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.

Truman Medical Center, Incorporated (NPI 1184893224)

Truman Medical Center, Incorporated is a otolaryngology physician provider located in Kansas City, Missouri. This profile covers 0 Medicare and 61 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	Truman Medical Center, Incorporated
Address	2301 Holmes St
City	Kansas City
State	MO
ZIP	64108
Taxonomy	Otolaryngology Physician
NPI Enumerated	February 22, 2008

Payer Source	Total Paid
Medicaid	$14.1M
Medicare	$0

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

61 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…	80,430	$80	$6.7M
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…	56,200	$60	$3.5M
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…	4,950	$120	$574.1K
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…	4,700	$80	$390K
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…	2,880	$130	$383.6K
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…	3,340	$100	$324.1K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	2,760	$90	$239.7K
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…	3,070	$70	$223.8K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	1,120	$180	$206.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	3,140	$60	$198.1K

Showing 1–10 of 61

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

Truman Medical Center, Incorporated — 16 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

61 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	29	50	150	$440	$131.7K
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…	10	3,170	230	$70	$128.1K
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…	265	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…	19	4,310	300	$60	$110.8K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	30	80	350	$60	$90.8K
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…	44	400	160	$50	$78.8K
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	680	280	$90	$65.3K
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…	11	420	90	$100	$60.2K
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…	50	640	210	$90	$59.5K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	48	80	140	$120	$58K

Showing 1–10 of 61

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Truman Medical Center, Incorporated	MO	General Acute Care Hospital	$0	$233.8M
Truman Medical Center, Incorporated	MO	General Acute Care Hospital	$0	$72.7M
Truman Medical Center, Incorporated	MO	Community/Behavioral Health Agency	$0	$37.8M
Saint Luke's Physician Group Inc	MO	Family Medicine Physician	$0	$15M
Truman Medical Center Incorporated	MO	Body Imaging Physician	$0	$4.6M
Truman Medical Center Incorporated	MO	Community/Behavioral Health Agency	$0	$4.6M
William Winn	MN	Diagnostic Radiology Physician	$997.1K	$0
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Philip Beuchert	NY	Diagnostic Radiology Physician	$583.7K	$1.7K
Dani Korya	NJ	Neurology Physician	$432.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Children's Mercy Hospital	MO	Children's Hospital	$0	$221M
University Health Physicians	MO	Internal Medicine Physician	$0	$102.8M
The Children's Mercy Hospital	MO	Pediatrics Physician	$0	$53.6M
Bethel Home Healthcare LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$24.3M
The Children's Mercy Hospital	MO	Ambulance	$0	$13.4M
Help At Home, LLC	MO	Nursing Care Agency	$0	$5.2M
Aspire Home Health Inc	MO	Home Health Agency	$0	$4.5M
Jordan Smith	MO	Diagnostic Radiology Physician	$316.6K	$0
Hunter Wasserman	MO	Diagnostic Radiology Physician	$285K	$0
Travis Kauffman	MO	Diagnostic Radiology Physician	$258.3K	$0

Truman Medical Center, Incorporated — Billing Profile & Reimbursement Data

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Truman Medical Center, Incorporated — 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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