0
Michelle Cockey	MI	Family Nurse Practitioner	$11.5K	$0
Marcy Parisi	MI	Family Nurse Practitioner	$8.4K	$0

Nearby Providers

Other providers in the same ZIP code as Pokagon Band Of Potawatomi Indians, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Living Alternatives For The Developmentally Disabled, Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$135.4M
Ascension Borgess Lee Hospital	MI	Critical Access Hospital	$0	$6.9M
Living Alternatives For The Developmentally Disabled, Inc.	MI	In Home Supportive Care Agency	$0	$5.7M

Pokagon Band Of Potawatomi Indians — Billing Profile & Reimbursement Data

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Pokagon Band Of Potawatomi Indians — 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