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.

Marwan Shuayto Md PC (NPI 1578819850)

Marwan Shuayto Md PC is a neurology physician provider located in Port Huron, Michigan. This profile covers 0 Medicare and 108 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Marwan Shuayto Md PC
Address	1103 7th St Ste A
City	Port Huron
State	MI
ZIP	48060
Taxonomy	Neurology Physician
NPI Enumerated	July 24, 2012

Payer Source	Total Paid
Medicaid	$7.8M
Medicare	$0

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

108 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	24,070	$40	$987K
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…	11,900	$60	$690.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	8,950	$80	$670.9K
J0585	Injection, onabotulinumtoxina, 1 unit	1,170	$460	$538.7K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	4,620	$100	$466.7K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	2,570	$110	$287.8K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	2,440	$120	$282.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	22,290	$10	$267.4K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	2,580	$90	$239.8K
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…	11,990	$20	$239.8K

Showing 1–10 of 108

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

Marwan Shuayto Md PC — 9 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

108 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	125	150	7,610	$90	$1.2M
J0585	Injection, onabotulinumtoxina, 1 unit	13	40	260	$510	$684.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	101	170	2,390	$80	$345K
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…	425	950	610	$80	$328.2K
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…	319	4,380	1,000	$70	$289.9K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	77	140	870	$130	$261.1K
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…	1,364	4,770	1,060	$50	$247.8K
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…	105	550	2,350	$30	$240.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	443	780	140	$190	$192.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	15	240	2,430	$20	$152.2K

Showing 1–10 of 108

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marwan Shuayto	MI	Neurology Physician	$725.9K	$0
Ayman Yaish	WI	Otolaryngology/Facial Plastic Surgery Physician	$264.8K	$0
Todd Greenberg	ME	Diagnostic Radiology Physician	$214.5K	$0
Sean Johnston	CA	Vascular & Interventional Radiology Physician	$198.2K	$30
Daniel Shogren	MI	Diagnostic Radiology Physician	$135.8K	$0
Michael Rozenfeld	AZ	Neuroradiology Physician	$59.9K	$1.3K
Brian Tsacoumangos	MI	Physician Assistant	$50.5K	$0
John Ference	MI	Diagnostic Radiology Physician	$40.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Clair County Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$157.2M
Mclaren Port Huron	MI	General Acute Care Hospital	$0	$36.9M
Incorporation To Maximize Personal Achievement With Community Training	MI	Counselor	$0	$29.4M
Community Enterprises Of St. Clair County	MI	Developmentally Disabled Services Day Training Agency	$0	$22.9M
Prime Healthcare Services-port Huron LLC	MI	General Acute Care Hospital	$0	$15.1M
Tri Hospital Emergency Medical Services Corporation	MI	Land Ambulance	$1.8M	$8.9M
Medexpress Urgent Care, PC - Michigan	MI	Urgent Care Clinic/Center	$0	$10.6M
Professional Counseling Center,p.c.	MI	Addiction (Substance Use Disorder) Counselor	$0	$8.6M
Touchstone Services Inc	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6M
Rafia Khalil	MI	Rheumatology Physician	$1.2M	$0

Marwan Shuayto Md PC — Billing Profile & Reimbursement Data

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Marwan Shuayto Md PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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