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.

Capital Internal Medicine Associates P.C. (NPI 1780629832)

Capital Internal Medicine Associates P.C. is a internal medicine physician provider located in Lansing, Michigan. This profile covers 0 Medicare and 93 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	Capital Internal Medicine Associates P.C.
Address	3955 Patient Care Way
City	Lansing
State	MI
ZIP	48911
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 20, 2006

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

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

93 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	46,350	$40	$1.7M
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…	21,380	$70	$1.4M
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…	22,720	$50	$1M
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…	8,330	$100	$824.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	6,820	$60	$381.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	3,910	$70	$273.4K
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…	4,540	$50	$236.2K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,970	$80	$234.9K
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…	250	$930	$233.7K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	2,340	$90	$205.8K

Showing 1–10 of 93

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

Capital Internal Medicine Associates P.C. — 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

93 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	84	130	200	$750	$636K
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…	80	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…	147	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…	252	4,770	1,060	$50	$247.8K
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…	98	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…	16	950	740	$40	$166.5K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	41	90	400	$90	$145.8K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	153	230	1,570	$40	$143.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	500	670	730	$60	$140K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	393	590	850	$50	$134.5K

Showing 1–10 of 93

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anthony Adelson	FL	Diagnostic Radiology Physician	$159.5K	$0
Amit Ghose	MI	Internal Medicine Physician	$94.6K	$0
Muhammad Kang	MI	Cardiovascular Disease Physician	$94.5K	$0
Michael Kowalczyk	MI	Internal Medicine Physician	$92K	$0
Nayyer Islam	GA	Diagnostic Radiology Physician	$69.5K	$0
Sara Winkler	MI	Family Medicine Physician	$53.4K	$0
Malcolm Doyle	VA	Diagnostic Radiology Physician	$45.3K	$820
Mary Werkman	MI	Internal Medicine Physician	$43.2K	$0
Sherman Gorbis	MI	Neuromusculoskeletal Medicine & OMM Physician	$27.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Care Alternatives	MI	Home Health Agency	$0	$15.2M
County Of Ingham	MI	Federally Qualified Health Center (FQHC)	$0	$8.6M
Joshua P June Do	MI	Rheumatology Physician	$0	$7M
Dental Dreams PLLC	MI	General Practice Dentistry	$0	$6.4M
D2 Dental Of Michigan	MI	Dentist	$0	$6M
Joshua June	MI	Rheumatology Physician	$1.5M	$0
Mhd Iyad Alshwaf	MI	Rheumatology Physician	$1.2M	$0
Amy Trinh	MI	Family Medicine Physician	$334.5K	$0
Richard Ferro	MI	Interventional Pain Medicine Physician	$143.2K	$0
Urvish Shah	MI	Gastroenterology Physician	$86K	$0

Capital Internal Medicine Associates P.C. — Billing Profile & Reimbursement Data

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Capital Internal Medicine Associates P.C. — 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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