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.

Mcpherson Hospital, Inc. (NPI 1164524591)

Mcpherson Hospital, Inc. is a rural health clinic/center provider located in Mcpherson, Kansas. This profile covers 0 Medicare and 13 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	Mcpherson Hospital, Inc.
Address	1000 Hospital Dr
City	Mcpherson
State	KS
ZIP	67460
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	September 5, 2006

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

13 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…	8,480	$180	$1.5M
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…	3,520	$160	$577.1K
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…	800	$250	$200.3K
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…	430	$250	$105.9K
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,…	170	$250	$41.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	140	$270	$36.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	100	$210	$20.6K
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…	70	$300	$20.5K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	140	$20	$3.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	30	$50	$1.6K

Showing 1–10 of 13

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

Mcpherson Hospital, Inc. — 0 of 13 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

13 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…	98	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…	62	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…	78	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…	134	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.	106	190	180	$110	$94.2K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	61	100	390	$30	$78.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	114	200	130	$130	$58.6K
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,…	148	340	100	$100	$43.3K
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…	119	240	70	$70	$37.1K
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…	72	80	120	$90	$33.3K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patrick Craig	MI	Diagnostic Radiology Physician	$263K	$0
David Gutschenritter	KS	Diagnostic Radiology Physician	$224.9K	$0
John Anderson	MO	Diagnostic Radiology Physician	$222.6K	$630
Thomas Cox	KS	Diagnostic Radiology Physician	$214.6K	$0
Stephen Clark	KS	Diagnostic Radiology Physician	$211.2K	$0
Samuel Ornelas	KS	Diagnostic Radiology Physician	$199.3K	$0
Marcus Kater	KS	Diagnostic Radiology Physician	$196.8K	$0
James Benning	OK	Diagnostic Radiology Physician	$188.7K	$0
Bruce Bowser	KS	Diagnostic Radiology Physician	$185.7K	$0
Kyle Redelman	IN	Diagnostic Radiology Physician	$182.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Disability Supports Of The Great Plains, Inc.	KS	Home Health Agency	$0	$60M
Multi Community Diversified Services, Inc.	KS	Developmentally Disabled Services Day Training Agency	$0	$39.5M
New Beginnings Of Mcpherson, Inc.	KS	Rehabilitation Counselor	$0	$4.2M
Seth Page	KS	Hematology & Oncology Physician	$1.9M	$0
D & P Homecare, Inc.	KS	Home Health Agency	$0	$1.7M
Mcpherson Usd 418	KS	Local Education Agency (LEA)	$0	$991.6K
Multi Community Diversified Services, Inc.	KS	Case Management Agency	$0	$950.8K
Esther Rettig	KS	Ophthalmology Physician	$638.4K	$5.6K
James Larzalere	KS	Pediatric Adolescent Medicine Physician	$119.2K	$1.5K
Bradley Lunsford	KS	Physical Therapist	$113.3K	$0

Mcpherson Hospital, Inc. — Billing Profile & Reimbursement Data

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Mcpherson Hospital, 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

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