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.

Mclaren Bay Region (NPI 1528031226)

Field	Value
Entity Type	Organization
Organization	Mclaren Bay Region
Address	1900 Columbus Ave
City	Bay City
State	MI
ZIP	48708
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 12, 2006

Payer Source	Total Paid
Medicaid	$31.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

385 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	32,670	$180	$5.9M
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.	37,800	$130	$4.7M
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.	15,910	$290	$4.6M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	16,540	$80	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	38,770	$30	$1.2M
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	700	$1,050	$730.5K
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.	8,480	$80	$712.4K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	3,610	$180	$650.5K
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…	24,890	$30	$647.1K
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.	4,820	$130	$636.6K

Showing 1–10 of 385

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

Mclaren Bay Region — 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

385 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	40	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.	82	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.	64	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.	43	450	1,540	$90	$1.3M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	50	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.	44	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	51	100	2,820	$180	$1.1M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	36	70	1,790	$130	$1M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	62	150	1,570	$150	$951.3K
A0425	Ground mileage, per statute mile	49	200	2,950	$50	$648.5K

Showing 1–10 of 385

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mclaren Bay Region, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
Mclaren Bay Region	MI	Family Medicine Physician	$0	$9.3M
Artin Aharonian	MD	Diagnostic Radiology Physician	$1M	$0
Ryan Jean-baptiste	CA	Diagnostic Radiology Physician	$517K	$47K
Thomas Giancarlo	MI	Neurology Physician	$458.1K	$0
Muhammad Khan	MI	Vascular & Interventional Radiology Physician	$455.8K	$0
Muwaffaq Salameh	MI	Nephrology Physician	$392.1K	$0
Michael Bischoff	MI	Diagnostic Radiology Physician	$352.1K	$0
Arvind Kunadi	MI	Nephrology Physician	$339.3K	$0

Nearby Providers

Other providers in the same ZIP code as Mclaren Bay Region, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bay-arenac Behavioral Health	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$78.6M
Premier Care Assisted Living	MI	Foster Care Agency	$0	$13.4M
Liberty Living Inc	MI	Adult Care Home Facility	$0	$10.9M
Recovery Pathways, LLC	MI	Medical Specialty Clinic/Center	$0	$8.1M
In Your Golden Years, LLC	MI	Home Health Agency	$0	$7.7M
Paramount Rehabilitation Services, PC	MI	Physical Therapist	$0	$5.5M
Japhet Joseph	MI	Cardiovascular Disease Physician	$414.3K	$16.3K
Richard Horbal	MI	Allergy & Immunology Physician	$424.8K	$0
Robert Graham	MI	Ophthalmology Physician	$358.5K	$0
Seth Craft	MI	Foot & Ankle Surgery Podiatrist	$239.3K	$0

Mclaren Bay Region — Billing Profile & Reimbursement Data

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Mclaren Bay Region — 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