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.

Inpatient Consultants Of Michigan PC (NPI 1861442824)

Inpatient Consultants Of Michigan PC is a hospitalist physician provider located in Livonia, Michigan. This profile covers 0 Medicare and 42 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	Inpatient Consultants Of Michigan PC
Address	36123 Schoolcraft Rd
City	Livonia
State	MI
ZIP	48150
Taxonomy	Hospitalist Physician
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$12.9M
Medicare	$0

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	95,580	$40	$3.6M
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…	61,030	$50	$3.2M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	19,950	$100	$2M
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	17,460	$60	$1.1M
99255	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends at…	5,680	$100	$574.1K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	11,790	$40	$448K
99254	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…	5,230	$80	$412.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	13,450	$30	$363.2K
99220	N/A	2,910	$100	$279.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,930	$70	$193.4K

Showing 1–10 of 42

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

Inpatient Consultants Of Michigan PC — 8 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	3,963	4,380	1,000	$70	$289.9K
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…	5	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…	5	950	740	$40	$166.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	7	760	240	$100	$121.4K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	65	120	180	$90	$107.7K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	7	40	340	$120	$93.3K
99220	N/A	16	170	160	$100	$87.9K
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…	1,861	2,000	260	$60	$84.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	3	310	190	$60	$82.5K
99254	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…	4	130	110	$90	$73.1K

Showing 1–10 of 42

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saurabh Gandhi	MI	Nephrology Physician	$290.1K	$0
Mohammad Hammoude	MI	Internal Medicine Physician	$234.6K	$0
Michael Samluk	MI	Internal Medicine Physician	$159.9K	$0
Melissa Ianitelli	MI	Cardiovascular Disease Physician	$157.4K	$0
Jyothsna Yalavarthi	MI	Internal Medicine Physician	$154K	$0
Somil Gupta	MI	Family Medicine Physician	$142K	$0
Doris Coca-soto	MI	Family Medicine Physician	$141.6K	$0
Kristin Patrick	MI	Medical Physician Assistant	$122.5K	$0
Elizabeth Taylor	MI	Family Nurse Practitioner	$69.4K	$0
Christie Schunemann	MI	Family Nurse Practitioner	$66.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest, Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$72.8M
Lajoy Group	MI	Home Health Agency	$0	$46M
Lajoy Fi	MI	Supports Brokerage Agency	$0	$45.1M
Hegira Health, Inc	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.4M
Wayne Center	MI	Psychologist	$0	$22.6M
Domel Incorporated	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21M
New Outlook, Inc.	MI	Adult Companion	$0	$17.6M
Zelexa, LLC	MI	Behavior Analyst	$0	$12M
Resource Transportation Group, LLC	MI	Non-emergency Medical Transport (VAN)	$0	$6.8M
Juliana Grey	MI	Internal Medicine Physician	$897.9K	$0

Inpatient Consultants Of Michigan PC — Billing Profile & Reimbursement Data

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Inpatient Consultants Of Michigan PC — 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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