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.

Northeast Missouri Health Council, Inc. (NPI 1104829498)

Field	Value
Entity Type	Organization
Organization	Northeast Missouri Health Council, Inc.
Address	1416 Crown Drive
City	Kirksville
State	MO
ZIP	63501
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 31, 2005

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	31,810	$60	$1.9M
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…	6,220	$90	$578.1K
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…	4,640	$80	$385.3K
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…	2,970	$80	$237.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,260	$60	$80.3K
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…	930	$70	$68K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	1,610	$30	$43.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	370	$90	$32.1K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	9,470	$1	$18.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	170	$110	$18.7K

Showing 1–10 of 26

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

Northeast Missouri Health Council, Inc. — 5 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	158	3,170	230	$70	$128.1K
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…	47	4,310	300	$60	$110.8K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	16	40	30	$700	$78.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	252	440	250	$70	$71.8K
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…	19	680	280	$90	$65.3K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	59	260	180	$60	$61.6K
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…	28	640	210	$90	$59.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	627	1,060	250	$40	$57.7K
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…	16	210	60	$80	$44.9K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	13	320	310	$30	$40.6K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northeast Missouri Health Council, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Washington County Memorial Hospital	MO	Critical Access Hospital	$0	$8M
Southern Illinois Healthcare Foundation, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$6.3M
Nadeem Ahmed	MO	Pulmonary Disease Physician	$192K	$426.2K
Rafay Ahmed	IL	Diagnostic Radiology Physician	$134K	$172.3K
Bradley Stockmann	MO	Diagnostic Radiology Physician	$265.5K	$25.8K
Jeffrey Judd	MO	Diagnostic Radiology Physician	$244.2K	$30.2K
Neal Meyer	MO	Diagnostic Radiology Physician	$273.3K	$450
Adel Abdalla	FL	Diagnostic Radiology Physician	$259.9K	$6.1K
Sean Burns	MO	Diagnostic Radiology Physician	$241.7K	$19.1K
Samir Ashraf	MO	Diagnostic Radiology Physician	$231.1K	$640

Nearby Providers

Other providers in the same ZIP code as Northeast Missouri Health Council, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preferred Family Healthcare	MO	Community/Behavioral Health Agency	$0	$134.5M
Chariton Valley Association, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$27.2M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$11.1M
Rural Advocates For Independent Living	MO	Community Based Hospice Care Agency	$0	$10.2M
Chariton Valley Association, Inc.	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$9.1M
Adair County Sb40 Developmental Disability Board	MO	Case Management Agency	$0	$8.5M
Kirksville Missouri Hospital Company, LLC	MO	General Acute Care Hospital	$0	$8M
Northeast Missouri Area Agency On Aging	MO	Voluntary or Charitable Agency	$0	$6.5M
Ellendel Isl LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.2M
Hannibal Regional Healthcare System, Inc	MO	Multi-Specialty Clinic/Center	$0	$4.5M

Northeast Missouri Health Council, Inc. — Billing Profile & Reimbursement Data

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Northeast Missouri Health Council, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References