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.

Bronson Methodist Hospital (NPI 1831116441)

Field	Value
Entity Type	Organization
Organization	Bronson Methodist Hospital
Address	601 John St
City	Kalamazoo
State	MI
ZIP	49007
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicaid	$109.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the fee‑for‑service claims on file: there is no Medicare billing on record while Medicaid revenue totals $109.1M, so Medicaid drives the entire reported government payer revenue base and exposure to state policy and reimbursement changes. Analysts should treat Medicaid trends as the primary financial lens for this hospital.

Revenue concentration is high: the precomputed top three Medicaid codes account for 46.9% of total Medicaid revenue, driven by G0463 ($15.9M, 21.6%), 99284 ($9.8M, 13.2%), and 99283 ($9.0M, 12.1%). This concentration indicates a heavy reliance on outpatient clinic and emergency department evaluation/management services for nearly half of Medicaid receipts.

The service mix points to a hospital operating as a high‑volume emergency and outpatient care hub: G0463 (hospital outpatient clinic visit) is $15.9M and ranks #6 of 153 in‑state (97th percentile; notably above typical state volume), while ED E/M codes 99284, 99283, and 99282 show large claim volumes and high percentiles (99283 ranks #19 of 447, 96th percentile; 99284 ranks #37 of 477, 92nd percentile; 99282 ranks #6 of 259, 98th percentile and is labeled an extreme outlier). Together these patterns signal heavy ED throughput across acuity levels and significant outpatient clinic utilization.

The provider is a major in‑state diagnostic and testing center: high claim volumes for STI and respiratory testing (87491 and 87591 each 80.9K claims and $1.4M revenue, both rank #6 and 97th percentile; 87661 has 73K claims, $1.2M revenue and ranks #1 of 119, 100th percentile) plus COVID testing codes U0003 and 87637 are in the high‑percentile range. These lab code outlier positions indicate the hospital performs testing at volumes well above typical peers and likely supports broad population screening and ED throughput.

There is a substantial infusion/infusion‑related and oncology outpatient service footprint: biologic and infusion codes such as Q5103 ($2.4M, ranks #4 of 13), J3380 ($1.1M, ranks #4 of 6), chemotherapy 96413 ($1.2M, ranks #8 of 93) and infusion administration codes 96374/96365 are present at meaningful revenue levels. This mix implies established ambulatory infusion capacity and oncology/infusion workflows contributing to Medicaid revenue.

Observation and short‑stay services are material: G0378 (hospital observation service, per hour) accounts for $5.2M and ranks #16 of 100 (85th percentile, typical), and G0379 (direct admission for observation) accounts for $1.1M and ranks #1 of 15 (100th percentile). Combined with the ED and outpatient clinic volumes, this suggests the hospital manages a sizable observation population as part of acute care throughput.

The hospital also maintains notable surgical, imaging, and procedural volumes beyond ED and lab work: pediatric ENT (42820 at $3.7M, rank #10 of 50), CT abdomen/pelvis 74177 ($1.4M, 86th percentile), echocardiography 93306 ($1.0M, 84th percentile), and endoscopy 43239 ($992.6K, 86th percentile) each contribute to the service mix, indicating a broad inpatient/outpatient procedural scope. These services diversify revenue but remain smaller contributors relative to the top ED/clinic codes.

NPI tenure is long‑standing (enumerated 2006‑07‑17, ~20 years ago), reinforcing that these high volumes and code outlier positions reflect an established market presence rather than a new entrant. Given the concentrated revenue weight in a few high‑volume outpatient and ED codes, payers and provider analysts should monitor utilization shifts in clinic/ED visits, lab testing, and observation services for near‑term financial impact.

Medicaid: Complete Services Breakdown

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

669 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	279,480	$60	$15.9M
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.	50,040	$200	$9.8M
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.	74,730	$120	$9M
G0378	Hospital observation service, per hour	14,830	$350	$5.2M
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.	12,950	$290	$3.8M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	1,420	$2,590	$3.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	35,030	$70	$2.6M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	2,330	$1,010	$2.4M
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.	27,170	$80	$2.2M
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…	62,270	$30	$1.8M

Showing 1–10 of 669

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

Bronson Methodist Hospital — 9 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

669 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	6	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.	86	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.	37	480	1,350	$110	$1.7M
J3380	Injection, vedolizumab, intravenous, 1 mg	4	10	360	$2,850	$1.6M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	4	10	440	$970	$1.4M
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.	19	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.	19	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	16	100	2,820	$180	$1.1M
J2357	Injection, omalizumab, 5 mg	12	10	450	$720	$1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	6	10	290	$1,440	$1M

Showing 1–10 of 669

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bronson Methodist Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bronson Methodist Hospital	MI	Hospitalist Physician	$0	$64.8M
Lakeland Medical Practices	MI	Internal Medicine Physician	$0	$20.9M
Goshen Health System Inc	IN	Family Medicine Physician	$0	$12M
Bronson Battle Creek Hospital	MI	Internal Medicine Physician	$0	$9.8M
Mujahed Abbas	MI	Critical Care Medicine (Internal Medicine) Physician	$649.8K	$0
Wassim Bazzi	MI	Urology Physician	$370.6K	$0
John Peck	OH	Urology Physician	$355.7K	$0
Younho Chung	MI	Internal Medicine Physician	$228.5K	$0
Daniel Johnston	MI	Vascular Surgery Physician	$204.5K	$0
Michael Kasten	MI	Orthopaedic Surgery of the Spine Physician	$199K	$0

Nearby Providers

Other providers in the same ZIP code as Bronson Methodist Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Center Inc	MI	Federally Qualified Health Center (FQHC)	$0	$35.8M
Interact Of Michigan, Inc	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.3M
Southwestern Michigan Emergency Services, PC	MI	Emergency Medical Services (Emergency Medicine) Physician	$0	$26.4M
Life Ems Of Kalamazoo, Inc	MI	Land Ambulance	$2.3M	$20.5M
Bethany House Recovery House	MI	Substance Abuse Rehabilitation Facility	$0	$15.5M
Forensic Fluids Laboratories Inc.	MI	Clinical Medical Laboratory	$928.6K	$10.2M
Southwestern Michigan Neonatology, P.C.	MI	Neonatal-Perinatal Medicine Physician	$0	$7.4M
Genemarkers LLC	MI	Clinical Medical Laboratory	$17.7K	$1.1M
Mazen Mislmani	MI	Radiation Oncology Physician	$472.8K	$0
West Michigan Air Care, Inc.	MI	Air Ambulance	$363.3K	$99.2K

Bronson Methodist Hospital — Billing Profile & Reimbursement Data

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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