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 Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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.

Jennie Stuart Medical Center Inc (NPI 1235139312)

Key Findings

Field	Value
Entity Type	Organization
Organization	Jennie Stuart Medical Center Inc
Address	320 W 18th St
City	Hopkinsville
State	KY
ZIP	42240
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 29, 2005

Payer Source	Total Paid
Medicaid	$50.8M
Medicare	$0

This provider has no Medicare billing on file and reports Total Medicaid revenue of $50.8M, making its observable public payer footprint effectively single-payer (Medicaid) for the Medicare/Medicaid comparison. Analysts should treat Medicaid as the primary revenue driver when assessing network importance or capacity.

Revenue is concentrated in a small set of outpatient and emergency services: the precomputed top-3 Medicaid codes by revenue account for 37.7% of the provider's total Medicaid revenue. The leading codes are 99284 ($5.4M, 32.7K claims, $164 avg paid/claim; 15.9% of Medicaid revenue), 99283 ($3.8M, 40.3K claims, $93 avg paid/claim; 11.1%), and 74177 ($3.6M, 8.6K claims, $424 avg paid/claim; 10.8%).

The code mix and volumes point to a high-volume emergency department combined with significant diagnostic imaging capacity. High-count ED E/M codes include 99283 (40.3K claims, $3.8M) and 99284 (32.7K claims, $5.4M), and higher-acuity ED activity is also present (99285: 10.6K claims, $2.7M), indicating that the hospital manages a broad spectrum of emergency presentations from low to high complexity.

Diagnostic imaging is a meaningful service line: 74177 (CT abdomen/pelvis with contrast) appears as a top revenue driver with 8.6K claims and $3.6M revenue, and other CT codes such as 70450 (8.6K claims, $1.2M) and 74176 (4K claims, $1.1M) also contribute. These volumes suggest robust on-site CT capacity supporting both ED and inpatient/outpatient workups.

The provider shows unusually high statewide positioning for certain laboratory and therapy services. Code 87633 (respiratory virus amplified nucleic acid testing) is an extreme outlier at rank #2 of 81 providers in-state (99th percentile; extreme outlier) with 8.7K claims and $1.9M revenue, while 97110 (therapeutic exercise) is also an extreme outlier at rank #18 of 776 (98th percentile) with 34.9K claims and $1.4M revenue, indicating outsized testing and physical therapy throughput relative to peers.

Outpatient clinic and routine office visit activity is a substantial part of the Medicaid picture: 99213 has 76.4K claims and $1.5M revenue (rank #67 of 3339 providers in-state, 98th percentile; notably above typical state volume), G0463 has 28K claims and $1M revenue (rank #14 of 77, 83th percentile; typical), and 99214 shows 20.9K claims and $479.7K revenue (96th percentile). This suggests the hospital operates a high-volume ambulatory clinic footprint in addition to ED and procedural services.

Competitive standing is mixed by service line: the provider ranks at or near the top statewide for specialty outpatient volumes (87633, 97110, 99213, 36415) where it is an outsized participant, while for some of the high-revenue ED and CT codes (e.g., 99284 at the 87th percentile and 74177 at the 79th percentile) it occupies a solid but not dominant position among in-state peers. In sum, the facility appears to be a major regional provider for certain outpatient testing and therapy services and a steady mid-to-high-volume ED and imaging performer.

The provider has an NPI enumerated (registered) date of 2005-07-29 (~21 years ago), indicating long tenure in the market; combined with the sustained, high claim volumes across ED, outpatient clinic, imaging, lab testing, and therapy codes, this supports a profile of an established regional acute-care hospital with broad service lines and significant Medicaid-dependent activity.

Medicaid: Complete Services Breakdown

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

449 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.	32,660	$160	$5.4M
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.	40,340	$90	$3.8M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	8,570	$420	$3.6M
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.	10,630	$250	$2.7M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	8,740	$220	$1.9M
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…	76,360	$20	$1.5M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	34,910	$40	$1.4M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	8,590	$140	$1.2M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	4,150	$290	$1.2M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4,050	$270	$1.1M

Showing 1–10 of 449

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

Claims Volume vs. Kentucky Distribution

Jennie Stuart Medical Center Inc — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

449 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	230	310	830	$120	$3.7M
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.	38	280	7,150	$150	$3M
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.	70	240	4,710	$150	$2.6M
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.	26	280	5,700	$120	$2M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	38	180	1,870	$280	$1.5M
G0378	Hospital observation service, per hour	37	90	2,770	$190	$1.3M
C1776	Joint device (implantable)	22	20	130	$2,890	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	14	80	7,740	$30	$1.1M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	21	40	550	$910	$1.1M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	48	170	2,610	$250	$1M

Showing 1–10 of 449

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frank Schwender	KY	Clinical Cardiac Electrophysiology Physician	$174.2K	$802.8K
Arvind Durvasan	AZ	Nephrology Physician	$639.3K	$8.9K
Venkateswara Velaga	KY	Cardiovascular Disease Physician	$120.6K	$292.3K
Mandeep Sahani	AZ	Nephrology Physician	$403.6K	$0
Harshul Patel	KY	Internal Medicine Physician	$385.8K	$15K
Tanner Parrent	KY	Dermatology Physician	$168.9K	$0
Veerabhadra Chirravuri	KY	Internal Medicine Physician	$133.1K	$0
Linda Crump	KY	Nurse Practitioner	$73.9K	$0
Kevin Haas	TN	Epilepsy Physician	$26.5K	$37.3K
Frederick Robbe	KY	Orthopaedic Surgery Physician	$55.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifeskills, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$87.9M
Pennyrile Area Develpoment District	KY	Supports Brokerage Agency	$0	$24.1M
Hands Of Hope Services, LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.5M
Acsr, Inc.	KY	Adult Day Care Clinic/Center	$0	$10.4M
Redeemed And Restored, Inc.	KY	Substance Abuse Rehabilitation Facility	$0	$4.4M
Western Ky Medical, LLC	KY	Methadone Clinic	$82.9K	$4.3M
Fairview Physicians Network LLC	KY	Family Medicine Physician	$0	$4.4M
Pennyrile Home Medical Inc	KY	Oxygen Equipment & Supplies (DME)	$0	$3.7M
Hopkinsville-christian County Ambulance Service	KY	Land Ambulance	$921.8K	$2.3M
Air Evac Ems Inc	KY	Air Ambulance	$640.7K	$1.3M

Jennie Stuart Medical Center Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References