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.

Owensboro Health Medical Group, Inc (NPI 1376594242)

Owensboro Health Medical Group, Inc is a family medicine physician provider located in Owensboro, Kentucky. This profile covers 0 Medicare and 93 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	Owensboro Health Medical Group, Inc
Address	2211 Mayfair Dr Ste 101
City	Owensboro
State	KY
ZIP	42301
Taxonomy	Family Medicine Physician
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicaid	$10.6M
Medicare	$0

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

93 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.	42,650	$60	$2.4M
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…	57,740	$30	$1.6M
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…	26,660	$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…	7,920	$90	$720.4K
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…	19,230	$30	$615.3K
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.	6,110	$80	$513.6K
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.	13,850	$40	$512.6K
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…	21,930	$20	$482.5K
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…	5,440	$70	$386.2K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	11,910	$30	$297.7K

Showing 1–10 of 93

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

Owensboro Health Medical Group, Inc — 7 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

93 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.	30	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.	110	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.	92	280	5,700	$120	$2M
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.	134	180	1,870	$280	$1.5M
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.	44	160	2,900	$110	$610.8K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	42	70	310	$100	$495.2K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	24	40	300	$640	$462.7K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	102	100	600	$190	$324.4K
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…	96	3,340	1,020	$30	$296K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	115	140	390	$250	$279.4K

Showing 1–10 of 93

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Owensboro Health Medical Group, Inc	KY	Pediatrics Physician	$0	$7.4M
Owensboro Health Medical Group, Inc.	KY	Specialist	$0	$3.9M
Owensboro Health Medical Group, Inc.	KY	Family Medicine Physician	$0	$3M
Kishor Vora	KY	Cardiovascular Disease Physician	$2M	$334.5K
Todd Scarbrough	TN	Therapeutic Radiology Physician	$1.3M	$0
Roshan Mathew	KY	Interventional Cardiology Physician	$1M	$0
Sarah Estes	KY	Family Nurse Practitioner	$981.6K	$0
Bernard Buchanan	KY	Internal Medicine Physician	$760.4K	$0
Aseedu Kalik	KY	Internal Medicine Physician	$143.8K	$554.3K
Richard Sweet	KY	Orthopaedic Surgery Physician	$540.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Green River Regional Mental Health/mental Retardation Board, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$98.6M
Green River Area Development District	KY	Supports Brokerage Agency	$0	$92.9M
Rivervalley Behavioral Health Inc	KY	Community Health Clinic/Center	$0	$28.6M
Behavioral Healthcare Services, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$18.1M
Bridges Of Kentucky, Inc.	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16M
Allied Adult Day Care, LLC	KY	Adult Day Care Clinic/Center	$0	$14M
Green River Regional Mental Health/mental Retardation Board, Inc.	KY	Adult Day Care Clinic/Center	$0	$8.7M
To The Max Behavior Therapy, LLC	KY	Behavior Technician	$0	$6.9M
Rivervalley Behavioral Health Inc	KY	Psychiatric Hospital	$0	$6.6M
Behavior Associates, LLC	KY	Behavior Analyst	$0	$6M

Owensboro Health Medical Group, 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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