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.

Western Wayne Family Health Centers (NPI 1508280116)

Field	Value
Entity Type	Organization
Organization	Western Wayne Family Health Centers
Address	25650 Outer Dr
City	Lincoln Park
State	MI
ZIP	48146
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 18, 2014

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

104 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…	34,880	$70	$2.6M
D0150	Comprehensive oral evaluation – new or established patient	4,260	$100	$426.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	5,170	$80	$418.7K
G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more…	3,750	$80	$300.2K
D0140	Limited oral evaluation – problem focused	2,630	$100	$268K
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…	3,710	$70	$244.5K
D2392	Post 2 surface resin‑based composite	1,750	$120	$217.2K
D0120	Periodic oral evaluation - established patient	3,030	$70	$209.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,710	$80	$203.3K
D2391	Resin‑based composite – one surface, posterior	1,280	$100	$130.4K

Showing 1–10 of 104

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

Western Wayne Family Health Centers — 1 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

104 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…	44	290	5,550	$70	$1.4M
H0031	Mental health assessment, by non-physician	154	180	1,290	$250	$1.1M
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…	80	260	1,950	$80	$389.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,408	1,960	870	$100	$376.5K
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…	330	950	610	$80	$328.2K
D5110	N/A	60	70	50	$590	$296.7K
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…	1,073	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…	23	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…	297	4,770	1,060	$50	$247.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	508	780	140	$190	$192.4K

Showing 1–10 of 104

Related Providers

Other providers that share a Tax Identification Number (TIN) with Western Wayne Family Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Wayne Family Health Centers	MI	Federally Qualified Health Center (FQHC)	$0	$9.1M
Western Wayne Family Health Centers	MI	Federally Qualified Health Center (FQHC)	$0	$6.2M
Issa Botros	CA	Adult Medicine Physician	$41K	$0
Julia Gerdes	MI	Adult Health Nurse Practitioner	$16.2K	$0
Tanaya Porter	MI	General Practice Dentistry	$2.2K	$5.3K

Nearby Providers

Other providers in the same ZIP code as Western Wayne Family Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Services	MI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$36.6M
Lifeline Concord LLC	MI	Ambulance	$1.4M	$6M
Vibra Of Southeastern Michigan LLC	MI	Long Term Care Hospital	$0	$6.3M
Get Well Urgent Care Downriver Plc	MI	Urgent Care Clinic/Center	$0	$6.2M
Chris Olenech	MI	Foot & Ankle Surgery Podiatrist	$112.8K	$0
Durene Elem-vaughn	MI	Primary Podiatric Medicine Podiatrist	$26.1K	$0

Western Wayne Family Health Centers — Billing Profile & Reimbursement Data

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Western Wayne Family Health Centers — 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