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 Mary Mercy Hospital (NPI 1790706901)

St Mary Mercy Hospital is a general acute care hospital provider located in Livonia, Michigan. This profile covers 0 Medicare and 331 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	St Mary Mercy Hospital
Address	36475 5 Mile Rd
City	Livonia
State	MI
ZIP	48154
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 22, 2006

Payer Source	Total Paid
Medicaid	$27.8M
Medicare	$0

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

331 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.	17,940	$440	$7.8M
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.	21,020	$230	$4.8M
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.	16,130	$130	$2.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	17,570	$90	$1.6M
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.	4,810	$130	$635.2K
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.	18,470	$30	$517.2K
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.	1,280	$360	$454.6K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	11,470	$40	$412.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	5,400	$70	$394.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	4,590	$90	$390K

Showing 1–10 of 331

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 Mary Mercy Hospital — 0 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

331 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	109	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.	75	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.	89	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.	101	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.	41	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	33	100	2,820	$180	$1.1M
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…	57	160	2,720	$60	$546.6K
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.	78	230	2,380	$90	$490K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	242	270	510	$140	$395.2K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	43	140	5,720	$40	$381.8K

Showing 1–10 of 331

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tareq Baghal	MI	Cardiovascular Disease Physician	$1M	$0
Chaman Sohal	MI	Cardiovascular Disease Physician	$756.5K	$0
Subrahmanya Yellayi	MI	Cardiovascular Disease Physician	$386K	$0
Abhinav Raina	MI	Cardiovascular Disease Physician	$325.3K	$0
Ahmad Ghabsha	MI	Internal Medicine Physician	$315K	$0
Syed Jafri	MI	Cardiovascular Disease Physician	$301.6K	$0
Fadi Alkhankan	WV	Pulmonary Disease Physician	$277.5K	$0
Subburaman Sivakumar	MI	Internal Medicine Physician	$270K	$0
Hawazin Abbas	MI	Pulmonary Disease Physician	$153.7K	$0
Nasser Taghavi	MI	Specialist	$148.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Life Center, Inc	MI	Adult Companion	$0	$29.9M
Community Opportunity Center	MI	Chore Provider	$0	$27.1M
Epmg Of Michigan, P.C.	MI	Emergency Medicine Physician	$0	$21.9M
Domus Vita	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$21.5M
City Of Livonia	MI	Land Ambulance	$701.9K	$1.5M
John Iljas	MI	Vascular Surgery Physician	$990.3K	$0
Pioneer Central Medical Laboratory LLC	MI	Clinical Medical Laboratory	$38.9K	$654.3K
Jeffrey Schock	MI	Urology Physician	$321.1K	$0
Mark Uzansky	MI	Otolaryngology/Facial Plastic Surgery Physician	$276.1K	$0
Salwan Anton	MI	Cardiovascular Disease Physician	$275.7K	$0

St Mary Mercy Hospital — Billing Profile & Reimbursement Data

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St Mary Mercy Hospital — 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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