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.

Pcrmc Medical Group, Inc (NPI 1124237227)

Field	Value
Entity Type	Organization
Organization	Pcrmc Medical Group, Inc
Address	1050 W 10th St
City	Rolla
State	MO
ZIP	65401
Taxonomy	Clinic/Center
NPI Enumerated	May 22, 2007

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

99 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	63,590	$70	$4.1M
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…	43,690	$50	$2.2M
T1015	Clinic visit/encounter, all-inclusive	26,030	$50	$1.2M
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…	8,020	$70	$553.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	13,440	$30	$443.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	9,610	$40	$403.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	5,770	$70	$403.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,660	$100	$358.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	5,530	$50	$281.8K
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…	2,860	$90	$263.1K

Showing 1–10 of 99

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

Pcrmc Medical Group, Inc — 10 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

99 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	10	170	2,460	$70	$498.3K
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…	101	110	2,100	$70	$364.3K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	26	30	110	$1,230	$229.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	20	90	120	$250	$141.3K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	17	30	90	$340	$140.3K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	41	60	510	$70	$128.9K
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…	18	3,170	230	$70	$128.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	40	70	70	$520	$121K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	39	590	260	$40	$120.5K
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…	33	4,310	300	$60	$110.8K

Showing 1–10 of 99

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pcrmc Medical Group, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phelps County Regional Medical Center	MO	General Acute Care Hospital	$0	$38.3M
Mercy Clinic Springfield Communities	MO	Family Medicine Physician	$0	$15.1M
Sasan Moshirzadeh	MO	Neurology Physician	$396K	$0
Anthony Kaczmarek	MO	Specialist	$191.1K	$0
Timothy Martin	MO	Cardiovascular Disease Physician	$184.2K	$380
Michael Potter	MO	Orthopaedic Surgery Physician	$178.2K	$720
Christopher Spencer	MO	Radiation Oncology Physician	$174.8K	$0
Arslan Shaukat	TN	Interventional Cardiology Physician	$157.5K	$0
Alan Heincker	MO	Orthopaedic Surgery Physician	$137K	$0
Syed Zahoor Ul Mueen	MO	Nephrology Physician	$128.5K	$0

Nearby Providers

Other providers in the same ZIP code as Pcrmc Medical Group, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$46.9M
Choices For People Center For Citizens With Disabilities Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$44.2M
Tnmo Healthcare, LLC	MO	Home Health Agency	$0	$38.7M
Mi Serenity	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$38.7M
Future Care, Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.2M
Addus Health Care Inc	MO	In Home Supportive Care Agency	$0	$15.8M
Tri-county Center For Independent Living	MO	Voluntary or Charitable Agency	$0	$13.2M
Tnmo Healthcare, LLC	MO	In Home Supportive Care Agency	$0	$10.8M
Addus Health Care Inc	MO	Chore Provider	$0	$6.6M
Tnmo Healthcare, LLC	MO	Home Health Agency	$0	$6.5M

Pcrmc Medical Group, Inc — Billing Profile & Reimbursement Data

Sign up for Pcrmc Medical Group, Inc — Billing Profile & Reimbursement Data policy alerts

Pcrmc Medical Group, Inc — Billing Profile & Reimbursement Data

Sign up for Pcrmc Medical Group, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References