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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMymichigan Medical Center Midland
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    Mymichigan Medical Center Midland — Billing Profile & Reimbursement Data

    NPI 1902841414 · Midland, MI · General Acute Care Hospital

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    Mymichigan Medical Center Midland is a general acute care hospital provider located in Midland, Michigan. This profile covers 0 Medicare and 460 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMymichigan Medical Center Midland
    Address4000 Wellness Dr
    CityMidland
    StateMI
    ZIP48670
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJune 18, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$50M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    460 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.31,290$180$5.7M
    99285The 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.13,090$390$5.1M
    99283The 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.35,680$120$4.3M
    G0463Hospital outpatient clinic visit for assessment and management of a patient56,120$60$3.4M
    A0425Ground mileage, per statute mile19,760$120$2.4M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)8,460$230$2M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.19,710$100$1.9M
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.610$2,720$1.7M
    97110Therapeutic 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…50,040$20$1.2M
    99282The 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.13,880$80$1.1M

    Showing 1–10 of 460

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Michigan median

    460 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient341505,330$50$2.8M
    99285The 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.854001,510$190$2.6M
    99284The 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.684801,350$110$1.7M
    99283The 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.454501,540$90$1.3M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)251601,880$230$1.3M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.391507,610$90$1.2M
    G0378Hospital observation service, per hour241002,820$180$1.1M
    A0428Ambulance service, basic life support, non-emergency transport, (bls)26701,790$130$1M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)401501,570$150$951.3K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.1550150$1,300$889.5K

    Showing 1–10 of 460

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mymichigan Medical Center Midland, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mymichigan Medical Center MidlandMIMulti-Specialty Clinic/Center$0$24.3M
    Mymichigan Medical Center MidlandMIGeneral Acute Care Hospital$0$9.9M
    Mymichigan Medical Center MidlandMIEmergency Medicine Physician$0$7.2M
    Kathleen Settle-ladonnaMDRadiation Oncology Physician$858.9K$0
    Eyad Abu-isaMIRadiation Oncology Physician$409K$0
    Fadi RzouqNEGastroenterology Physician$370.1K$0
    Mouhammed JoumaaMIInterventional Cardiology Physician$360K$0
    Alain Fondjo DomkamMSVascular Surgery Physician$251.1K$0
    Beeravolu ReddyMIInterventional Cardiology Physician$248.6K$0
    Jennifer NashMIDermatology Physician$237.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Mymichigan Medical Center Midland, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mymichigan Medical GroupMIMulti-Specialty Clinic/Center$0$8.1M
    William Michael MellanaMIClinical Cardiac Electrophysiology Physician$156.2K$0
    Remi HamelMIDermatology Physician$126.6K$0
    Adam PinneyMISports Medicine (Family Medicine) Physician$109.9K$0
    Rajnikant MehtaMIRadiation Oncology Physician$98.3K$0
    Rajesh KotechaMIRadiation Oncology Physician$92.5K$0
    Jacob FrisbieMIVascular Surgery Physician$86.1K$0
    Alex DombrowskiMIDiagnostic Radiology Physician$56.3K$0
    Amy DoornbosMIMedical Physician Assistant$46.3K$0
    Timothy BerkaMIDiagnostic Radiology Physician$35.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Michigan Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    Mymichigan Medical Center Midland — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan