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 Medical Center (NPI 1952307852)

Field	Value
Entity Type	Organization
Organization	Munson Medical Center
Address	1105 6th St
City	Traverse City
State	MI
ZIP	49684
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 24, 2005

Payer Source	Total Paid
Medicaid	$44.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

504 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	112,720	$50	$5.7M
G0378	Hospital observation service, per hour	7,120	$620	$4.4M
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.	21,780	$200	$4.4M
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.	24,030	$130	$3.1M
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.	8,030	$310	$2.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	16,370	$80	$1.4M
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.	22,840	$50	$1.1M
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.	11,630	$70	$825.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	3,810	$220	$818.9K
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	4,450	$180	$805.8K

Showing 1–10 of 504

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 Medical Center — 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

504 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
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	47	70	3,240	$390	$4.7M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	21	50	3,580	$380	$3.7M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	20	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.	114	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.	87	480	1,350	$110	$1.7M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	11	10	440	$970	$1.4M
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.	71	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.	45	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	29	100	2,820	$180	$1.1M

Showing 1–10 of 504

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeland Medical Practices	MI	Internal Medicine Physician	$0	$20.9M
Eric Mancini	FL	Orthopaedic Surgery Physician	$282K	$0
Michael Blackmer	AL	Adult Reconstructive Orthopaedic Surgery Physician	$239K	$0
James Mackenzie	MI	Physical Medicine & Rehabilitation Physician	$204.4K	$0
Stephen Andriese	MI	Physical Medicine & Rehabilitation Physician	$185K	$0
Todd Galdes	MI	Adult Reconstructive Orthopaedic Surgery Physician	$176.8K	$0
Alfred Wroblewski	MI	Orthopaedic Hand Surgery Physician	$166.5K	$0
Douglas Brown	MI	Radiation Oncology Physician	$156.6K	$0
Michael Boros	MI	Surgery Physician	$156.4K	$0
Brian Heeringa	MI	Surgery Physician	$153.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Lakes Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$148.6M
Northwestern Michigan Emergency Physicians PC	MI	Emergency Medicine Physician	$0	$7.5M
Grand Traverse Radiologists PC	MI	Diagnostic Radiology Physician	$0	$7.3M
Northern Michigan Pediatric Dentistry	MI	Dental Clinic/Center	$0	$7M
Grand Traverse Womens Clinic PLLC	MI	Obstetrics Physician	$0	$6.7M
Northern Lakes Community Mental Health Authority	MI	Case Management Agency	$0	$5.9M
Northwest Michigan Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$2.9M	$1.5M
Alliance Surgery Center, LLC	MI	Ambulatory Surgical Clinic/Center	$3M	$0
Michael Mawby	MI	Rheumatology Physician	$628.2K	$0
Surgery Center Plc	MI	Ambulatory Surgical Clinic/Center	$584.8K	$0

Munson Medical Center — Billing Profile & Reimbursement Data

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Munson Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References