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.

Stormont-vail Healthcare Inc (NPI 1194782409)

Stormont-vail Healthcare Inc is a general acute care hospital provider located in Topeka, Kansas. This profile covers 0 Medicare and 165 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	Stormont-vail Healthcare Inc
Address	1500 Sw 10th Ave
City	Topeka
State	KS
ZIP	66604
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 28, 2006

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

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

165 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	29,730	$40	$1.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	14,740	$40	$648.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	16,110	$40	$580.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	37,280	$10	$335.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	9,750	$20	$175.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	39,270	$1	$157.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,740	$30	$147K
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.	1,490	$80	$123.8K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	2,870	$30	$83.1K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	2,480	$30	$81.7K

Showing 1–10 of 165

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

Stormont-vail Healthcare Inc — 8 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

165 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	19	50	300	$60	$648.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	36	60	280	$30	$295.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	36	60	230	$30	$292K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	10	40	150	$20	$241.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	10	200	260	$60	$216K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	5	110	320	$60	$205K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	5	270	310	$50	$184.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	19	40	280	$40	$160.9K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	5	10	770	$70	$132.3K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	17	90	100	$10	$125.6K

Showing 1–10 of 165

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cotton-o'neil Clinic Revocable Trust	KS	Internal Medicine Physician	$0	$21.7M
Cotton-o'neil Clinic Revocable Trust	KS	Clinical Medical Laboratory	$3.6M	$6.8M
Kenon Qamar	KS	Radiation Oncology Physician	$2.5M	$0
Pediatric Care Irrv Trust	KS	Pediatrics Physician	$0	$2.5M
Jay Robinow	KS	Radiation Oncology Physician	$1.2M	$0
Cotton O'neil Clinic Recovable Trust	KS	Psychiatry Physician	$0	$1.1M
Robyn Moran	KS	Rheumatology Physician	$859.1K	$0
Gilbert Katz	KS	Cardiovascular Disease Physician	$706.4K	$0
Matthew Ricks	KS	Dermatology Physician	$702.7K	$0
Coleman Ritchie	KS	Dermatology Physician	$639.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Capper Foundation Easter Seals	KS	Developmental Disabilities Clinic/Center	$0	$57.8M
Exploring Life Inc	KS	Developmentally Disabled Services Day Training Agency	$0	$5.5M
Flint Hills Health Care Services, Inc.	KS	Community Based Hospice Care Agency	$0	$3.6M
Monaco & Associates Incorporated	KS	Case Management Agency	$0	$3.5M
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$1.4M
Yellow Transportation LLC	KS	Non-emergency Medical Transport (VAN)	$0	$1.3M
Radiology And Nuclear Medicine LLC	KS	Diagnostic Radiology Physician	$0	$726.7K
Lincare Inc	KS	Durable Medical Equipment & Medical Supplies	$0	$688.1K
Molecular Lab Associates LLC	KS	Clinical Medical Laboratory	$259.9K	$69.5K
Brett Meggison	KS	Diagnostic Radiology Physician	$298.9K	$0

Stormont-vail Healthcare Inc — Billing Profile & Reimbursement Data

Sign up for Stormont-vail Healthcare Inc — Billing Profile & Reimbursement Data policy alerts

Stormont-vail Healthcare Inc — Billing Profile & Reimbursement Data

Sign up for Stormont-vail Healthcare 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