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.

Edgar Kemp (NPI 1194876805)

Field	Value
Entity Type	Individual
Organization	Edgar Kemp
Address	1605 South Baltimore
City	Kirksville
State	MO
ZIP	63501
Taxonomy	Otolaryngology/Facial Plastic Surgery Physician
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicare	$29.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	90	$110	$10.1K
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…	50	$90	$5K
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	$70	$4.9K
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…	60	$60	$3.8K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	70	$30	$2.2K
30901	The provider uses a simple or limited approach to stop a nosebleed caused by a vessel in the front area of the nose.	20	$110	$1.9K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	20	$90	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Edgar Kemp — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,084	8,960	100	$80	$13.9K
99213	4,535	8,730	70	$50	$7K
99204	445	4,360	30	$100	$4.8K
31575	144	160	40	$80	$4.2K
99203	641	2,950	30	$70	$3.2K
69210	100	260	50	$30	$2.2K
30901	5	20	20	$100	$1.6K

Nearby Providers

Other providers in the same ZIP code as Edgar Kemp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preferred Family Healthcare	MO	Community/Behavioral Health Agency	$0	$134.5M
Chariton Valley Association, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$27.2M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$11.1M
Rural Advocates For Independent Living	MO	Community Based Hospice Care Agency	$0	$10.2M
Chariton Valley Association, Inc.	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$9.1M
Adair County Sb40 Developmental Disability Board	MO	Case Management Agency	$0	$8.5M
Kirksville Missouri Hospital Company, LLC	MO	General Acute Care Hospital	$0	$8M
Northeast Missouri Area Agency On Aging	MO	Voluntary or Charitable Agency	$0	$6.5M
Ellendel Isl LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.2M
Hannibal Regional Healthcare System, Inc	MO	Multi-Specialty Clinic/Center	$0	$4.5M

Edgar Kemp — Billing Profile & Reimbursement Data

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Edgar Kemp — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References