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.

Grace Health, Inc. (NPI 1518945278)

Field	Value
Entity Type	Organization
Organization	Grace Health, Inc.
Address	181 W Emmett St
City	Battle Creek
State	MI
ZIP	49037
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 4, 2006

Payer Source	Total Paid
Medicaid	$49.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

259 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…	279,250	$70	$20.1M
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…	47,110	$70	$3.5M
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…	34,470	$70	$2.4M
D0140	Limited oral evaluation – problem focused	26,050	$90	$2.3M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	17,660	$100	$1.7M
D2392	Post 2 surface resin‑based composite	12,150	$130	$1.6M
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…	16,540	$80	$1.3M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	14,930	$90	$1.3M
D2391	Resin‑based composite – one surface, posterior	11,630	$100	$1.2M
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	1,170	$930	$1.1M

Showing 1–10 of 259

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

Grace Health, Inc. — 22 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

259 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…	3	290	5,550	$70	$1.4M
H2011	Crisis intervention service, per 15 minutes	37	80	1,470	$310	$1.4M
H0031	Mental health assessment, by non-physician	80	180	1,290	$250	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	107	160	2,720	$60	$546.6K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	31	160	260	$820	$506.6K
99402	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	93	140	1,890	$80	$453.8K
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…	5	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…	520	1,960	870	$100	$376.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	171	290	300	$240	$336.5K
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…	89	950	610	$80	$328.2K

Showing 1–10 of 259

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chad Chambers	MI	Foot & Ankle Surgery Podiatrist	$136.7K	$0

Nearby Providers

Other providers in the same ZIP code as Grace Health, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Nursing Services, L.L.C.	MI	Home Health Agency	$0	$6.1M
George Adam	MI	Nephrology Physician	$326K	$0
Kameswara Tatineni	MI	Psychiatry Physician	$152.6K	$112.9K
Alex Mathew	MI	Family Nurse Practitioner	$201.4K	$0
Amy Reed	MI	Psychiatric/Mental Health Nurse Practitioner	$73.5K	$0
Kyle Klute	MI	Optometrist	$38.4K	$770

Grace Health, Inc. — Billing Profile & Reimbursement Data

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Grace Health, Inc. — 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