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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSt Joseph Mercy Chelsea Inc
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    St Joseph Mercy Chelsea Inc — Billing Profile & Reimbursement Data

    NPI 1992761985 · Chelsea, MI · General Acute Care Hospital

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    St Joseph Mercy Chelsea Inc is a general acute care hospital provider located in Chelsea, Michigan. This profile covers 0 Medicare and 158 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSt Joseph Mercy Chelsea Inc
    Address775 S Main St
    CityChelsea
    StateMI
    ZIP48118
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedApril 26, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$6.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    158 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The 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.5,680$370$2.1M
    99284The 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.5,950$210$1.2M
    99283The 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.5,140$130$652.3K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.6,150$100$590.2K
    74177The 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.2,380$140$321.6K
    G0463Hospital outpatient clinic visit for assessment and management of a patient3,290$80$246.7K
    96375Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…5,330$30$170.6K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.1,400$90$130.4K
    99282The 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.1,940$70$128.2K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.4,130$30$123.9K

    Showing 1–10 of 158

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Michigan median

    158 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient911505,330$50$2.8M
    99285The 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.1384001,510$190$2.6M
    99284The 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.1774801,350$110$1.7M
    99283The 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.1844501,540$90$1.3M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.841507,610$90$1.2M
    G0378Hospital observation service, per hour671002,820$180$1.1M
    U0003Infectious 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…1091602,720$60$546.6K
    74177The 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.1152302,380$90$490K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.821405,720$40$381.8K
    90837In 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…1,9461,960870$100$376.5K

    Showing 1–10 of 158

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with St Joseph Mercy Chelsea Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jessica GhaferiWIDermatopathology Physician$270.9K$0
    Robert WilliamsMIOrthopaedic Surgery Physician$162.1K$0
    Suzanne JonesMISurgery Physician$122.8K$0
    Angela BartleyAZAnatomic Pathology & Clinical Pathology Physician$95.5K$0
    Renee BraytonMIFamily Medicine Physician$48.1K$0
    Ferdnand OsuagwuMIPsychiatry Physician$36.8K$0
    David LutchkaMIPhysician Assistant$33.4K$0
    Pamela FairchildMIUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$19.9K$0
    Dana BowersMIClinical Neuropsychologist$14.4K$0
    Katherine KrugerGUAcute Care Nurse Practitioner$11.2K$0

    Nearby Providers

    Other providers in the same ZIP code as St Joseph Mercy Chelsea Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Louis Center For Exceptional Chidren And AdultsMIIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$8.5M
    Anil SingalMIDermatology Physician$258.6K$0
    Anthony SensoliMIOphthalmology Physician$256.6K$0
    Creg CarpenterMIOrthopaedic Surgery Physician$254.5K$0
    Woodward Detroit Cvs, L.L.C.MIPharmacy$162.7K$0
    Caroline WurtzelMISurgery of the Hand (Surgery) Physician$136.8K$0
    Jona GillMIDermatology Physician$131.1K$0
    Troy LabountyMICardiovascular Disease Physician$120.2K$0
    Rebecca PatriasMIInternal Medicine Physician$85.3K$0
    Matthew SleziakMIPhysical Medicine & Rehabilitation Physician$80.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Michigan Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Michigan Distribution
    St Joseph Mercy Chelsea Inc — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan