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.

Bothwell Regional Health Center (NPI 1235102690)

Field	Value
Entity Type	Organization
Organization	Bothwell Regional Health Center
Address	601 E 14th St
City	Sedalia
State	MO
ZIP	65301
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 8, 2006

Payer Source	Total Paid
Medicaid	$19.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

120 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	22,130	$160	$3.5M
X4011	N/A	9,960	$320	$3.2M
Y7506	N/A	17,710	$150	$2.7M
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.	15,920	$120	$1.8M
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…	28,590	$50	$1.3M
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.	27,180	$50	$1.3M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	12,720	$50	$635.9K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	9,560	$60	$535.4K
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.	2,460	$210	$511.3K
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…	2,780	$140	$386.4K

Showing 1–10 of 120

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

Bothwell Regional Health Center — 4 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

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	35	110	5,700	$340	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	42	100	2,240	$80	$2.2M
Y7506	N/A	13	100	980	$250	$1.6M
X4003	N/A	29	70	1,480	$80	$1.1M
X4006	N/A	29	50	370	$780	$969.5K
Y7507	N/A	24	50	270	$360	$594.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	39	90	1,850	$120	$384.1K
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.	103	600	140	$170	$384.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	19	110	2,100	$70	$364.3K
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.	27	240	1,740	$40	$353.4K

Showing 1–10 of 120

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bothwell Regional Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lester E Cox Medical Centers	MO	General Practice Physician	$0	$9.2M
Bothwell Regional Health Center	MO	General Practice Physician	$0	$4.9M
Bassem Chaar	IL	Hematology & Oncology Physician	$1.2M	$120.5K
Mindy Vesperman	MO	Nurse Practitioner	$375.1K	$0
Enock Faustin	MO	Diagnostic Radiology Physician	$357.4K	$120
Trung Tran	MO	Interventional Cardiology Physician	$312.6K	$0
Randy Balmforth	MI	Diagnostic Radiology Physician	$98.2K	$178.4K
Douglas Kiburz	MO	Sports Medicine (Orthopaedic Surgery) Physician	$263.9K	$0
Matthew Roehrs	MO	Family Medicine Physician	$261.1K	$0
Mirian Boci	KS	Urology Physician	$234.5K	$0

Nearby Providers

Other providers in the same ZIP code as Bothwell Regional Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Therapy Center Of Pettis County, Inc	MO	Developmentally Disabled Services Day Training Agency	$0	$51.3M
Children's Therapy Center Of Pettis County, Inc	MO	Case Management Agency	$0	$33.7M
Pettis County Board Of Services For The Developmentally Disabled	MO	Case Management Agency	$0	$13.7M
Helping All People Pursue Independence (happi), Inc.	MO	Case Manager/Care Coordinator	$0	$10.6M
Shawn Cairer	MO	Developmentally Disabled Services Day Training Agency	$0	$8.4M
Pettis County Ambulance District	MO	Land Ambulance	$845.9K	$5.7M
Regional Health Care Clinic Inc	MO	Federally Qualified Health Center (FQHC)	$0	$5.9M
Children's Therapy Center Of Pettis County, Inc	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$4.9M
Springhealth Behavioral Health And Integrated Care Missouri, LLC	MO	Community/Behavioral Health Agency	$0	$4M
Riverside Pediatrics, Inc	MO	Primary Care Clinic/Center	$0	$4M

Bothwell Regional Health Center — Billing Profile & Reimbursement Data

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Bothwell Regional Health Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References