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.

Heartland Medical Clinic, Inc (NPI 1356941306)

Heartland Medical Clinic, Inc is a federally qualified health center (fqhc) provider located in Lawrence, Kansas. This profile covers 0 Medicare and 75 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	Heartland Medical Clinic, Inc
Address	1803 W 6th St
City	Lawrence
State	KS
ZIP	66044
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 29, 2020

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

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

75 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…	18,950	$290	$5.5M
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…	4,780	$280	$1.4M
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…	4,430	$290	$1.3M
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…	4,070	$280	$1.2M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,120	$290	$911.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,120	$290	$611.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	660	$300	$193.8K
99381	The provider performs a well–baby visit for a child under the age of one.	420	$270	$114.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	310	$300	$91.2K
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…	10,660	$10	$85.3K

Showing 1–10 of 75

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

Heartland Medical Clinic, Inc — 3 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

75 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…	35	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…	15	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…	17	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…	120	880	400	$60	$136K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	305	730	440	$80	$128.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	15	190	180	$110	$94.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	144	280	320	$50	$87.5K
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…	9	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.	21	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.	13	200	130	$130	$58.6K

Showing 1–10 of 75

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Medical Clinic, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$8M
Jaima Becker	MO	Family Nurse Practitioner	$61.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bert Nash Community Mental Health Center Inc	KS	Community/Behavioral Health Agency	$0	$28.8M
Oral Surgery Kansas, Lc	KS	Oral and Maxillofacial Surgery (Dentist)	$0	$19.1M
Bert Nash Community Mental Health Center Inc	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.7M
Lawrence Memorial Hospital	KS	General Acute Care Hospital	$0	$5.3M
Pediatric & Adolescent Medicine P.A.	KS	Pediatrics Physician	$0	$2.4M
Lawrence Pediatric Dentistry LLC	KS	Pediatric Dentistry	$0	$1.9M
Robert Gollier	KS	Dentist	$0	$1.5M
Benjamin Slane	KS	Radiation Oncology Physician	$1.1M	$0
Drs Price Young Odle & Horsch PA	KS	Optometrist	$0	$1.1M
Lawrence Emergency Medicine Associates,pa	KS	Emergency Medicine Physician	$0	$1.1M

Heartland Medical Clinic, Inc — Billing Profile & Reimbursement Data

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Heartland Medical Clinic, 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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