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.

Mott Children's Health Center (NPI 1598760795)

Field	Value
Entity Type	Organization
Organization	Mott Children's Health Center
Address	806 Tuuri Pl
City	Flint
State	MI
ZIP	48503
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	June 15, 2005

Payer Source	Total Paid
Medicaid	$20.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

166 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	40,580	$40	$1.7M
D2930	N/A	8,660	$200	$1.7M
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…	28,200	$60	$1.7M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	53,600	$30	$1.5M
D0120	Periodic oral evaluation - established patient	40,220	$30	$1.4M
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…	14,790	$50	$798.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,960	$80	$743.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7,970	$90	$733.6K
D2392	Post 2 surface resin‑based composite	5,310	$130	$669.2K
D1351	Sealant - per tooth	20,580	$30	$637.9K

Showing 1–10 of 166

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

Mott Children's Health 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

166 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	13	200	660	$190	$434.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	34	160	2,030	$60	$407.6K
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…	665	1,960	870	$100	$376.5K
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…	68	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…	601	4,380	1,000	$70	$289.9K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	83	390	1,660	$40	$281.8K
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…	183	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…	406	550	2,350	$30	$240.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	132	250	1,110	$60	$228.5K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	41	50	350	$170	$182.4K

Showing 1–10 of 166

Nearby Providers

Other providers in the same ZIP code as Mott Children's Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hurley Medical Center	MI	General Acute Care Hospital	$0	$118.2M
Hurley Medical Center	MI	Emergency Medicine Physician	$0	$18.9M
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
Hurley Medical Center	MI	Obstetrics & Gynecology Physician	$0	$8.4M
Genesee Health System	MI	Federally Qualified Health Center (FQHC)	$0	$7.7M
Rizwan Danish	MI	Hematology & Oncology Physician	$1.1M	$0
Paul Kocheril	MI	Radiation Oncology Physician	$475K	$0
Mark Wilkerson	MI	Emergency Medical Services (Emergency Medicine) Physician	$440.1K	$0

Mott Children's Health Center — Billing Profile & Reimbursement Data

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Mott Children's Health Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References