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.

Oakwood Healthcare, Inc. (NPI 1740230119)

Field	Value
Entity Type	Organization
Organization	Oakwood Healthcare, Inc.
Address	18101 Oakwood Blvd
City	Dearborn
State	MI
ZIP	48124
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 10, 2006

Payer Source	Total Paid
Medicaid	$165.3M
Medicare	$0

Key Findings

Payer mix and scale: OAKWOOD HEALTHCARE, INC. reports no Medicare billing on file and therefore derives its documented federal fee‑for‑service revenue entirely from Medicaid, with total Medicaid revenue of $165.3M. This makes the provider effectively single‑payer (Medicaid) in the available claims dataset, concentrating reimbursement and exposure on state Medicaid programs rather than a split Medicare/Medicaid portfolio.

Revenue concentration: The provider’s Medicaid revenue is highly concentrated in three codes — 99285, 99284, and G0463 — which together account for 50.9% of total Medicaid revenue. Individually, 99285 appears as the single largest line at $37.1M (37.1% of Medicaid revenue), followed by 99284 at $8.3M (8.3%) and G0463 at $5.5M (5.5%), signaling heavy dependence on a small set of high‑impact outpatient/ED encounters.

Service‑line implication — emergency and observation care: The code mix is dominated by emergency department E/M codes and hospital outpatient/observation services, indicating the facility operates with high ED throughput and significant short‑term observation activity. Key codes supporting this view include 99285 ($37.1M), 99284 ($8.3M) and G0378 ($5M), and the presence of both high‑acuity E/M billing and per‑hour observation billing suggests an operational focus on acute episodic care.

Clinical operations — infusion and procedural support: High volumes for drug/infusion administration codes such as 96374 ($5.2M) and 96365 ($1.3M) show frequent use of outpatient IV therapies, while procedural claims like 47562 ($2.8M) and 93458 ($2.4M) indicate capability for operative and advanced cardiac imaging/interventional work. Together these codes point to a full‑service acute care hospital workflow that manages both medical infusions and invasive/interventional procedures.

Competitive standing in state Medicaid market: For several high‑revenue codes OAKWOOD ranks in top percentiles statewide — 99285 ranks #12 of 404 providers (97th percentile; notably above typical state volume), 96374 ranks #3 of 148 (99th percentile; notably above typical state volume), and G0378 ranks #4 of 100 (97th percentile; notably above typical state volume). These ranks indicate the provider is a major regional participant for high‑acuity ED visits, infusion services, and observation care relative to in‑state peers.

Laboratory footprint and outlier status: The provider is an extreme statewide outlier on many common lab panels, with multiple lab codes ranking #1 in the state (e.g., 82306: 199.2K claims, $3.2M revenue, #1 of 182, 100th percentile; 80053: 363.1K claims, $1.8M revenue, #1 of 254, 100th percentile; 85025: 447.1K claims, $1.3M revenue, #1 of 350, 100th percentile; 83036: 214.6K claims, $1.3M revenue, #1 of 543, 100th percentile). These volumes imply a very large in‑house laboratory or centralized lab services responsible for substantial Medicaid lab throughput.

Tenure and operational continuity: OAKWOOD’s NPI was enumerated on 2006-05-10 (~20 years ago), indicating long operational presence in the market. Combined with the large Medicaid volume and demonstrated statewide leadership on numerous codes, this tenure suggests established referral and throughput patterns that payers should account for in network design and contracting discussions.

Medicaid: Complete Services Breakdown

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

774 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	106,970	$350	$37.1M
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.	42,650	$190	$8.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	90,360	$60	$5.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	62,220	$80	$5.2M
G0378	Hospital observation service, per hour	25,890	$200	$5M
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.	26,880	$140	$3.7M
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	199,170	$20	$3.2M
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	1,040	$2,740	$2.8M
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	262,080	$10	$2.6M
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	260,580	$10	$2.6M

Showing 1–10 of 774

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

Oakwood Healthcare, Inc. — 18 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

774 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	24	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.	12	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.	43	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.	64	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.	3	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	4	100	2,820	$180	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	9	10	290	$1,440	$1M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	5	10	1,870	$270	$984K
J2505	Injection, pegfilgrastim, 6 mg	6	10	130	$2,420	$942.2K
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	5	10	190	$180	$910.5K

Showing 1–10 of 774

Related Providers

Other providers that share a Tax Identification Number (TIN) with Oakwood Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Beaumont Hospital	MI	Hospitalist Physician	$0	$167.9M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$162.4M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$84.8M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$61.5M
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$55.5M
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$50.3M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Wellstreet Urgent Care Of Michigan	MI	Urgent Care Clinic/Center	$0	$37.5M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$23.2M

Nearby Providers

Other providers in the same ZIP code as Oakwood Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Services To Enhance Potential	MI	Developmentally Disabled Services Day Training Agency	$0	$72.8M
Oakwood Ambulatory LLC	MI	Internal Medicine Physician	$0	$66.9M
Chitter Chatter P.C.	MI	Behavior Analyst	$0	$59.5M
Emergency Professionals Of Michigan, P.C.	MI	Emergency Medicine Physician	$0	$35.2M
Drs Harris Birkhill Wang Songe & Assoc PC	MI	Diagnostic Radiology Physician	$0	$27.8M
Futures Healthcore, LLC	MI	Community Health Clinic/Center	$0	$15.6M
First Choice Urgent Care PC	MI	Urgent Care Clinic/Center	$0	$13.5M
David K. Vazquez D.d.s. Plc	MI	Pediatric Dentistry	$0	$8M
Asheesh Tewari	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Dearborn Surgery Center, LLC	MI	Ambulatory Surgical Clinic/Center	$2.3M	$0

Oakwood Healthcare, Inc. — Billing Profile & Reimbursement Data

Sign up for Oakwood Healthcare, Inc. — Billing Profile & Reimbursement Data policy alerts

Oakwood Healthcare, Inc. — Billing Profile & Reimbursement Data

Sign up for Oakwood Healthcare, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References