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.

Mclaren Port Huron (NPI 1982685384)

Field	Value
Entity Type	Organization
Organization	Mclaren Port Huron
Address	1221 Pine Grove Ave
City	Port Huron
State	MI
ZIP	48060
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 11, 2005

Payer Source	Total Paid
Medicaid	$36.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

332 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.	34,420	$180	$6.3M
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.	19,840	$280	$5.6M
G0378	Hospital observation service, per hour	11,450	$350	$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.	31,870	$120	$3.9M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	21,630	$90	$1.8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	26,660	$60	$1.5M
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	23,450	$30	$797.4K
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.	5,780	$130	$774.1K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	2,090	$330	$680.7K
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.	21,900	$30	$635K

Showing 1–10 of 332

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

Mclaren Port Huron — 0 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

332 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	45	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.	69	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.	61	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.	54	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.	35	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	20	100	2,820	$180	$1.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	13	30	300	$920	$652.6K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	58	70	680	$100	$604K
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…	87	160	2,720	$60	$546.6K
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.	59	230	2,380	$90	$490K

Showing 1–10 of 332

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mclaren Port Huron, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vasken Artinian	MI	Pulmonary Disease Physician	$207.4K	$0
Kavita Tumma	MI	Gastroenterology Physician	$206.5K	$0
Issam Turk	SD	Internal Medicine Physician	$112.7K	$0
Leonard Karadimas	MI	Orthopaedic Surgery Physician	$101K	$0
Ryan Goodmanson	WA	Orthopaedic Surgery Physician	$96.5K	$0
Katherine Cuello La O	MI	Surgery Physician	$82.9K	$0
Omar Basha	MI	Neurology Physician	$73.5K	$0
Jeffrey Dent	MI	Surgical Physician Assistant	$40.7K	$0
Sanjay Batra	MI	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$30.8K	$0
John Grabowski	MI	Psychiatry Physician	$29.7K	$0

Nearby Providers

Other providers in the same ZIP code as Mclaren Port Huron, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Clair County Community Mental Health Authority	MI	Community/Behavioral Health Agency	$0	$157.2M
Incorporation To Maximize Personal Achievement With Community Training	MI	Counselor	$0	$29.4M
Community Enterprises Of St. Clair County	MI	Developmentally Disabled Services Day Training Agency	$0	$22.9M
Prime Healthcare Services-port Huron LLC	MI	General Acute Care Hospital	$0	$15.1M
Tri Hospital Emergency Medical Services Corporation	MI	Land Ambulance	$1.8M	$8.9M
Medexpress Urgent Care, PC - Michigan	MI	Urgent Care Clinic/Center	$0	$10.6M
Professional Counseling Center,p.c.	MI	Addiction (Substance Use Disorder) Counselor	$0	$8.6M
Marwan Shuayto Md PC	MI	Neurology Physician	$0	$7.8M
Touchstone Services Inc	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6M
Rafia Khalil	MI	Rheumatology Physician	$1.2M	$0

Mclaren Port Huron — Billing Profile & Reimbursement Data

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Mclaren Port Huron — 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