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 Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Northstar Anesthesia Of Michigan Iii PLLC (NPI 1972126209)

Field	Value
Entity Type	Organization
Organization	Northstar Anesthesia Of Michigan Iii PLLC
Address	6225 N State Highway 161 Ste 200
City	Irving
State	TX
ZIP	75038
Taxonomy	Pain Medicine (Anesthesiology) Physician
NPI Enumerated	May 21, 2020

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

80 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	12,610	$270	$3.4M
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	11,800	$80	$896.9K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	25,580	$40	$895.4K
01961	The provider performs anesthesia services for a cesarean delivery.	10,030	$70	$692.1K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	7,430	$80	$594.4K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	7,110	$60	$455K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	12,270	$30	$380.4K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	12,610	$30	$365.7K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	8,530	$40	$349.8K
00400	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system on the extremities, anterior trunk and perineum, not otherwise specified.	7,310	$40	$306.9K

Showing 1–10 of 80

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Northstar Anesthesia Of Michigan Iii PLLC — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

80 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	5	80	1,160	$220	$768.8K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	16	100	410	$160	$390K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	1	20	340	$210	$299.2K
00670	The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…	2	10	1,850	$160	$291.1K
00320	The provider performs anesthesia services for a patient undergoing any procedure on the esophagus, thyroid, larynx, trachea and lymphatic system of the neck when the patient is one year or older.	2	10	3,340	$80	$271.1K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	1	10	970	$100	$232.7K
01961	The provider performs anesthesia services for a cesarean delivery.	1	40	240	$180	$206.7K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	1	20	60	$100	$190.8K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	2	10	1,690	$110	$178.2K
00902	The provider performs anesthesia services for a procedure involving the anus or rectum.	1	10	3,000	$50	$153.4K

Showing 1–10 of 80

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northstar Anesthesia Of Michigan Iii PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohamed Osman	MI	Anesthesiology Physician	$121.6K	$0
Aliraza Jaffer	MI	Pain Medicine Physician	$103.5K	$0
Bryan Toma	MI	Anesthesiology Physician	$101.9K	$0
Rebecca Clemans	MI	Anesthesiology Physician	$67.9K	$0
Eric Reim	MI	Certified Registered Nurse Anesthetist	$63K	$0
Larry Manders	OH	Anesthesiology Physician	$60.7K	$0
Jennifer Hopkins	MI	Anesthesiology Physician	$51.3K	$0
Jose Navas Blanco	MI	Anesthesiology Physician	$50.2K	$0
Aaron Glaeser	MI	Anesthesiology Physician	$44.1K	$0
Stephanie Whitaker	FL	Certified Registered Nurse Anesthetist	$41.5K	$0

Nearby Providers

Other providers in the same ZIP code as Northstar Anesthesia Of Michigan Iii PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Green Apple LLC	TX	Home Health Agency	$0	$59.8M
Therapy 2000 Inc	TX	Home Health Agency	$0	$47.8M
Texas Molecular Diagnostics Laboratory	TX	Clinical Medical Laboratory	$43M	$11.6K
Careflite	TX	Ambulance	$11M	$14.4M
Northstar Anesthesia Of Michigan PLLC	TX	Anesthesiology Physician	$0	$12M
Houston Neurodiagnostics, LLC	TX	Physiological Laboratory	$1.7M	$8.5M
V-labs America Inc	TX	Clinical Medical Laboratory	$2.4M	$1K
Charles Powell	TX	Family Medicine Physician	$1.1M	$0
Sumana Ketha	TX	Internal Medicine Physician	$605.1K	$500
Padmavathy Uppalapati	TX	Cardiovascular Disease Physician	$283.4K	$0

Northstar Anesthesia Of Michigan Iii PLLC — Billing Profile & Reimbursement Data

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Northstar Anesthesia Of Michigan Iii PLLC — 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