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.

Exclusive Physicians PLLC (NPI 1811226749)

Exclusive Physicians PLLC is a multi-specialty clinic/center provider located in Ferndale, Michigan. This profile covers 0 Medicare and 299 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	Exclusive Physicians PLLC
Address	911 E 9 Mile Rd
City	Ferndale
State	MI
ZIP	48220
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	December 24, 2009

Payer Source	Total Paid
Medicaid	$28.6M
Medicare	$0

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

299 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	122,160	$90	$10.5M
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…	27,960	$60	$1.8M
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	16,380	$80	$1.3M
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	14,220	$90	$1.2M
99204	The provider sees a new 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 provider…	8,410	$120	$975.7K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	24,000	$40	$888.1K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	4,260	$150	$634.6K
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…	6,750	$80	$520.1K
80074	The lab analyst performs an acute hepatitis panel; the panel must include tests for hepatitis A IgM antibody, hepatitis B core IgM antibody, hepatitis B surface antigen, and hepatitis C antibody.	13,300	$30	$438.8K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	5,690	$80	$438K

Showing 1–10 of 299

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

Exclusive Physicians PLLC — 14 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

299 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	666	1,960	870	$100	$376.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	661	950	610	$80	$328.2K
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	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…	186	4,770	1,060	$50	$247.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	178	550	2,350	$30	$240.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	117	310	850	$90	$215.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	188	780	140	$190	$192.4K
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…	511	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…	783	950	740	$40	$166.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	371	670	560	$60	$165.2K

Showing 1–10 of 299

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nikesh Seth	AZ	Pain Medicine (Anesthesiology) Physician	$1.2M	$31.1K
Elias Kassab	MI	Cardiovascular Disease Physician	$554.6K	$0
Fadi Saab	MI	Cardiovascular Disease Physician	$451.2K	$0
Laina Feinstein	MI	Internal Medicine Physician	$403.2K	$0
Sonela Blaceri	MI	Cardiovascular Disease Physician	$324.3K	$0
Chadi Saad	MI	Nephrology Physician	$311.1K	$0
Susan Tam	MI	Family Medicine Physician	$260.6K	$4.2K
Norah Duncan	MI	Family Medicine Physician	$235.8K	$5.3K
Eyas Kanaan	MI	Internal Medicine Physician	$232.1K	$0
Nanjappa Sadasivan	MI	Diagnostic Radiology Physician	$192.7K	$2.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Services Of Oakland County	MI	Community/Behavioral Health Agency	$0	$112.9M
Elizabeth Pensler	MI	Surgery Physician	$777.6K	$0
Tara Stock	MI	Foot & Ankle Surgery Podiatrist	$103.8K	$0
Jacquis Gray	MI	Physician Assistant	$57.8K	$0
Crystal Workman	MI	Social Worker	$56.5K	$0
Nancy Mason	MI	Pediatric Nurse Practitioner	$29.5K	$0
Sabreen Rahman	MI	Child & Adolescent Psychiatry Physician	$14.1K	$0
Ted Naman	MI	Internal Medicine Physician	$9.5K	$3.9K
Sally Hoey	MI	Optometrist	$7.3K	$0
Sherry Scott	MI	Clinical Social Worker	$6.4K	$0

Exclusive Physicians PLLC — Billing Profile & Reimbursement Data

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Exclusive Physicians PLLC — 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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