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

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

Hiawatha Hospital Association Inc (NPI 1023175064)

Hiawatha Hospital Association Inc is a rural health clinic/center provider located in Hiawatha, Kansas. This profile covers 0 Medicare and 43 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	Hiawatha Hospital Association Inc
Address	300 Utah St Ste 200
City	Hiawatha
State	KS
ZIP	66434
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	January 2, 2007

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	17,060	$130	$2.2M
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…	6,390	$100	$664.1K
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…	680	$150	$102.6K
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…	640	$150	$97.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	450	$160	$72.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	390	$160	$61.2K
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.	1,270	$30	$35.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	570	$50	$29.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	3,210	$10	$28.9K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	420	$60	$23.7K

Showing 1–10 of 43

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Hiawatha Hospital Association Inc — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	43	1,050	560	$80	$266.8K
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.	85	270	310	$50	$184.5K
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…	69	160	470	$90	$163.1K
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…	65	180	300	$100	$141.8K
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…	83	880	400	$60	$136K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	63	190	180	$110	$94.2K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	38	50	510	$10	$66.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	58	200	130	$130	$58.6K
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.	43	130	110	$50	$55.2K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	53	190	290	$30	$44.7K

Showing 1–10 of 43

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alvin Wyatt	CA	Diagnostic Radiology Physician	$1.1M	$0
Paul D'angelo	TN	Diagnostic Radiology Physician	$100.7K	$137.9K
Jack Bridges	MO	Diagnostic Radiology Physician	$200.3K	$440
Brett Nielson	PA	Diagnostic Radiology Physician	$180.4K	$760
Bryon Bigham	KS	Family Medicine Physician	$180.1K	$0
Steven Poplaw	MO	Diagnostic Radiology Physician	$169.1K	$450
Jose Alvarez	MO	Diagnostic Radiology Physician	$153.6K	$320
Benjamin Saverino	KS	Diagnostic Radiology Physician	$151.7K	$590
Timothy Myers	MN	Diagnostic Radiology Physician	$113.6K	$27.6K
Steven Looney	MO	Diagnostic Radiology Physician	$126.6K	$910

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brown County Developmental Services, Inc.	KS	Case Management Agency	$0	$14.1M
Kanza Mental Health And Guidance Center, Inc.	KS	Social Worker	$0	$8.3M
Kanza Mental Health & Guidance Center, Inc	KS	Community/Behavioral Health Agency	$0	$1.5M
Horizon Therapy Associates LLC	KS	Clinical Social Worker	$0	$594.9K
Town And Country Ems, LLC	KS	Land Ambulance	$190.8K	$24.5K
Eric Mcpeak	KS	Optometrist	$68.4K	$64.1K
Adam Jahnel	KS	Physical Therapist	$59.4K	$0
Brandon Deeds	KS	Physical Therapist	$44K	$0

Hiawatha Hospital Association Inc — Billing Profile & Reimbursement Data

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Hiawatha Hospital Association Inc — 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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