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.

St Johns Health Care PC (NPI 1700916335)

Field	Value
Entity Type	Organization
Organization	St Johns Health Care PC
Address	609 N Washington Ave
City	Ludington
State	MI
ZIP	49431
Taxonomy	Home Health Agency
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$13.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	30,680	$440	$13.6M

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

St Johns Health Care PC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	10	20	33,460	$380	$14M

Nearby Providers

Other providers in the same ZIP code as St Johns Health Care PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Michigan Community Mental Health System	MI	Mental Health Counselor	$0	$101.9M
Memorial Medical Center Of West Michigan	MI	General Acute Care Hospital	$0	$11.8M
Andrew Riemer	MI	Ophthalmology Physician	$1.2M	$0
Brandon Riemer	MI	Ophthalmology Physician	$600K	$0
Steven Strbich	MI	Emergency Medical Services (Emergency Medicine) Physician	$96.9K	$0
Alexus Squires	MI	Podiatrist	$82.8K	$0
Michael Greenslait	MI	Pain Medicine (Anesthesiology) Physician	$36.4K	$0
Jennifer Branning	MI	Optometrist	$36.2K	$0
Kodi Bone	MI	Physician Assistant	$14.7K	$0
Amanda Lang	MI	Optometrist	$2.2K	$190

St Johns Health Care PC — Billing Profile & Reimbursement Data

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St Johns Health Care PC — Billing Profile & Reimbursement Data

Sign up for St Johns Health Care PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References