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.

Ella E. M. Brown Charitable Circle (NPI 1861475360)

Ella E. M. Brown Charitable Circle is a general acute care hospital provider located in Marshall, Michigan. This profile covers 0 Medicare and 237 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	Ella E. M. Brown Charitable Circle
Address	200 N Madison St
City	Marshall
State	MI
ZIP	49068
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 29, 2005

Payer Source	Total Paid
Medicaid	$16.6M
Medicare	$0

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

237 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	8,800	$340	$3M
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.	11,930	$180	$2.2M
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.	15,590	$130	$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…	25,450	$30	$712.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,970	$100	$690.3K
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.	3,030	$160	$478.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,860	$260	$475.9K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	10,170	$40	$427.3K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,030	$410	$421.3K
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…	9,170	$40	$366.6K

Showing 1–10 of 237

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

Ella E. M. Brown Charitable Circle — 1 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

237 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	60	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.	106	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.	126	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.	108	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.	77	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	52	100	2,820	$180	$1.1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	27	50	150	$1,300	$889.5K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	32	30	300	$920	$652.6K
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.	101	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…	33	160	2,030	$60	$407.6K

Showing 1–10 of 237

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ella E M Brown Charitable Circle	MI	Psychiatry Physician	$0	$13.8M
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Muhammad Khan	MI	Vascular & Interventional Radiology Physician	$455.8K	$0
Muhammad Hameed	MI	Medical Oncology Physician	$348.5K	$0
David Byrens	MI	Family Medicine Physician	$57.3K	$238.6K
John Nay	MI	Diagnostic Radiology Physician	$244K	$0
Hassan Semaan	OH	Diagnostic Radiology Physician	$232.7K	$0
Soo Chon Kim	FL	Diagnostic Radiology Physician	$224.8K	$0
Adam Chornoby	MI	Cardiovascular Disease Physician	$222.4K	$0
Luther Adair	IN	Diagnostic Radiology Physician	$203K	$9.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marshall Area Firefighters Ambulance Authority	MI	Ambulance	$396.3K	$1.1M
Darren Hathaway	MI	Ophthalmology Physician	$197K	$0
Angela Robin	MI	Foot & Ankle Surgery Podiatrist	$88.8K	$0
John Tobin	MI	Psychologist	$64K	$0
Subhash Thakur	MI	Vascular Surgery Physician	$59K	$0
Michael Sterrett	MI	Otolaryngology Physician	$35.2K	$0

Ella E. M. Brown Charitable Circle — Billing Profile & Reimbursement Data

Sign up for Ella E. M. Brown Charitable Circle — Billing Profile & Reimbursement Data policy alerts

Ella E. M. Brown Charitable Circle — Billing Profile & Reimbursement Data

Sign up for Ella E. M. Brown Charitable Circle — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References