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.

Southwest Medical Center (NPI 1144493040)

Southwest Medical Center is a surgery physician provider located in Liberal, Kansas. This profile covers 0 Medicare and 39 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	Southwest Medical Center
Address	305 W 15th St
City	Liberal
State	KS
ZIP	67901
Taxonomy	Surgery Physician
NPI Enumerated	April 11, 2008

Payer Source	Total Paid
Medicaid	$578.8K
Medicare	$0

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

39 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…	15,300	$20	$351.9K
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…	3,340	$20	$70.2K
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…	490	$50	$23.5K
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…	1,050	$20	$21K
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.	440	$40	$18.6K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	20	$1,130	$18K
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…	200	$80	$15.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,800	$1	$7.2K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	3,240	$1	$6.5K
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…	2,090	$1	$6.3K

Showing 1–10 of 39

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

Southwest Medical Center — 2 of 25 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

39 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…	52	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…	112	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…	101	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…	144	880	400	$60	$136K
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…	28	70	210	$30	$116.7K
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.	65	120	550	$30	$73K
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…	67	130	390	$20	$67.5K
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…	40	60	130	$70	$60.6K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	5	10	30	$1,160	$52.2K
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,…	209	340	100	$100	$43.3K

Showing 1–10 of 39

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Southwest Medical Center	KS	General Acute Care Hospital	$0	$1.3M
Lisa May	KS	Diagnostic Radiology Physician	$435.4K	$0
Amisha Khicha	KS	Diagnostic Radiology Physician	$398.2K	$0
Kermit Rust	KS	Vascular & Interventional Radiology Physician	$322.2K	$0
Kamran Ali	KS	Diagnostic Radiology Physician	$256.6K	$0
Andrew Topham	KS	Diagnostic Radiology Physician	$236.4K	$0
Tyler Ternes	KS	Diagnostic Radiology Physician	$232.9K	$0
Charles Mcguire	KS	Diagnostic Radiology Physician	$228.5K	$0
Michael Matchette	KS	Diagnostic Radiology Physician	$211.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$15M
Mariana E. Lucero, M.d., Chartered	KS	Pediatrics Physician	$0	$3.4M
Southwest Guidance Center	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.3M
Nargis Husainy	KS	Pediatrics Physician	$0	$1.6M
Dora Finney	KS	Optometrist	$69.8K	$830.1K
Med-trans Corporation	KS	Air Ambulance	$826.4K	$18.5K
South West Pediatrics & Adolescent Medicine PA	KS	Pediatrics Physician	$0	$832.4K
Williams Medical Group Practice, LLC	KS	Family Medicine Physician	$0	$730K
Rural Kansas Emergency Physicians LLC	KS	Emergency Medicine Physician	$0	$549.1K
County Of Seward	KS	Land Ambulance	$228.3K	$190.9K

Southwest Medical Center — Billing Profile & Reimbursement Data

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Southwest Medical Center — 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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