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.

Hurley Medical Center (NPI 1982630844)

Hurley Medical Center is a obstetrics & gynecology physician provider located in Flint, Michigan. This profile covers 0 Medicare and 85 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	Hurley Medical Center
Address	1 Hurley Plz
City	Flint
State	MI
ZIP	48503
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	June 23, 2006

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

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

85 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	3,710	$740	$2.8M
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	1,370	$840	$1.1M
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	1,460	$670	$981.3K
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…	11,670	$30	$385.2K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	1,020	$370	$376K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	21,710	$20	$369K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	1,590	$160	$250.1K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	4,430	$50	$239.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	7,930	$30	$214.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	3,180	$60	$193.7K

Showing 1–10 of 85

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

Hurley Medical Center — 2 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

85 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	9	130	200	$750	$636K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	12	50	230	$760	$523.3K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	20	160	260	$820	$506.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,676	4,380	1,000	$70	$289.9K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	17	30	140	$680	$283.7K
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…	507	4,770	1,060	$50	$247.8K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	34	40	80	$680	$226.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	409	630	430	$60	$180.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	539	950	740	$40	$166.5K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	15	90	400	$90	$145.8K

Showing 1–10 of 85

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hurley Medical Center	MI	General Acute Care Hospital	$0	$118.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Hurley Medical Center	MI	Emergency Medicine Physician	$0	$18.9M
Jefferson Radiology, PC	CT	Diagnostic Radiology Physician	$0	$14M
Hurley Medical Center	MI	Pediatrics Physician	$0	$7.7M
Rizwan Danish	MI	Hematology & Oncology Physician	$1.1M	$0
Jeffrey Weeks	LA	Diagnostic Radiology Physician	$652.9K	$0
Arlene Richardson	IL	Diagnostic Radiology Physician	$83.6K	$553.9K
Gregory Bortoff	NC	Diagnostic Radiology Physician	$587.7K	$0
Stephanie Wang	CO	Vascular & Interventional Radiology Physician	$532.9K	$810

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mott Children's Health Center	MI	Multi-Specialty Clinic/Center	$0	$20.9M
Eden Prairie Residential Care Services, LLC	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$16.7M
Physician Coverage Services PC	MI	Internal Medicine Physician	$0	$16.6M
Merakey Midwest	MI	Community/Behavioral Health Agency	$0	$15.9M
Genesee Health System	MI	Federally Qualified Health Center (FQHC)	$0	$7.7M
Paul Kocheril	MI	Radiation Oncology Physician	$475K	$0
Mark Wilkerson	MI	Emergency Medical Services (Emergency Medicine) Physician	$440.1K	$0
Tushar Shah	MI	Radiation Oncology Physician	$439.4K	$0
Tareq Maraqa	MI	Family Medicine Physician	$409.9K	$0
Mohmmed Margni	MI	Vascular Surgery Physician	$348.8K	$0

Hurley 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

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