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.

Buhler Sunshine Home, Inc (NPI 1063417079)

Field	Value
Entity Type	Organization
Organization	Buhler Sunshine Home, Inc
Address	400 S Buhler Rd
City	Buhler
State	KS
ZIP	67522
Taxonomy	Skilled Nursing Facility
NPI Enumerated	June 16, 2005

Payer Source	Total Paid
Medicaid	$584.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	720	$790	$569.4K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	610	$20	$14.1K
S5190	Wellness assessment, performed by non-physician	40	$20	$1K
90653	This code represents an inactivated influenza vaccine product that contains subunits of the virus and an adjuvant to enhance the immune response. The vaccine is administered via separately reportable…	20	$0	$0
90657	This code represents a trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.25 mL dosage.	20	$0	$0
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	30	$0	$0
G0008	Administration of influenza virus vaccine	60	$0	$0

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

Buhler Sunshine Home, Inc — 0 of 3 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	119	200	1,110	$110	$5.9M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	21	50	340	$30	$244.4K
S5190	Wellness assessment, performed by non-physician	35	50	120	$40	$14.4K
90653	This code represents an inactivated influenza vaccine product that contains subunits of the virus and an adjuvant to enhance the immune response. The vaccine is administered via separately reportable…	22	30	20	$1	$10
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	19	40	30	$1	$1
90657	This code represents a trivalent influenza vaccine product containing split virus components. It is administered into the muscle in a 0.25 mL dosage.	5	10	40	$0	$0
G0008	Administration of influenza virus vaccine	144	370	40	$0	$0

Buhler Sunshine Home, Inc — Billing Profile & Reimbursement Data

Sign up for Buhler Sunshine Home, Inc — Billing Profile & Reimbursement Data policy alerts

Buhler Sunshine Home, Inc — Billing Profile & Reimbursement Data

Sign up for Buhler Sunshine Home, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References