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.

Holy Family Medical Inc (NPI 1215593249)

Holy Family Medical Inc is a federally qualified health center (fqhc) provider located in Wichita, Kansas. This profile covers 0 Medicare and 52 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	Holy Family Medical Inc
Address	144 S Hillside St
City	Wichita
State	KS
ZIP	67211
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 15, 2019

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

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

52 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…	12,110	$140	$1.7M
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…	3,290	$160	$509.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,480	$170	$252.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,430	$170	$242K
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…	930	$180	$169.8K
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…	470	$190	$88.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	200	$190	$37.6K
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…	180	$180	$32.4K
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…	100	$200	$18.9K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1,040	$10	$12.5K

Showing 1–10 of 52

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

Holy Family Medical Inc — 2 of 21 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

52 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…	231	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…	80	160	470	$90	$163.1K
T1015	Clinic visit/encounter, all-inclusive	4	10	300	$170	$157.3K
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…	59	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…	38	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.	30	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…	41	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.	15	200	130	$130	$58.6K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	96	120	70	$10	$52.7K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	47	190	290	$30	$44.7K

Showing 1–10 of 52

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amberwell Atchison Association	KS	Rural Health Clinic/Center	$0	$6.4M
Amberwell Atchison Association	KS	Critical Access Hospital	$0	$1.2M
Alvin Wyatt	CA	Diagnostic Radiology Physician	$1.1M	$0
Sophia Zinkovsky	KS	Pediatrics Physician	$0	$658.2K
Shannon Carpenter	MO	Orthopaedic Surgery Physician	$373.7K	$0
Lisa Childress	KS	Surgical Physician Assistant	$247.3K	$0
Jack Bridges	MO	Diagnostic Radiology Physician	$200.3K	$440
Brett Nielson	PA	Diagnostic Radiology Physician	$180.4K	$760
Steven Poplaw	MO	Diagnostic Radiology Physician	$169.1K	$450
Jose Alvarez	MO	Diagnostic Radiology Physician	$153.6K	$320

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kansas Elks Training Center For The Handicapped, Inc.	KS	Developmentally Disabled Services Day Training Agency	$0	$60M
Special Products, LLC	KS	Durable Medical Equipment & Medical Supplies	$0	$7.2M
Ascension Via Christi Home Medical Wichita, LLC	KS	Oxygen Equipment & Supplies (DME)	$0	$6.5M
Subhash Shah Md PA	KS	Specialist	$0	$5.4M
The Looking Glass Day Services	KS	Developmentally Disabled Services Day Training Agency	$0	$3.1M
Healing Hands Home Health Care LLC	KS	Home Health Agency	$0	$2.8M
My Home Care LLC	KS	Home Health Agency	$0	$1.7M
Infectious Disease Consultants, P.A.	KS	Infectious Disease Physician	$0	$1.7M
People First Employment And Residential Services	KS	Developmentally Disabled Services Day Training Agency	$0	$1.5M
Kansas Elks Training Center For The Handicapped, Inc.	KS	Case Management Agency	$0	$983.1K

Holy Family Medical Inc — Billing Profile & Reimbursement Data

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Holy Family Medical 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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