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.

Holland Community Hospital (NPI 1871672618)

Holland Community Hospital is a general acute care hospital provider located in Holland, Michigan. This profile covers 0 Medicare and 344 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	Holland Community Hospital
Address	602 Michigan Ave
City	Holland
State	MI
ZIP	49423
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 3, 2006

Payer Source	Total Paid
Medicaid	$23.7M
Medicare	$0

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

344 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	20,950	$200	$4.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	83,840	$40	$3.6M
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.	11,680	$300	$3.5M
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.	19,070	$120	$2.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	9,410	$90	$837.1K
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…	10,990	$50	$549.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	15,400	$30	$508K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	5,130	$90	$446.3K
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.	3,240	$130	$424K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	14,350	$30	$401.7K

Showing 1–10 of 344

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

Holland Community Hospital — 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

344 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	29	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.	93	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.	90	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.	90	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.	63	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	56	100	2,820	$180	$1.1M
J0585	Injection, onabotulinumtoxina, 1 unit	14	40	260	$510	$684.9K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	16	30	300	$920	$652.6K
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…	122	160	2,720	$60	$546.6K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	15	40	1,230	$60	$495.3K

Showing 1–10 of 344

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Mckeever	MI	Urology Physician	$169.5K	$0
Stanley Wells	NM	Diagnostic Radiology Physician	$149.4K	$1.8K
Bradley Barnes	FL	Diagnostic Radiology Physician	$74.4K	$0
Matthew Fletcher	MI	Internal Medicine Physician	$50.7K	$0
Lee Ruotsi	MI	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$38.5K	$0
Jay Lonsway	MI	Urology Physician	$37K	$0
Lisa Jones	WI	Gastroenterology Physician	$21.1K	$0
Allison Hudson	MI	Audiologist	$13.5K	$0
Elisabeth Klaasen	MI	Clinical Social Worker	$2.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Medical Staffing, Inc.	MI	Home Health Agency	$0	$17.2M
Developmental Enhancement, Plc	MI	Clinical Psychologist	$0	$15.8M
West Michigan Pediatric Dentistry	MI	Pediatric Dentistry	$0	$13.8M
Reach For Recovery, Inc.	MI	Substance Abuse Rehabilitation Facility	$0	$6M
Holland Eye Clinic, PC	MI	Ophthalmologic Surgery Clinic/Center	$331.9K	$44.2K
Benjamin Currie	MI	Ophthalmology Physician	$307.8K	$0
Susan Ervine	MI	Diagnostic Radiology Physician	$139.2K	$0
Edward Maas	MI	Diagnostic Radiology Physician	$97.1K	$0
Scott Vandevorde	MI	Podiatrist	$66.7K	$330
Kathleen Regan	MI	Psychiatry Physician	$24.2K	$0

Holland Community Hospital — Billing Profile & Reimbursement Data

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Holland Community Hospital — 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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