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.

Baldwin Family Health Care (NPI 1982815932)

Baldwin Family Health Care is a federally qualified health center (fqhc) provider located in Cadillac, Michigan. This profile covers 0 Medicare and 71 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	Baldwin Family Health Care
Address	520 Cobb St
City	Cadillac
State	MI
ZIP	49601
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 24, 2007

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

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

71 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	63,930	$60	$4M
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	15,490	$60	$991.1K
G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more…	3,040	$70	$221.7K
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…	26,790	$10	$133.9K
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…	28,610	$1	$114.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	11,060	$10	$99.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,460	$10	$20.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	3,750	$1	$15K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,100	$10	$14.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	6,940	$1	$13.9K

Showing 1–10 of 71

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

Baldwin Family Health Care — 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

71 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	22	290	5,550	$70	$1.4M
H0031	Mental health assessment, by non-physician	93	180	1,290	$250	$1.1M
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	17	260	1,950	$80	$389.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	879	1,960	870	$100	$376.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	587	950	610	$80	$328.2K
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…	105	4,380	1,000	$70	$289.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	22	210	740	$70	$255.2K
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…	179	4,770	1,060	$50	$247.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	246	670	730	$60	$140K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	263	590	850	$50	$134.5K

Showing 1–10 of 71

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baldwin Family Health Care	MI	Federally Qualified Health Center (FQHC)	$0	$10.8M
Brett Brinker	MI	Hematology & Oncology Physician	$794.9K	$0
Kathryn Alguire	MI	Medical Oncology Physician	$257.3K	$0
Thomas Gribbin	MI	Hematology & Oncology Physician	$96K	$0
Richard Britton	GA	Family Medicine Physician	$30.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Munson Healthcare Cadillac	MI	General Acute Care Hospital	$0	$21.5M
Steffany Straight	MI	Ophthalmology Physician	$552.2K	$0
Shoaib Chowdhury	MI	Nephrology Physician	$304.9K	$0
Walgreen Co	MI	Pharmacy	$178.3K	$270
Alan Conrad	MI	Family Medicine Physician	$119.1K	$0
Jacob Maclean	MI	Family Medicine Physician	$97K	$0
Joseph Ward	MI	Orthopaedic Surgery Physician	$91.8K	$0
Brian Drabik	MI	Urology Physician	$71.4K	$0
Dominic Kiomento	MI	Family Medicine Physician	$61.6K	$0
Robert Kendell	MI	Facial Plastic Surgery Physician	$61.4K	$0

Baldwin Family Health Care — 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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