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

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

Bowling Green-warren County Community Hospital Corporation (NPI 1043293608)

Key Findings

Field	Value
Entity Type	Organization
Organization	Bowling Green-warren County Community Hospital Corporation
Address	250 Park St
City	Bowling Green
State	KY
ZIP	42101
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 28, 2005

Payer Source	Total Paid
Medicaid	$112.1M
Medicare	$0

This provider is effectively a single-payer Medicaid hospital: there is no Medicare billing on file and the provider reports $112.1M in total Medicaid revenue, indicating Medicaid accounts for the entirety of its reported federal payer-derived revenues. Analysts should treat Medicare comparisons as not applicable for this entity.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the precomputed top three Medicaid codes (99285, 99284, 99283) account for 42.0% of this provider's total Medicaid revenue, with 99285 reporting $12.2M (17.1%), 99284 reporting $11.3M (15.8%), and 99283 reporting $6.5M (9.2%). This concentration signals that high-acuity and mid-acuity ED visits are the primary revenue drivers on Medicaid.

Operational profile is ED-centric with substantial ancillary throughput: the provider reports large claim volumes for ED E/M codes (99285 39.7K claims, 99284 46.7K claims, 99283 41.7K claims) alongside high counts for observation and outpatient clinic services (G0378 14.6K claims, G0463 36.4K claims). Together these suggest a hospital operating a busy emergency department with frequent observation-unit use and significant outpatient clinic activity supporting ED throughput.

Imaging and advanced diagnostics are significant revenue contributors and areas of relative strength: high-revenue imaging codes include 74177 ($6.3M), 70450 ($2.4M), 78815 ($1.5M), 70553 ($1.1M), and CTA/CT chest codes such as 71275 and 71260. Notably, imaging supervision/interpretation for coronary angiography 93458 generates $2.2M and ranks #2 of 56 providers in-state (98th percentile), indicating a statewide outlier-level role in cardiac catheterization imaging.

The provider shows above-typical statewide specialization in several procedural codes: dental-related 41899 produces $6.1M and ranks #3 of 42 providers in-state (95th percentile), cholecystectomy 47562 produces $1.8M and ranks #3 of 37 (94th percentile), and upper endoscopy/biopsy 43239 is $1.1M and is described as notably above typical state volume. These rankings point to a stronger-than-typical surgical and procedural mix relative to in-state peers, beyond the ED focus.

Despite very high absolute ED claim volumes, the ED E/M codes are characterized as typical versus peers: 99285 ranks #21 of 239 providers in-state (92th percentile), 99284 ranks #24 of 282 (92th percentile), and 99283 ranks #24 of 284 (92th percentile), indicating the hospital is a solid statewide participant for emergency care but not uniquely dominant for basic ED E/M services.

High-frequency, lower-dollar ancillary services reflect broad patient throughput and procedural support: 93005 (ECG) shows 33.5K claims and $1.4M revenue, 96374 (IV push) shows 36K claims and $1.2M revenue, and infusion initiation 96365 shows 18.7K claims and $1.1M revenue. These volumes are consistent with a high-volume acute care workflow where monitoring, IV medication administration, and routine diagnostics are common, supporting both ED and inpatient procedures.

The provider has established tenure: NPI enumerated (registered) 2005-11-28 (~21 years ago), indicating long-standing operations in the market which complements its broad Medicaid service footprint and the mix of ED, imaging, and surgical services reflected in the billing profile.

Medicaid: Complete Services Breakdown

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

497 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	39,730	$310	$12.2M
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.	46,740	$240	$11.3M
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.	41,670	$160	$6.5M
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.	9,230	$680	$6.3M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	5,810	$1,050	$6.1M
G0378	Hospital observation service, per hour	14,590	$210	$3.1M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	11,140	$220	$2.4M
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	3,300	$660	$2.2M
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	1,480	$1,190	$1.8M
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	3,200	$500	$1.6M

Showing 1–10 of 497

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Bowling Green-warren County Community Hospital Corporation — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

497 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	156	310	830	$120	$3.7M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	7	10	4,350	$560	$3.3M
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.	24	280	7,150	$150	$3M
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.	21	240	4,710	$150	$2.6M
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.	24	280	5,700	$120	$2M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3	40	740	$1,170	$1.7M
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.	33	180	1,870	$280	$1.5M
G0378	Hospital observation service, per hour	10	90	2,770	$190	$1.3M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	17	30	2,320	$290	$1.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	9	80	7,740	$30	$1.1M

Showing 1–10 of 497

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$14.4M
Logan Memorial Hospital LLC	KY	Rural Acute Care Hospital	$0	$14.3M
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$13.5M
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$13.2M
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$8.8M
Shiraz Rahim	ID	Diagnostic Radiology Physician	$148.8K	$599.6K
Carol Peddicord	KY	Family Medicine Physician	$189.7K	$395K
Pravin Avula	KY	Internal Medicine Physician	$424.4K	$0
Lynetta Stiltner	KY	Family Medicine Physician	$203.2K	$0
Abdelrahman Abdalla	IN	Diagnostic Radiology Physician	$202.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Graves Gilbert Clinic PLLC	KY	Specialist	$0	$78M
District 4 Cdo Program	KY	Supports Brokerage Agency	$0	$54.7M
Encore Of Bowlng Green Adhc LLC	KY	Adult Day Care Clinic/Center	$0	$23.9M
Journeypure Bowling Green LLC	KY	Substance Abuse Rehabilitation Facility	$0	$16.1M
Ky Steps LLC	KY	Community/Behavioral Health Agency	$0	$13.7M
Tj & L Consulting, LLC	KY	Community/Behavioral Health Agency	$0	$11.3M
Julie Gaskill	KY	Oral and Maxillofacial Surgery (Dentist)	$0	$8.9M
Medical Center Ems, L.L.C.	KY	Ambulance	$1.8M	$6.5M
United Seating And Mobility LLC	KY	Customized Equipment (DME)	$0	$7.3M
Commonwealth Health Corporation	KY	Adult Day Care Clinic/Center	$0	$6.8M

Bowling Green-warren County Community Hospital Corporation — Billing Profile & Reimbursement Data

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Bowling Green-warren County Community Hospital Corporation — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References