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 Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri 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. Missouri (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.

Citizens Memorial Hospital District (NPI 1003981549)

Field	Value
Entity Type	Organization
Organization	Citizens Memorial Hospital District
Address	1500 N Oakland Ave
City	Bolivar
State	MO
ZIP	65613
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$19.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

164 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	9,700	$320	$3.1M
X4011	N/A	8,220	$210	$1.8M
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.	8,290	$180	$1.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	29,470	$50	$1.4M
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.	6,850	$140	$931.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,730	$250	$916.4K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	31,450	$30	$880.6K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	23,150	$30	$648.1K
Y7506	N/A	2,100	$250	$523.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	25,370	$20	$507.3K

Showing 1–10 of 164

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Citizens Memorial Hospital District — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

164 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	42	110	5,700	$340	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	17	100	2,240	$80	$2.2M
A0888	Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)	5	10	310	$40	$2.1M
Y7506	N/A	42	100	980	$250	$1.6M
X4003	N/A	19	70	1,480	$80	$1.1M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	48	170	1,670	$230	$1.1M
X4006	N/A	20	50	370	$780	$969.5K
A0425	Ground mileage, per statute mile	68	200	3,230	$90	$827.5K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	66	140	1,010	$200	$803.7K
Y7507	N/A	21	50	270	$360	$594.9K

Showing 1–10 of 164

Related Providers

Other providers that share a Tax Identification Number (TIN) with Citizens Memorial Hospital District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Citizens Memorial Healthcare District	MO	Land Ambulance	$0	$7.4M
Leonid Shunyakov	MO	Medical Oncology Physician	$3.3M	$0
Shoaib Ahmad	OK	Pulmonary Disease Physician	$276.1K	$0
Penelope Harris	MO	Hematology & Oncology Physician	$247.5K	$0
Venkat Pasnoori	KS	Interventional Cardiology Physician	$237.8K	$0
Madeeha Shahzadi	NJ	Pulmonary Disease Physician	$129.4K	$0
John Gamble	MO	Diagnostic Radiology Physician	$87.5K	$130
Jami Skrade	MO	Anatomic Pathology & Clinical Pathology Physician	$63.4K	$19.4K
Kyle Noskoviak	ID	Anatomic Pathology & Clinical Pathology Physician	$64.5K	$16.3K
Raul Martin	OH	Diagnostic Radiology Physician	$71.4K	$0

Nearby Providers

Other providers in the same ZIP code as Citizens Memorial Hospital District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preferred Family Healthcare, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.4M
Mashburn Residential Learning Center	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$11.9M
Home Court Advantage, Inc.	MO	Psychiatric Residential Treatment Facility	$0	$6.6M
Polk County Senate Bill 40	MO	Case Management Agency	$0	$6.2M
Troy Morrison	MO	Orthopaedic Surgery Physician	$208.7K	$0
Matthew Ericksen	MO	Otolaryngology/Facial Plastic Surgery Physician	$142.5K	$7.5K
Juris Simanis	MO	Sports Medicine (Family Medicine) Physician	$123.7K	$4.6K
Joseph Moore	MO	Interventional Cardiology Physician	$100.5K	$140
Murphy Mastin	MO	Dermatology Physician	$91.8K	$0
Jonathan Gray	MO	Orthopaedic Surgery Physician	$90.4K	$0

Citizens Memorial Hospital District — Billing Profile & Reimbursement Data

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Citizens Memorial Hospital District — 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