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.

Prime Healthcare Physician Services - Providence Inc (NPI 1356683213)

Field	Value
Entity Type	Organization
Organization	Prime Healthcare Physician Services - Providence Inc
Address	16663 Midland Dr Ste 100
City	Shawnee
State	KS
ZIP	66217
Taxonomy	General Practice Physician
NPI Enumerated	March 19, 2013

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	21,830	$40	$785.7K
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…	8,900	$30	$231.5K
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…	6,470	$20	$116.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	10,950	$10	$54.7K
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…	870	$40	$38.2K
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.	1,120	$30	$31.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,480	$20	$29.7K
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…	1,850	$20	$29.6K
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.	500	$50	$26K
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…	340	$60	$20.6K

Showing 1–10 of 59

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

Prime Healthcare Physician Services - Providence Inc — 1 of 25 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

59 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…	91	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.	108	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.	47	110	320	$60	$205K
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.	90	270	310	$50	$184.5K
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…	9	880	400	$60	$136K
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…	13	70	210	$30	$116.7K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	9	30	190	$50	$81.1K
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.	114	120	550	$30	$73K
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…	36	130	390	$20	$67.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	10	50	280	$50	$63.7K

Showing 1–10 of 59

Related Providers

Other providers that share a Tax Identification Number (TIN) with Prime Healthcare Physician Services - Providence Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thad Stephens	MO	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	$309K	$0
Cherrie Termulo	KS	Hospitalist Physician	$269.1K	$0
Gerald Mancuso	MO	Interventional Cardiology Physician	$252K	$0
Venkat Pasnoori	KS	Interventional Cardiology Physician	$237.8K	$0
Prashanth Katrapati	KS	Interventional Cardiology Physician	$181K	$0
Dennis Termulo	KS	Internal Medicine Physician	$180.8K	$0
Luis Couchonnal	MO	Clinical Cardiac Electrophysiology Physician	$173.4K	$0
Donald Mcsweyn	KS	Cardiovascular Disease Physician	$173.2K	$0
Aman Khan	KS	Pulmonary Disease Physician	$160.8K	$0
Marc Taormina	MO	Gastroenterology Physician	$160K	$0

Nearby Providers

Other providers in the same ZIP code as Prime Healthcare Physician Services - Providence Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homestead Of Shawnee Operations LLC	KS	Assisted Living Facility	$0	$2.4M
Ku Medwest Ambulatory Surgery Center, LLC	KS	Ambulatory Surgical Clinic/Center	$980.4K	$1.5K
Jayhawk Primary Care Inc	KS	Family Medicine Physician	$0	$949.9K
Sweet Tooth Shawnee, LLC	KS	Dental Clinic/Center	$0	$859.9K
Kc Infectious Disease Consultants LLC	KS	Infectious Disease Physician	$0	$626.4K
Westglen Endoscopy Center LLC	KS	Ambulatory Surgical Clinic/Center	$310.6K	$0
Arundhati Desai	KS	Infectious Disease Physician	$285.5K	$2.3K
Samir Desai	KS	Infectious Disease Physician	$267.7K	$5.3K
Himal Bajracharya	KS	Infectious Disease Physician	$236.1K	$0
Sabato Sisillo	KS	Pulmonary Disease Physician	$154.8K	$2.4K

Prime Healthcare Physician Services - Providence Inc — Billing Profile & Reimbursement Data

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Prime Healthcare Physician Services - Providence 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