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.

Cotton O'neil Clinic Recovable Trust (NPI 1245390251)

Cotton O'neil Clinic Recovable Trust is a psychiatry physician provider located in Topeka, Kansas. This profile covers 0 Medicare and 18 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	Cotton O'neil Clinic Recovable Trust
Address	3707 Sw 6th Ave
City	Topeka
State	KS
ZIP	66606
Taxonomy	Psychiatry Physician
NPI Enumerated	December 11, 2006

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,490	$90	$321.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6,010	$50	$276.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2,570	$60	$156.8K
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…	3,210	$40	$118.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,880	$30	$83.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,150	$50	$59.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	930	$60	$51.9K
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…	1,060	$30	$27.6K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	1,120	$20	$21.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	100	$50	$5.3K

Showing 1–10 of 18

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

Cotton O'neil Clinic Recovable Trust — 0 of 18 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

18 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…	415	1,050	560	$80	$266.8K
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.	178	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.	95	110	320	$60	$205K
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…	150	880	400	$60	$136K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	248	730	440	$80	$128.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	14	70	210	$30	$116.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	71	280	320	$50	$87.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	25	130	390	$20	$67.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5	60	130	$70	$60.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	116	140	450	$30	$56.1K

Showing 1–10 of 18

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
Stormont-vail Healthcare Inc	KS	General Acute Care Hospital	$0	$4.6M
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
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
Family Service And Guidance Center Of Topeka, Inc.	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$44.9M
Astra Mental Health And Recovery, Inc.	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$35.9M
Family Service And Guidance Center Of Topeka, Inc.	KS	Community/Behavioral Health Agency	$0	$17.6M
Astra Mental Health And Recovery, Inc.	KS	Community/Behavioral Health Agency	$0	$11.2M
Midland Care Connection, Inc.	KS	Community Based Hospice Care Agency	$0	$4.3M
Topeka Hospital, LLC	KS	General Acute Care Hospital	$0	$3.9M
Partners In Pediatrics PA	KS	Pediatric Adolescent Medicine Physician	$0	$3.7M
Pediatric Associates Of Topeka, P.A.	KS	Pediatrics Physician	$0	$3.5M
Southerncare, Inc.	KS	Community Based Hospice Care Agency	$0	$2.1M
Total Renal Care Inc	KS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2M

Cotton O'neil Clinic Recovable Trust — Billing Profile & Reimbursement Data

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Cotton O'neil Clinic Recovable Trust — 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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