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 Group (NPI 1689623506)

Mymichigan Medical Group is a multi-specialty clinic/center provider located in Midland, Michigan. This profile covers 0 Medicare and 101 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	Mymichigan Medical Group
Address	4000 Wellness Dr
City	Midland
State	MI
ZIP	48670
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 8, 2006

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

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

101 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	1,200	$910	$1.1M
99203	The provider sees a new 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 provider…	15,400	$70	$1M
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…	21,610	$50	$994.2K
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…	8,940	$100	$876.1K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	1,030	$840	$870.8K
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…	11,780	$70	$777.7K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	1,110	$220	$241.1K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	300	$710	$209.7K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	6,720	$30	$201.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1,390	$140	$191.7K

Showing 1–10 of 101

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 Group — 3 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

101 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	13	50	150	$1,300	$889.5K
T1015	Clinic visit/encounter, all-inclusive	281	290	5,950	$50	$689.7K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	34	130	200	$750	$636K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	24	50	230	$760	$523.3K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	29	160	260	$820	$506.6K
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…	322	4,380	1,000	$70	$289.9K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	27	30	140	$680	$283.7K
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…	123	140	870	$130	$261.1K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	101	220	440	$180	$249.7K
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…	270	4,770	1,060	$50	$247.8K

Showing 1–10 of 101

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omar Haqqani	MI	Vascular Surgery Physician	$1.5M	$0
Maath Alani	MI	Internal Medicine Physician	$389.3K	$0
Jose Raygada	MI	Infectious Disease Physician	$382K	$0
James Starr	MI	Internal Medicine Physician	$210.9K	$0
Jeffrey Dombroski	MI	Specialist	$198.5K	$0
Opesanmi Esan	MI	Clinical Cardiac Electrophysiology Physician	$182.2K	$0
Dennis Burton	FL	Diagnostic Radiology Physician	$179.1K	$2.7K
Khurshaid Alam	MI	Vascular & Interventional Radiology Physician	$181K	$0
Angela Miller	MI	Nurse Practitioner	$180.1K	$0
Richard Schulz	MI	Surgery Physician	$174.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mymichigan Medical Center Midland	MI	General Acute Care Hospital	$0	$50M
Mymichigan Medical Center Midland	MI	Multi-Specialty Clinic/Center	$0	$24.3M
Mymichigan Medical Center Midland	MI	General Acute Care Hospital	$0	$9.9M
Mymichigan Medical Center Midland	MI	Emergency Medicine Physician	$0	$7.2M
William Michael Mellana	MI	Clinical Cardiac Electrophysiology Physician	$156.2K	$0
Remi Hamel	MI	Dermatology Physician	$126.6K	$0
Adam Pinney	MI	Sports Medicine (Family Medicine) Physician	$109.9K	$0
Rajnikant Mehta	MI	Radiation Oncology Physician	$98.3K	$0
Rajesh Kotecha	MI	Radiation Oncology Physician	$92.5K	$0
Jacob Frisbie	MI	Vascular Surgery Physician	$86.1K	$0

Mymichigan Medical Group — Billing Profile & Reimbursement Data

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Mymichigan Medical Group — 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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