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.

Hurley Medical Center (NPI 1598717480)

Field	Value
Entity Type	Organization
Organization	Hurley Medical Center
Address	1 Hurley Plz
City	Flint
State	MI
ZIP	48503
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$118.2M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only hospital in our dataset: Total Medicaid revenue is $118.2M and there is no Medicare billing on file. That single-payer footprint concentrates the organization’s reimbursement exposure and market evaluation around Medicaid volumes and rates rather than a mixed Medicare/Medicaid operating profile.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the precomputed top three Medicaid codes account for 53.2% of this provider’s total Medicaid revenue, led by 99285 ($24.4M, 24.7%), 99283 ($14.3M, 14.5%), and 99284 ($13.9M, 14.1%). This concentration indicates that ED services are the primary revenue driver for the hospital.

The code mix and volumes point to an ED-plus-observation operational model. High-volume ED codes (99285/99284/99283) are complemented by G0378 (hospital observation service, 33.9K claims, $1.1M) and large outpatient clinic throughput via G0463 (185.5K claims, $8.9M, 9.0%), together suggesting substantial emergency, observation and ambulatory evaluation activity under the hospital roof.

Competitive standing for ED care is strong statewide: 99283 ranks #8 of 447 providers in-state (98th percentile, labeled an "extreme outlier, far above typical state volume"), while 99285 and 99284 both rank in the 96th percentile among in-state peers. These ranks indicate the hospital is a major ED volume center in Michigan rather than a modest participant for core emergency services.

Several procedure and infusion codes are also unusually high, signaling broad acute-care throughput beyond basic ED visits. High-volume infusion/IV administration codes (96374: 59.2K claims, $4.5M; 96361: 59.4K claims, $2.8M; 96365: 24.2K claims, $1.9M) and G0378 (99th percentile) indicate frequent use of IV therapy and observation-level care, consistent with an ED that stabilizes and treats complex, time‑intensive cases.

The provider shows extreme outlier activity in selected specialty areas that are atypical for many hospitals: 41899 (dental procedure not elsewhere classified) is $5.7M and ranks #1 of 34 in-state (100th percentile, described as "extreme outlier, far above typical state volume"), and 90834 (psychotherapy) is $3M and ranks #10 of 950 (99th percentile, also an "extreme outlier"). These figures point to unusually large hospital-based oral/dental and behavioral-health service lines relative to peers.

Obstetrics and imaging are material but smaller contributors: fetal testing 59025 is $1.5M (rank #5 of 242, 98th percentile) and ultrasound 76811 is $808.5K (rank #5 of 87, 95th percentile), while CT and plain chest radiography (74177: $1M; 70450: $975K; 71046/71045 combined near $1.8M) indicate robust diagnostic capability supporting emergency and inpatient care. Together these codes support a full-service hospital profile with active maternity and diagnostic units.

The hospital has long tenure in our registry, enumerated 2006-05-17 (~20 years ago), which combined with the Medicaid concentration suggests an established regional acute-care center whose competitive relevance and financial performance will be driven primarily by Medicaid policy, rates, and state-level referral patterns rather than Medicare market dynamics.

Medicaid: Complete Services Breakdown

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

506 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	68,020	$360	$24.4M
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.	119,420	$120	$14.3M
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.	86,960	$160	$13.9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	185,470	$50	$8.9M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	4,330	$1,320	$5.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	59,200	$80	$4.5M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	1,200	$2,560	$3.1M
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…	47,340	$60	$3M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	59,380	$50	$2.8M
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…	57,740	$30	$2M

Showing 1–10 of 506

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

Hurley Medical Center — 16 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

506 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	13	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.	18	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.	19	480	1,350	$110	$1.7M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	13	10	440	$970	$1.4M
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.	8	450	1,540	$90	$1.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	4	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	2	100	2,820	$180	$1.1M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	43	60	1,310	$130	$1.1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	12	50	150	$1,300	$889.5K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1	30	300	$920	$652.6K

Showing 1–10 of 506

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Hurley Medical Center	MI	Emergency Medicine Physician	$0	$18.9M
Jefferson Radiology, PC	CT	Diagnostic Radiology Physician	$0	$14M
Hurley Medical Center	MI	Obstetrics & Gynecology Physician	$0	$8.4M
Hurley Medical Center	MI	Pediatrics Physician	$0	$7.7M
Rizwan Danish	MI	Hematology & Oncology Physician	$1.1M	$0
Jeffrey Weeks	LA	Diagnostic Radiology Physician	$652.9K	$0
Arlene Richardson	IL	Diagnostic Radiology Physician	$83.6K	$553.9K
Gregory Bortoff	NC	Diagnostic Radiology Physician	$587.7K	$0
Stephanie Wang	CO	Vascular & Interventional Radiology Physician	$532.9K	$810

Nearby Providers

Other providers in the same ZIP code as Hurley Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mott Children's Health Center	MI	Multi-Specialty Clinic/Center	$0	$20.9M
Eden Prairie Residential Care Services, LLC	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$16.7M
Physician Coverage Services PC	MI	Internal Medicine Physician	$0	$16.6M
Merakey Midwest	MI	Community/Behavioral Health Agency	$0	$15.9M
Genesee Health System	MI	Federally Qualified Health Center (FQHC)	$0	$7.7M
Paul Kocheril	MI	Radiation Oncology Physician	$475K	$0
Mark Wilkerson	MI	Emergency Medical Services (Emergency Medicine) Physician	$440.1K	$0
Tushar Shah	MI	Radiation Oncology Physician	$439.4K	$0
Tareq Maraqa	MI	Family Medicine Physician	$409.9K	$0
Mohmmed Margni	MI	Vascular Surgery Physician	$348.8K	$0

Hurley Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References