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.

Baldwin Family Health Care (NPI 1508961749)

Field	Value
Entity Type	Organization
Organization	Baldwin Family Health Care
Address	1615 Michigan Ave
City	Baldwin
State	MI
ZIP	49304
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 13, 2006

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	21,480	$70	$1.4M
D2392	Post 2 surface resin‑based composite	9,720	$120	$1.2M
D0120	Periodic oral evaluation - established patient	27,330	$40	$1.1M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	9,870	$90	$868.4K
D2391	Resin‑based composite – one surface, posterior	8,120	$100	$787.7K
D1120	Prophylaxis–child	16,000	$40	$639.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	19,820	$30	$495.4K
D2393	Resin-based composite, three surfaces, posterior	3,240	$140	$453.3K
D0140	Limited oral evaluation – problem focused	5,630	$80	$450.6K
D0150	Comprehensive oral evaluation – new or established patient	7,130	$60	$448.9K

Showing 1–10 of 41

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

Baldwin Family Health Care — 15 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

41 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…	277	290	5,550	$70	$1.4M
D2930	N/A	91	200	660	$190	$434.6K
D5120	N/A	11	40	40	$580	$310.5K
D5110	N/A	13	70	50	$590	$296.7K
D2740	N/A	107	270	140	$610	$219.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	30	640	440	$70	$174K
D2160	Amalgam - three surfaces, primary or permanent	14	50	90	$80	$153.5K
D2392	Post 2 surface resin‑based composite	21	1,170	260	$110	$134.9K
D2150	Amalgam - two surfaces, primary or permanent	26	120	150	$70	$134K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	182	320	290	$110	$132.2K

Showing 1–10 of 41

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baldwin Family Health Care	MI	Federally Qualified Health Center (FQHC)	$0	$5.7M
Brett Brinker	MI	Hematology & Oncology Physician	$794.9K	$0
Kathryn Alguire	MI	Medical Oncology Physician	$257.3K	$0
Thomas Gribbin	MI	Hematology & Oncology Physician	$96K	$0
Richard Britton	GA	Family Medicine Physician	$30.7K	$0

Baldwin Family Health Care — Billing Profile & Reimbursement Data

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Baldwin Family Health Care — 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

Frequently Asked Questions

References