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.

Hays Medical Center, Inc. (NPI 1255308045)

Hays Medical Center, Inc. is a rural health clinic/center provider located in Hays, Kansas. This profile covers 0 Medicare and 32 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	Hays Medical Center, Inc.
Address	2214 Canterbury Dr
City	Hays
State	KS
ZIP	67601
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	March 1, 2006

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	6,670	$120	$787.5K
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…	3,710	$120	$456.3K
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…	3,500	$120	$426.4K
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…	2,460	$110	$268.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,720	$130	$220K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	460	$130	$58.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	3,200	$1	$12.8K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	160	$60	$9.1K
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…	550	$20	$8.7K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	40	$130	$4.7K

Showing 1–10 of 32

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

Hays Medical Center, Inc. — 0 of 15 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

32 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…	128	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…	23	160	470	$90	$163.1K
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…	21	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…	189	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.	27	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…	40	100	390	$30	$78.1K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	22	120	550	$30	$73K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	50	200	130	$130	$58.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	43	190	290	$30	$44.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	286	340	100	$100	$43.3K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Don Wynn	TX	Pulmonary Disease Physician	$1.4M	$0
Jay Robinow	KS	Radiation Oncology Physician	$1.2M	$0
Hays Medical Center, Inc.	KS	Internal Medicine Physician	$0	$1.1M
Uma Guniganti	OK	Cardiovascular Disease Physician	$797.5K	$0
Hays Medical Center Inc	KS	General Acute Care Hospital	$0	$595.8K
Matthew Mallory	AR	Radiation Oncology Physician	$570.4K	$0
Surekha Boddipalli	IL	Hematology & Oncology Physician	$430.7K	$0
Roy Bryan	CA	Diagnostic Radiology Physician	$417.1K	$90
Son Truong	KS	Pulmonary Disease Physician	$386.2K	$0
Matthew Glynn	KS	Otolaryngology Physician	$292.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Developmental Services Of Northwest Kansas, Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$71.6M
Link Inc	KS	Home Health Agency	$0	$31.4M
High Plains Mental Health Center	KS	Community/Behavioral Health Agency	$0	$14.9M
High Plains Mental Health Center	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.5M
First Care Clinic, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$4.1M
Kvc Hospitals Inc	KS	Psychiatric Residential Treatment Facility	$0	$3.7M
Homestead Of Hays Operations LLC	KS	Assisted Living Facility	$0	$2.5M
Developmental Services Of Northwest Kansas, Inc.	KS	Case Management Agency	$0	$2.4M
Med-trans Corporation	KS	Air Ambulance	$1.4M	$0
Donald Tillman	KS	Dermatology Physician	$1.1M	$0

Hays Medical Center, Inc. — Billing Profile & Reimbursement Data

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Hays Medical Center, 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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