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 Northern Michigan (NPI 1992812580)

Mclaren Northern Michigan is a general acute care hospital provider located in Petoskey, Michigan. This profile covers 0 Medicare and 306 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	Mclaren Northern Michigan
Address	416 Connable Ave
City	Petoskey
State	MI
ZIP	49770
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 23, 2006

Payer Source	Total Paid
Medicaid	$20.5M
Medicare	$0

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

306 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	27,580	$120	$3.4M
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.	13,490	$190	$2.6M
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.	6,590	$360	$2.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	12,360	$90	$1.2M
99282	The 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.	16,160	$70	$1.1M
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.	4,970	$140	$675.8K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,180	$510	$597.4K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	1,120	$460	$514.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	24,440	$20	$488.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,150	$200	$434.5K

Showing 1–10 of 306

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 Northern Michigan — 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

306 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	81	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.	126	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.	117	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.	61	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.	56	150	7,610	$90	$1.2M
G0378	Hospital observation service, per hour	46	100	2,820	$180	$1.1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	28	50	150	$1,300	$889.5K
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…	82	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.	74	230	2,380	$90	$490K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	55	160	2,030	$60	$407.6K

Showing 1–10 of 306

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dwayne Griffin	MI	Pulmonary Disease Physician	$445.5K	$0
Amanda Marn	HI	Cardiovascular Disease Physician	$194.9K	$0
Hassan Almaat	MI	Geriatric Psychiatry Physician	$151.3K	$0
Bakri Kaakeh	MI	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$119.4K	$0
Vishal Gupta	WV	Gastroenterology Physician	$108.1K	$0
Ali Siddiqui	VA	Gastroenterology Physician	$88K	$0
Farzad Najam	DC	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$82.1K	$0
Reginald Kapteyn	MI	Physical Medicine & Rehabilitation Physician	$75.5K	$0
Naomi Overton	MI	Clinical Cardiac Electrophysiology Physician	$66.5K	$0
Paul Rodriguez	MI	Urology Physician	$58.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
My Community Dental Centers Inc	MI	Public Health Dentistry	$0	$152.9M
North Country Community Mental Health	MI	Community/Behavioral Health Agency	$0	$69.3M
Harbor Hall, Inc.	MI	Substance Use Disorder Rehabilitation Clinic/Center	$0	$21.3M
Little Traverse Bay Bands Of Odawa Indians	MI	Federally Qualified Health Center (FQHC)	$0	$8.8M
County Of Emmet	MI	Land Ambulance	$546.2K	$849.3K
Murray Cotter	MI	Dermatology Physician	$705.5K	$0
Anton Sharapov	MI	Surgery Physician	$635.8K	$0
Jeffrey Beaudoin	MI	Surgery Physician	$352K	$0
Joshua Anderson	MI	Adult Reconstructive Orthopaedic Surgery Physician	$273.2K	$0
Ashley Rossman	MI	Ophthalmology Physician	$221.3K	$0

Mclaren Northern Michigan — Billing Profile & Reimbursement Data

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Mclaren Northern Michigan — 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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