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.

Mymichigan Medical Center Alpena (NPI 1619914652)

Field	Value
Entity Type	Organization
Organization	Mymichigan Medical Center Alpena
Address	1501 W Chisholm St
City	Alpena
State	MI
ZIP	49707
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$21.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

334 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.	13,740	$190	$2.6M
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.	6,670	$330	$2.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	38,030	$50	$1.9M
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.	13,880	$120	$1.6M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8,890	$90	$826.9K
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.	9,790	$80	$812.4K
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…	34,250	$20	$787.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	4,770	$130	$629.1K
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.	4,270	$130	$567.9K
J9271	Injection, pembrolizumab, 1 mg	90	$6,260	$544.3K

Showing 1–10 of 334

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

Mymichigan Medical Center Alpena — 1 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

334 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	8	10	90	$6,340	$5.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	42	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.	124	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.	114	480	1,350	$110	$1.7M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	8	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.	117	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.	66	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	54	100	2,820	$180	$1.1M
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.	85	230	2,380	$90	$490K
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…	73	160	2,030	$60	$407.6K

Showing 1–10 of 334

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sos Nalghranyan	FL	Hematology & Oncology Physician	$1.1M	$0
Kathleen Settle-ladonna	MD	Radiation Oncology Physician	$858.9K	$0
Lincoln Pao	CO	Radiation Oncology Physician	$745.3K	$0
Mouhammed Joumaa	MI	Interventional Cardiology Physician	$360K	$0
Beeravolu Reddy	MI	Interventional Cardiology Physician	$248.6K	$0
Bradley Boehm	MI	Urology Physician	$213K	$0
Jeffrey Dombroski	MI	Specialist	$198.5K	$0
Talha Idrees	MI	Cardiovascular Disease Physician	$189.3K	$0
Omar Ali	VA	Interventional Cardiology Physician	$176.1K	$0
M. Niranjan Reddy	OH	Interventional Cardiology Physician	$158.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Michigan Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$128.1M
Northeast Michigan Community Service Agency, Inc.	MI	Case Management Agency	$0	$19.4M
Sunrise Centre Inc	MI	Substance Abuse Rehabilitation Facility	$0	$11.7M
Catholic Human Services Inc.	MI	Community/Behavioral Health Agency	$0	$8.2M
Northeast Michigan Home Health Care	MI	Home Health Agency	$0	$7.6M
City Of Alpena	MI	Land Ambulance	$428.6K	$1.2M
Mario Lacerna	MI	Radiation Oncology Physician	$715.7K	$0
David Dargis	MI	Family Medicine Physician	$455.5K	$73.9K
Rajabhau Chhapamohan	MI	Physical Therapist	$75.7K	$419.7K
Robert Currier	MI	Ophthalmology Physician	$445.9K	$0

Mymichigan Medical Center Alpena — Billing Profile & Reimbursement Data

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Mymichigan Medical Center Alpena — 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