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.

Munson Healthcare Cadillac (NPI 1841696754)

Munson Healthcare Cadillac is a general acute care hospital provider located in Cadillac, Michigan. This profile covers 0 Medicare and 292 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	Munson Healthcare Cadillac
Address	400 Hobart St
City	Cadillac
State	MI
ZIP	49601
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 5, 2014

Payer Source	Total Paid
Medicaid	$21.5M
Medicare	$0

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

292 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	24,440	$120	$3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	41,380	$60	$2.5M
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.	8,430	$290	$2.4M
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.	12,160	$190	$2.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13,480	$100	$1.3M
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.	11,390	$70	$808.9K
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.	4,540	$150	$667.4K
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…	18,810	$20	$376.2K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	11,770	$30	$364.8K
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.	10,640	$30	$329.7K

Showing 1–10 of 292

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

Munson Healthcare Cadillac — 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

292 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	10	10	90	$6,340	$5.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	37	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.	109	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.	125	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.	68	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.	52	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	66	100	2,820	$180	$1.1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	30	50	150	$1,300	$889.5K
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…	50	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.	80	230	2,380	$90	$490K

Showing 1–10 of 292

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roberto Corpus	MI	Cardiovascular Disease Physician	$386.1K	$0
Todd Galdes	MI	Adult Reconstructive Orthopaedic Surgery Physician	$176.8K	$0
Douglas Brown	MI	Radiation Oncology Physician	$156.6K	$0
Jessica Arden	MI	Radiation Oncology Physician	$133.5K	$0
Dino Recchia	MI	Cardiovascular Disease Physician	$132.8K	$0
Neil Forster	MI	Radiation Oncology Physician	$132.3K	$0
Robert Kennedy	MI	Clinical Cardiac Electrophysiology Physician	$124.1K	$0
Michael Vanwagner	MI	Orthopaedic Surgery Physician	$114K	$0
Anna Stone	MI	Cardiovascular Disease Physician	$110.2K	$0
Steven Mast	MI	Interventional Cardiology Physician	$108.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baldwin Family Health Care	MI	Federally Qualified Health Center (FQHC)	$0	$5.7M
Steffany Straight	MI	Ophthalmology Physician	$552.2K	$0
Shoaib Chowdhury	MI	Nephrology Physician	$304.9K	$0
Walgreen Co	MI	Pharmacy	$178.3K	$270
Alan Conrad	MI	Family Medicine Physician	$119.1K	$0
Jacob Maclean	MI	Family Medicine Physician	$97K	$0
Joseph Ward	MI	Orthopaedic Surgery Physician	$91.8K	$0
Brian Drabik	MI	Urology Physician	$71.4K	$0
Dominic Kiomento	MI	Family Medicine Physician	$61.6K	$0
Robert Kendell	MI	Facial Plastic Surgery Physician	$61.4K	$0

Munson Healthcare Cadillac — 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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