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.

Regents Of The University Of Michigan (NPI 1659305514)

Field	Value
Entity Type	Organization
Organization	Regents Of The University Of Michigan
Address	1500 E Medical Center Dr
City	Ann Arbor
State	MI
ZIP	48109
Taxonomy	Pediatric Cardiology Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	6,570	$360	$2.4M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	13,720	$40	$493.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	10,090	$40	$413.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6,390	$60	$396.2K
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…	6,360	$50	$337.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	7,070	$40	$289.7K
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…	2,810	$80	$227.7K
99204	The provider sees a new 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 provider…	2,250	$80	$175.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	34,980	$10	$174.9K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	14,780	$10	$147.8K

Showing 1–10 of 39

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

Regents Of The University Of Michigan — 4 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

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	7	20	1,000	$340	$2.5M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	18	20	1,120	$100	$636.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	259	270	510	$140	$395.2K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	2	30	960	$100	$329.1K
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…	661	4,380	1,000	$70	$289.9K
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…	1,974	4,770	1,060	$50	$247.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	19	310	850	$90	$215.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	71	630	430	$60	$180.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	129	950	740	$40	$166.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	529	760	240	$100	$121.4K

Showing 1–10 of 39

Related Providers

Other providers that share a Tax Identification Number (TIN) with Regents Of The University Of Michigan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regents Of The University Of Michigan	MI	General Acute Care Hospital	$0	$317.9M
Regents Of The University Of Michigan	MI	Home Infusion Therapy Pharmacy	$0	$33.8M
Regents Of The University Of Michigan	MI	Diagnostic Radiology Physician	$0	$13.8M
Regents Of The University Of Michigan	MI	Neonatal-Perinatal Medicine Physician	$0	$12.9M
Regents Of The University Of Michigan	MI	Emergency Medicine Physician	$0	$12.7M
Regents Of The University Of Michigan	MI	Obstetrics & Gynecology Physician	$0	$12.5M
Regents Of The University Of Michigan	MI	Family Medicine Physician	$0	$11.2M
Regents Of The University Of Michigan	MI	Pediatrics Physician	$0	$8.3M
Regents Of The University Of Michigan	MI	Anesthesiology Physician	$0	$7M
Regents Of The University Of Michigan	MI	Pediatric Critical Care Medicine Physician	$0	$6.6M

Nearby Providers

Other providers in the same ZIP code as Regents Of The University Of Michigan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regents Of The University Of Michigan School Of Dentistry	MI	General Practice Dentistry	$0	$8.9M
Regents Of The University Of Michigan Dental Faculty Associates	MI	General Practice Dentistry	$0	$6M
Regents Of The University Of Michigan	MI	Gastroenterology Physician	$0	$5.9M
Fares Alsawah	MI	Internal Medicine Physician	$740.9K	$0
Ehab Youssef	MI	Diagnostic Radiology Physician	$613.8K	$0
Kristie Jones	MI	Physician Assistant	$471.3K	$0
Michael Bishop	MI	Radiation Oncology Physician	$324.3K	$0
Maha Hussain	MI	Medical Oncology Physician	$304.7K	$5.8K
Matthew Tate	MI	Radiation Oncology Physician	$295.2K	$0
Muddasser Saiyed-javed	MI	Nephrology Physician	$292.7K	$0

Regents Of The University Of Michigan — Billing Profile & Reimbursement Data

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Regents Of The University Of Michigan — 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