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

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

St Lukes Hospital Of Kansas City (NPI 1063494177)

Field	Value
Entity Type	Organization
Organization	St Lukes Hospital Of Kansas City
Address	4401 Wornall Rd
City	Kansas City
State	MO
ZIP	64111
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 15, 2005

Payer Source	Total Paid
Medicaid	$18.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

169 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
X4011	N/A	8,250	$340	$2.8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	35,860	$70	$2.4M
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.	10,440	$180	$1.9M
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.	11,280	$120	$1.4M
H2018	Psychosocial rehabilitation services, per diem	18,390	$50	$938.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	37,400	$30	$935.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	31,540	$30	$788.5K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	23,610	$20	$543.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	7,470	$60	$470.5K
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…	13,240	$30	$437K

Showing 1–10 of 169

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

St Lukes Hospital Of Kansas City — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

169 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	40	110	5,700	$340	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	16	100	2,240	$80	$2.2M
Y7506	N/A	51	100	980	$250	$1.6M
X4003	N/A	26	70	1,480	$80	$1.1M
X4006	N/A	34	50	370	$780	$969.5K
H2018	Psychosocial rehabilitation services, per diem	1	10	18,390	$50	$945.5K
Y7507	N/A	27	50	270	$360	$594.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	41	90	1,850	$120	$384.1K
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.	442	600	140	$170	$384.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	45	110	2,100	$70	$364.3K

Showing 1–10 of 169

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Lukes Hospital Of Kansas City, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Lukes Hospital Of Kansas City	MO	Psychiatric Residential Treatment Facility	$0	$5.6M
Medical Plaza Imaging Associates, LLC	MO	Diagnostic Radiology Physician	$802.8K	$129.4K
Nelson Sabates	KS	Ophthalmology Physician	$877.6K	$0
Richard Hill	MO	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$131.1K	$0
Taiyeb Khumri	MO	Advanced Heart Failure and Transplant Cardiology Physician	$71K	$0
Christopher Larsen	KS	Otolaryngology Physician	$69.7K	$0
Yelizaveta Shnayder	KS	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$51.5K	$0
Jennifer Elliott	MO	Pain Medicine (Anesthesiology) Physician	$34.9K	$0

Nearby Providers

Other providers in the same ZIP code as St Lukes Hospital Of Kansas City, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Whole Person, Inc.	MO	In Home Supportive Care Agency	$0	$203.1M
Community Choice, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$19.6M
United Seating And Mobility LLC	MO	Durable Medical Equipment & Medical Supplies	$0	$8.8M
Midwest Home Health Care, Inc.	MO	Homemaker	$0	$4.3M
Kalista Engelman	MO	Rheumatology Physician	$1.7M	$0
Julian Magadan	MO	Rheumatology Physician	$1.7M	$0
Tina Shah	MO	Rheumatology Physician	$1.6M	$0
Kent Huston	MO	Rheumatology Physician	$1.5M	$0
Michael Cassell	MO	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Hillary Bownik	MO	Gastroenterology Physician	$959.9K	$0

St Lukes Hospital Of Kansas City — Billing Profile & Reimbursement Data

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St Lukes Hospital Of Kansas City — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References