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.

Newman Memorial County Hospital (NPI 1114085594)

Newman Memorial County Hospital is a rural health clinic/center provider located in Emporia, Kansas. This profile covers 0 Medicare and 35 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	Newman Memorial County Hospital
Address	1301 W 12th Ave Ste 301
City	Emporia
State	KS
ZIP	66801
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

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

35 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…	17,220	$190	$3.2M
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…	9,970	$170	$1.7M
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…	2,520	$200	$503.2K
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…	2,100	$220	$462.4K
99203	The provider sees a new 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 provider…	2,150	$150	$316.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,270	$240	$298.9K
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…	740	$160	$117K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	470	$240	$115.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	370	$180	$64.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	670	$100	$64.4K

Showing 1–10 of 35

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

Newman Memorial County Hospital — 1 of 18 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

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	42	1,050	560	$80	$266.8K
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…	30	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…	32	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…	51	880	400	$60	$136K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	34	190	180	$110	$94.2K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	34	120	550	$30	$73K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	46	200	130	$130	$58.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	49	190	290	$30	$44.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	95	340	100	$100	$43.3K
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…	24	170	70	$90	$43.2K

Showing 1–10 of 35

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newman Memorial County Hospital	KS	Community Based Hospice Care Agency	$0	$2.4M
Newman Memorial County Hospital	KS	Critical Access Hospital	$0	$1.7M
Priyantha Ranaweera	KS	Interventional Cardiology Physician	$900.7K	$0
Richard Wendt	KS	Orthopaedic Surgery Physician	$274.5K	$0
Marcus Austenfeld	MO	Urology Physician	$192.2K	$0
James Huston	KS	Orthopaedic Surgery Physician	$187.5K	$0
Douglass Stull	KS	Sports Medicine (Orthopaedic Surgery) Physician	$151.6K	$0
Shari Quick	KS	Physical Medicine & Rehabilitation Physician	$143.5K	$0
Neal Lintecum	KS	Orthopaedic Hand Surgery Physician	$142K	$0
Son Nguyen	KS	Urology Physician	$112.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mental Health Center Of East Central Kansas A Corporation	KS	Community/Behavioral Health Agency	$0	$23.7M
Quest Services, Inc.	KS	Developmentally Disabled Services Day Training Agency	$0	$20.4M
Journeys	KS	Developmentally Disabled Services Day Training Agency	$0	$15.5M
Mental Health Center Of East Central Kansas A Corporation	KS	Community/Behavioral Health Agency	$0	$12M
Carearc, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$7.1M
Auspision	KS	Case Management Agency	$0	$6.1M
Hetlinger Developmental Services, Inc.	KS	Case Management Agency	$0	$5.3M
Stepping Stones Unlimited LLC	KS	Case Management Agency	$0	$4.5M
Smith Agency LLC	KS	Developmentally Disabled Services Day Training Agency	$0	$3.7M
Calm, LLC	KS	Foster Care Agency	$0	$3.2M

Newman Memorial County Hospital — Billing Profile & Reimbursement Data

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Newman Memorial County Hospital — 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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