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.

Clark Emergency Physicians (NPI 1346781499)

Field	Value
Entity Type	Organization
Organization	Clark Emergency Physicians
Address	175 Hospital Dr
City	Winchester
State	KY
ZIP	40391
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 9, 2017

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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.	44,810	$60	$2.7M
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.	29,810	$80	$2.5M
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.	26,620	$40	$1.1M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2,440	$100	$243.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	29,790	$10	$178.7K
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.	1,860	$20	$41K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	140	$10	$950
99053	The provider renders overnight services at a 24 hour facility.	200	$1	$400

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

Clark Emergency Physicians — 0 of 8 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

8 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.	27	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.	27	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.	53	280	5,700	$120	$2M
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.	89	160	2,900	$110	$610.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	29	160	420	$140	$270.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	19	220	1,520	$10	$82K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	160	330	130	$10	$5K
99053	The provider renders overnight services at a 24 hour facility.	13	30	190	$1	$1.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Clark Emergency Physicians, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Emergency Physicians LLC	KY	Emergency Medicine Physician	$0	$208.5M
Southeastern Emergency Physicians Of Memphis LLC	IL	Emergency Medicine Physician	$0	$26.5M
Emily Langlois	KY	Nurse Practitioner	$450.3K	$0
Sherif Shoukry	VA	Emergency Medicine Physician	$122.2K	$301.7K
Abdolreza Rabiee	KY	Emergency Medicine Physician	$377.4K	$0
Anand Patel	CA	Emergency Medicine Physician	$315.9K	$0
Jude Regis	LA	Emergency Medicine Physician	$29.5K	$178.9K
Vaishali Patel	KY	Family Medicine Physician	$143.5K	$23.1K
Justin Marlar	TN	Emergency Medicine Physician	$142.9K	$4.1K
Alessandro Cancelliere	KY	Emergency Medicine Physician	$117.4K	$21.6K

Nearby Providers

Other providers in the same ZIP code as Clark Emergency Physicians, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kentucky Hospital, LLC	KY	General Acute Care Hospital	$0	$83.8M
Kentucky Addiction Centers, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$16.7M
Dungarvin Kentucky, LLC - Winchester	KY	Developmentally Disabled Services Day Training Agency	$0	$13.4M
Caky E Winchester	KY	Case Management Agency	$0	$12.1M
New Day Recovery Center	KY	Substance Abuse Rehabilitation Facility	$0	$10.6M
Clark Regional Physician Practices, LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$9.4M
John I. Gray, Iii, Psc	KY	Oral and Maxillofacial Surgery (Dentist)	$0	$7.1M
Beall Recovery Clinics	KY	Addiction Medicine (Preventive Medicine) Physician	$0	$5M
Kentucky Orthopaedics & Spine PLLC	KY	Orthopaedic Surgery Physician	$0	$4.6M
Timothy Crisp	KY	Pediatric Dentistry	$0	$4.4M

Clark Emergency Physicians — Billing Profile & Reimbursement Data

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Clark Emergency Physicians — 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