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.

The Headache & Pain Center , P.A. (NPI 1043279599)

The Headache & Pain Center , P.A. is a interventional pain medicine physician provider located in Overland Park, Kansas. This profile covers 0 Medicare and 30 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	The Headache & Pain Center , P.A.
Address	8101 W 135th St
City	Overland Park
State	KS
ZIP	66223
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	March 22, 2006

Payer Source	Total Paid
Medicaid	$870.3K
Medicare	$0

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

30 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…	22,650	$20	$543.6K
27096	The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…	1,220	$80	$96.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,880	$20	$51.8K
01935	Anesthesia for percutaneous image guided procedures on the spine and spinal cord; diagnostic	640	$50	$33.4K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	110	$210	$22.5K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	440	$40	$16.1K
01936	Deleted effective Jan. 1, 2022	240	$60	$13.6K
64494	In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…	360	$30	$11.9K
27279	The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic…	30	$310	$9.7K
72141	In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.	50	$190	$9.4K

Showing 1–10 of 30

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

The Headache & Pain Center , P.A. — 6 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

30 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…	28	1,050	560	$80	$266.8K
27279	The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic…	2	10	30	$5,760	$184.4K
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…	586	880	400	$60	$136K
27096	The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…	1	10	1,220	$80	$96.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	7	340	100	$100	$43.3K
99203	The provider sees a new 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 provider…	158	240	70	$70	$37.1K
01935	Anesthesia for percutaneous image guided procedures on the spine and spinal cord; diagnostic	1	10	640	$50	$33.5K
64449	The provider administers an anesthetic agent, steroid, or both via continuous infusion through a catheter as a nerve block of the lumbar plexus to keep the target region anesthetized as long as…	2	10	60	$430	$24K
64490	The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…	2	10	200	$100	$18.9K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	2	10	40	$100	$18.8K

Showing 1–10 of 30

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cpf Senior Living - Stanley LLC	KS	Assisted Living Facility	$0	$3.9M
4m Healthcare, LLC	KS	Clinical Medical Laboratory	$1.3M	$1.7M
A Family Tree Enterprises LLC	KS	Case Manager/Care Coordinator	$0	$2.5M
Pediatric Connections Occupational Therapy Services, P.A.	KS	Occupational Therapist	$0	$1.6M
Blue Valley Usd 229	KS	Local Education Agency (LEA)	$0	$1.2M
Jeffery Graves	KS	Dermatology Physician	$808.1K	$0
Starting Point Dental Services PA	KS	Pediatric Dentistry	$0	$715.2K
Timothy Cavanaugh	KS	Ophthalmology Physician	$424.3K	$0
Saint Lukes South Pain Management Center LLC	KS	Ambulatory Surgical Clinic/Center	$373.7K	$0
Mokan Labs LLC	KS	Clinical Medical Laboratory	$321.2K	$16.9K

The Headache & Pain Center , P.A. — Billing Profile & Reimbursement Data

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The Headache & Pain Center , P.A. — 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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