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.

Blaine Price (NPI 1528493392)

Field	Value
Entity Type	Individual
Organization	Blaine Price
Address	555 W Wackerly St
City	Midland
State	MI
ZIP	48640
Taxonomy	Physician Assistant
NPI Enumerated	September 11, 2013

Payer Source	Total Paid
Medicare	$32.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7318	Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	3,900	$10	$19.5K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	40	$130	$4.5K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	90	$40	$4K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	30	$130	$3.3K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	400	$1	$400

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Blaine Price — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	120	360	30	$1,470	$50.1K
27130	94	240	20	$1,410	$40.8K
J7318	8	50	1,500	$10	$12.7K
20610	317	1,100	50	$50	$4.1K
J3301	260	1,010	150	$1	$300

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mymichigan Medical Center Midland	MI	General Acute Care Hospital	$0	$50M
Mymichigan Medical Center Midland	MI	Multi-Specialty Clinic/Center	$0	$24.3M
Mymichigan Medical Center Midland	MI	General Acute Care Hospital	$0	$9.9M
Mymichigan Medical Group	MI	Multi-Specialty Clinic/Center	$0	$8.1M
Mymichigan Medical Center Midland	MI	Emergency Medicine Physician	$0	$7.2M
Omar Haqqani	MI	Vascular Surgery Physician	$1.5M	$0
Kathleen Settle-ladonna	MD	Radiation Oncology Physician	$858.9K	$0
Eyad Abu-isa	MI	Radiation Oncology Physician	$409K	$0
Maath Alani	MI	Internal Medicine Physician	$389.3K	$0
Jose Raygada	MI	Infectious Disease Physician	$382K	$0

Nearby Providers

Other providers in the same ZIP code as Blaine Price, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stuart T.wilson C.p.a.,p.c.	MI	Supports Brokerage Agency	$0	$229.4M
Central State Community Services, Inc.	MI	Home Health Agency	$0	$77.3M
Personal Assistance Options, Inc	MI	In Home Supportive Care Agency	$0	$14.3M
Arnold Center, Inc.	MI	Community/Behavioral Health Agency	$0	$12.4M
Ten Sixteen Recovery Network	MI	Addiction (Substance Use Disorder) Psychologist	$0	$7.8M
Vail House-midland Inc.	MI	Home Health Agency	$0	$6.2M
Nps Associates, LLC	MI	Ambulatory Surgical Clinic/Center	$652.1K	$215.2K
Adeel Khan	MI	Nephrology Physician	$310.9K	$0
Jennifer Nash	MI	Dermatology Physician	$237.3K	$0
Opesanmi Esan	MI	Clinical Cardiac Electrophysiology Physician	$182.2K	$0

Blaine Price — Billing Profile & Reimbursement Data

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Blaine Price — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References