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.

Polk County Senate Bill 40 (NPI 1104167923)

Field	Value
Entity Type	Organization
Organization	Polk County Senate Bill 40
Address	4746 S 131st Rd
City	Bolivar
State	MO
ZIP	65613
Taxonomy	Case Management Agency
NPI Enumerated	March 4, 2013

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9012	Other specified case management service not elsewhere classified	108,870	$60	$6.2M

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

Polk County Senate Bill 40 — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9012	Other specified case management service not elsewhere classified	27	80	64,220	$60	$8.1M

Nearby Providers

Other providers in the same ZIP code as Polk County Senate Bill 40, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Citizens Memorial Hospital District	MO	General Acute Care Hospital	$0	$19.2M
Preferred Family Healthcare, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.4M
Mashburn Residential Learning Center	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$11.9M
Citizens Memorial Healthcare District	MO	Land Ambulance	$0	$7.4M
Home Court Advantage, Inc.	MO	Psychiatric Residential Treatment Facility	$0	$6.6M
Leonid Shunyakov	MO	Medical Oncology Physician	$3.3M	$0
Penelope Harris	MO	Hematology & Oncology Physician	$247.5K	$0
Troy Morrison	MO	Orthopaedic Surgery Physician	$208.7K	$0
Matthew Ericksen	MO	Otolaryngology/Facial Plastic Surgery Physician	$142.5K	$7.5K
Juris Simanis	MO	Sports Medicine (Family Medicine) Physician	$123.7K	$4.6K

Polk County Senate Bill 40 — Billing Profile & Reimbursement Data

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Polk County Senate Bill 40 — Billing Profile & Reimbursement Data

Sign up for Polk County Senate Bill 40 — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References