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.

Hillsdale Community Health Center (NPI 1730115940)

Hillsdale Community Health Center is a general acute care hospital provider located in Hillsdale, Michigan. This profile covers 0 Medicare and 283 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	Hillsdale Community Health Center
Address	168 S Howell St
City	Hillsdale
State	MI
ZIP	49242
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 23, 2006

Payer Source	Total Paid
Medicaid	$19.1M
Medicare	$0

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

283 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	25,680	$120	$3.1M
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.	10,600	$260	$2.7M
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.	14,700	$170	$2.5M
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…	19,980	$40	$879.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8,090	$90	$736.6K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	5,810	$80	$447.4K
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.	3,160	$140	$446.1K
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…	6,120	$70	$404.2K
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.	4,350	$90	$396K
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…	6,640	$60	$391.9K

Showing 1–10 of 283

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

Hillsdale Community Health Center — 2 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

283 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	86	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.	97	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.	109	480	1,350	$110	$1.7M
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.	65	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.	71	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	74	100	2,820	$180	$1.1M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	56	60	1,310	$130	$1.1M
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…	125	130	200	$750	$636K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	59	160	2,720	$60	$546.6K
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…	91	160	260	$820	$506.6K

Showing 1–10 of 283

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tariq Abdelkarim	MI	Pulmonary Disease Physician	$219.6K	$0
Jagadeesh Kalavakunta	MI	Interventional Cardiology Physician	$187.2K	$0
Victor Owusu	MI	Cardiovascular Disease Physician	$168K	$0
Vishal Gupta	MI	Interventional Cardiology Physician	$156.4K	$0
Manzar Rajput	MI	Psychiatry Physician	$99.2K	$0
Samih Mawari	MI	Pulmonary Disease Physician	$99.1K	$0
Marcio Curvelo	MI	Diagnostic Radiology Physician	$97.2K	$0
Aurif Abedi	TX	Psychiatry Physician	$81K	$0
Royce Biddle	MI	Diagnostic Radiology Physician	$61.2K	$0
Richard Hartman	MI	Orthopaedic Surgery Physician	$54.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reading Emergency Unit #1, Inc	MI	Ambulance	$298.4K	$1.1M
Lawrence Kimball	MI	Family Medicine Physician	$74.8K	$0
Mark Kosciuszko	MI	Optometrist	$20.9K	$0
Yolanda Cobley	MI	Family Nurse Practitioner	$4K	$0
Tarra Voigtman	MI	Certified Registered Nurse Anesthetist	$2.6K	$0

Hillsdale Community Health Center — Billing Profile & Reimbursement Data

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Hillsdale Community 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

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