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.

Mercy Memorial Hospital Corporatio (NPI 1811097223)

Mercy Memorial Hospital Corporatio is a general acute care hospital provider located in Monroe, Michigan. This profile covers 0 Medicare and 387 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	Mercy Memorial Hospital Corporatio
Address	718 N Macomb St
City	Monroe
State	MI
ZIP	48162
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 25, 2006

Payer Source	Total Paid
Medicaid	$29.5M
Medicare	$0

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

387 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	26,190	$190	$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.	37,970	$120	$4.6M
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.	12,660	$270	$3.4M
G0378	Hospital observation service, per hour	2,930	$700	$2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	18,390	$90	$1.6M
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…	21,560	$50	$1.1M
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.	10,870	$80	$837.2K
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…	10,760	$70	$796.4K
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.	5,070	$130	$664.7K
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.	6,460	$80	$503.5K

Showing 1–10 of 387

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

Mercy Memorial Hospital Corporatio — 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

387 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	72	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.	87	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.	76	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.	42	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.	40	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	49	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…	74	160	2,720	$60	$546.6K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	26	40	1,230	$60	$495.3K
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.	72	230	2,380	$90	$490K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	38	160	2,030	$60	$407.6K

Showing 1–10 of 387

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ju Gao	OH	Pain Medicine Physician	$154K	$66.2K
Aileen Padilla	OH	Physical Medicine & Rehabilitation Physician	$158K	$0
Michael Tilson	MI	Family Medicine Physician	$137.9K	$0
Ahmed Harhash	VT	Interventional Cardiology Physician	$114.1K	$0
James Otting	OH	Interventional Pain Medicine Physician	$101.4K	$0
Manzar Rajput	MI	Psychiatry Physician	$99.2K	$0
Richard Burgess	OH	Vascular Neurology Physician	$95.3K	$0
Thomas Osinowo	MI	Psychiatry Physician	$40.6K	$0
Krishnavel Chathadi	MI	Gastroenterology Physician	$33.8K	$0
Diane Schoen	MI	Certified Registered Nurse Anesthetist	$28K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salvation Army Harbor Light	MI	Substance Abuse Rehabilitation Facility	$0	$19.7M
Zuhair Peracha	MI	Retina Specialist (Ophthalmology) Physician	$1.2M	$0
Liaqat Ali	MI	Dermatopathology Physician	$728K	$0
Paulette Moulton	MI	Dermatology Physician	$466K	$0
Darius Mehregan	MI	Dermatopathology Physician	$351.7K	$0
Navin Jain	MI	Pulmonary Disease Physician	$321.6K	$0
Ameen Abdulmalik	MI	Interventional Cardiology Physician	$249.6K	$0
James Miller	MI	Family Medicine Physician	$118.7K	$127.7K
Abdulwahhab Alroaini	MI	Interventional Cardiology Physician	$216.5K	$0
Meiraj Siddiqui	MI	Ophthalmology Physician	$207.8K	$0

Mercy Memorial Hospital Corporatio — Billing Profile & Reimbursement Data

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Mercy Memorial Hospital Corporatio — 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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