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

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

Memorial Hermann Health System (NPI 1295843787)

Field	Value
Entity Type	Organization
Organization	Memorial Hermann Health System
Address	18951 Memorial North
City	Humble
State	TX
ZIP	77338
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 26, 2006

Payer Source	Total Paid
Medicaid	$26.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

90 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.	28,560	$480	$13.8M
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.	26,090	$120	$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.	5,240	$490	$2.5M
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.	23,560	$60	$1.4M
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…	9,710	$110	$1.1M
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…	29,980	$30	$749.4K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	24,200	$30	$653.4K
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…	11,450	$50	$561K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	11,860	$40	$474.4K
87400	The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.	11,550	$40	$450.4K

Showing 1–10 of 90

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Memorial Hermann Health System — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

90 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	62	710	1,790	$200	$2.1M
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.	77	730	1,960	$100	$1M
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.	127	590	740	$170	$969.2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	275	340	400	$50	$553.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	141	370	360	$120	$279.5K
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…	1,088	1,320	1,070	$60	$211.1K
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.	91	280	270	$80	$170.9K
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…	18	310	1,210	$50	$140.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	213	350	510	$30	$114.1K
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.	128	340	510	$30	$90.3K

Showing 1–10 of 90

Related Providers

Other providers that share a Tax Identification Number (TIN) with Memorial Hermann Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hermann Health System	TX	General Acute Care Hospital	$0	$84.4M
Memorial Hermann Health System	TX	General Acute Care Hospital	$0	$39.5M
Conroe Surgery Center 2, LLC	TX	Ambulatory Surgical Clinic/Center	$2M	$0
Memorial Hermann Surgery Center Sugar Land LLP	TX	Ambulatory Surgical Clinic/Center	$1.8M	$0
Memorial Hermann Surgery Center Preston Road, Ltd.	TX	Ambulatory Surgical Clinic/Center	$1.7M	$1.3K
Memorial Hermann Surgery Center Kirby, LLC	TX	Ambulatory Surgical Clinic/Center	$1.6M	$0
Physicians West Houston Surgical Center, LLC	TX	Ambulatory Surgical Clinic/Center	$1.3M	$0
Memorial Hermann Surgery Center Woodlands Parkway, LLC	TX	Ambulatory Surgical Clinic/Center	$1.2M	$0
Memorial Hermann Surgery Center Southwest LLP	TX	Ambulatory Surgical Clinic/Center	$1.2M	$27K
Sugar Land Cardiovascular Asc LLC	TX	Ambulatory Surgical Clinic/Center	$1M	$0

Nearby Providers

Other providers in the same ZIP code as Memorial Hermann Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comfort & Care Medical Supplies, Inc	TX	Durable Medical Equipment & Medical Supplies	$0	$26.8M
Munoz Pediatrics (dba) Weekare Pediatrics	TX	Pediatrics Physician	$0	$17.6M
Hospitalist Medicine Physicians Of Texas, PLLC	TX	Internal Medicine Physician	$0	$16.3M
Groveway Pharmacy, Inc.	TX	Pharmacotherapy Pharmacist	$6.8M	$0
Rajiv Agarwal	TX	Cardiovascular Disease Physician	$3.3M	$0
Tri County Pharmacy LLC	TX	Community/Retail Pharmacy	$3M	$3.8K
Armita Atashband	TX	Interventional Cardiology Physician	$2.5M	$0
Humble Vascular Surgical Center LLC	TX	Ambulatory Surgical Clinic/Center	$1.8M	$12.8K
Stefano Sdringola-maranga	TX	Interventional Cardiology Physician	$1.6M	$0
Deerbrook Asc LLC	TX	Ambulatory Surgical Clinic/Center	$918.4K	$0

Memorial Hermann Health System — Billing Profile & Reimbursement Data

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Memorial Hermann Health System — 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