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.

Bowling Green Warren County Primary Care Center, Inc. (NPI 1336268234)

Field	Value
Entity Type	Organization
Organization	Bowling Green Warren County Primary Care Center, Inc.
Address	225 Natchez Trace Avenue
City	Bowling Green
State	KY
ZIP	42103
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

84 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…	121,400	$40	$4.2M
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…	13,170	$60	$829.9K
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…	14,630	$50	$775.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	8,240	$70	$543.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	44,840	$10	$403.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	24,540	$20	$368.1K
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…	5,890	$60	$347.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,060	$80	$161K
99203	The provider sees a new 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 provider…	2,330	$60	$135.4K
99381	The provider performs a well–baby visit for a child under the age of one.	2,290	$50	$118.8K

Showing 1–10 of 84

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

Bowling Green Warren County Primary Care Center, Inc. — 12 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

84 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…	37	3,340	1,020	$30	$296K
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…	359	2,460	580	$40	$245K
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…	7	230	720	$60	$180.1K
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…	11	260	540	$70	$176.6K
T1015	Clinic visit/encounter, all-inclusive	34	60	280	$40	$163.9K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	23	40	6,320	$10	$131.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	10	320	180	$70	$79.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	27	540	210	$20	$78.3K
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…	99	310	330	$40	$71.3K
99204	The provider sees a new 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 provider…	200	1,020	120	$70	$62K

Showing 1–10 of 84

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bowling Green Warren County Primary Care Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lisa Proffitt	KY	Family Nurse Practitioner	$9K	$0

Nearby Providers

Other providers in the same ZIP code as Bowling Green Warren County Primary Care Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifeskills, Inc	KY	Community/Behavioral Health Agency	$0	$168.8M
Lifeskills, Inc.	KY	Community/Behavioral Health Agency	$0	$81.9M
Uhs Of Bowling Green LLC	KY	Psychiatric Hospital	$0	$41.2M
Acculab, LLC	KY	Clinical Medical Laboratory	$699.2K	$21.1M
Interventional Pain Specialists Of Bowling Green Plc	KY	Pain Medicine (Anesthesiology) Physician	$0	$10.6M
Pediatric Dentistry Of Southern Kentucky	KY	Pediatric Dentistry	$0	$9M
Growing Minds Learning Center, LLC	KY	Behavior Analyst	$0	$8.9M
Amanda Ashley	KY	Pediatric Dentistry	$0	$8.4M
Lucasacare	KY	Developmentally Disabled Services Day Training Agency	$0	$8.4M
Lucasacarebg, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$6.7M

Bowling Green Warren County Primary Care Center, Inc. — Billing Profile & Reimbursement Data

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Bowling Green Warren County Primary Care 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

Related Providers

Nearby Providers

Frequently Asked Questions

References