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.

Hutchinson Clinic, P.A., Inc. (NPI 1043298474)

Hutchinson Clinic, P.A., Inc. is a internal medicine physician provider located in Hutchinson, Kansas. This profile covers 0 Medicare and 157 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	Hutchinson Clinic, P.A., Inc.
Address	2101 N Waldron St
City	Hutchinson
State	KS
ZIP	67502
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 5, 2006

Payer Source	Total Paid
Medicaid	$5.1M
Medicare	$0

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

157 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	28,450	$30	$796.7K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	4,190	$170	$707.3K
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…	23,520	$20	$517.3K
99204	The provider sees a new 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 provider…	5,580	$90	$496.4K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	2,170	$120	$249.6K
J2357	Injection, omalizumab, 5 mg	170	$1,420	$244.9K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	2,550	$80	$213.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	4,550	$40	$172.7K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1,160	$140	$161.4K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	9,540	$10	$114.5K

Showing 1–10 of 157

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

Hutchinson Clinic, P.A., Inc. — 14 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

157 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	17	20	120	$20	$375.6K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	7	10	620	$40	$354.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	24	60	280	$30	$295.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	24	60	230	$30	$292K
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…	25	1,050	560	$80	$266.8K
J2357	Injection, omalizumab, 5 mg	2	10	170	$1,630	$250.7K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	7	30	280	$20	$231.6K
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…	111	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…	152	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…	5	880	400	$60	$136K

Showing 1–10 of 157

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hutchinson Clinic, P.A. Inc.	KS	Rural Health Clinic/Center	$0	$9.1M
Sarah Finch	KS	Family Nurse Practitioner	$6.2M	$0
Michael Schekall	MN	Diagnostic Radiology Physician	$1.7M	$710
Costy Mattar	KS	Cardiovascular Disease Physician	$1.6M	$0
Hutchinson Clinic, P.A., Inc.	KS	Clinical Medical Laboratory	$1M	$288.6K
Fadi Estephan	KS	Hematology & Oncology Physician	$1.2M	$1.2K
Glenda Holzman	KS	Diagnostic Radiology Physician	$1.1M	$440
Hutchinson Clinic, PA, Inc.	KS	Rural Health Clinic/Center	$0	$1.1M
Humayun Ashraf	KS	Pulmonary Disease Physician	$849.4K	$0
Russell Kelley	KS	Dermatology Physician	$508.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prairiestar Health Center, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$13.9M
Hutchinson Regional Medical Center, Inc.	KS	General Acute Care Hospital	$0	$2.4M
Hutchinson Homestead Assisted Living, LLC	KS	Assisted Living Facility	$0	$2.4M
Hutchinson Ambulatory Surgery Center, LLC	KS	Ambulatory Surgical Clinic/Center	$1.3M	$846.5K
Hospice Of Reno County, Inc.	KS	Community Based Hospice Care Agency	$0	$1.8M
Kricket Young	KS	Pediatric Dentistry	$0	$1.6M
Vep Hutchinson Emergency Medical Group, LLC	KS	Emergency Medicine Physician	$0	$1.6M
Hutchinson Regional Medical Center, Inc.	KS	Land Ambulance	$0	$1.2M
Bladon Dialysis LLC	KS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$805.5K
Patrick Fluck	KS	Nephrology Physician	$502.1K	$50

Hutchinson Clinic, P.A., Inc. — Billing Profile & Reimbursement Data

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Hutchinson Clinic, P.A., 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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