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 Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri 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. Missouri (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.

Truman Medical Center, Incorporated (NPI 1376686600)

Field	Value
Entity Type	Organization
Organization	Truman Medical Center, Incorporated
Address	7900 Lees Summit Rd
City	Kansas City
State	MO
ZIP	64139
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicaid	$72.7M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-centric hospital: there is no Medicare billing on file while total Medicaid revenue is $72.7M, indicating Medicaid is the dominant — effectively sole — public payer in the dataset for this entity. The absence of Medicare activity suggests analyses of payer mix and competitive positioning should focus on Medicaid trends and in-state comparisons rather than national Medicare benchmarks.

Revenue is highly concentrated in a small set of outpatient and emergency codes: the top three Medicaid codes account for 47.6% of total Medicaid revenue, led by G0463 (165.7K claims, $16.6M revenue, 24.8% of Medicaid revenue), followed by X4011 (12.8K claims, $9.2M revenue, 13.8%) and 99284 (17K claims, $6M revenue, 8.9%). This concentration signals that a few high-volume clinic and ED services drive nearly half of Medicaid receipts and should be primary targets for utilization and reimbursement review.

The code mix indicates a mixed ambulatory outpatient clinic and high-volume emergency department operation: G0463 (hospital outpatient clinic visit) is the single largest Medicaid revenue line at $16.6M and 165.7K claims, while ED E/M codes 99284 (17K claims, $6M) and 99283 (19.3K claims, $4.6M) together represent substantial ED throughput. The presence of both large clinic-visit volume and substantial ED E/M billing implies the facility operates significant outpatient clinic capacity alongside a busy emergency department.

Laboratory and diagnostic services are a meaningful ancillary revenue stream supporting clinical throughput: 85025 (CBC) generated $4M from 50.9K claims and 80048 (BMP) generated $2.7M from 30.2K claims, while urinalysis codes such as 81003 (21.3K claims, $917.7K) appear as extremely high-volume lines. Multiple lab and imaging codes with high ranks suggest in-house lab and diagnostic capacity that underpins both ED and outpatient visit workflows.

State competitive standing is strong for several high-volume codes: G0463 ranks #6 of 96 providers in-state (95th percentile, notably above typical state volume) and ED level codes 99284 and 99283 rank in the 97th percentile among many peers, indicating this provider is a major statewide participant for clinic and ED services. Additionally, 99213 appears as an extreme outlier (62.1K claims, $3.7M, 100th percentile), which reinforces unusually large outpatient visit volume relative to in-state peers.

There are high-cost, lower-frequency or specialized lines contributing nontrivial revenue that point to episodic advanced care delivery: X4006 (2.7K claims, $2.7M) and Y7506 (1.1K claims, $1.1M) each generate multi-hundred-thousand to million-dollar revenues and rank modestly within their peer groups, suggesting discrete high-unit-price services or supplies are part of the revenue mix. The unclassified drug code J3490 (12.5K claims, $975.8K) also appears at a high in-state rank (95th percentile), indicating notable use of nonstandard drug billing.

Operational throughput is evident across many claim lines, which supports a hypothesis of high patient volume rather than isolated high-intensity cases: large claim counts such as 69.5K for X4003, 62.1K for 99213, 50.9K for 85025, and 165.7K for G0463 point to sustained, high-frequency service delivery across outpatient, ED, and lab settings. These volumes align with the revenue concentration described above and suggest capacity and staffing demands commensurate with a busy general acute care hospital.

The provider has an established billing history with a long tenure: the NPI was enumerated 2007-02-15 (~19 years ago), indicating a stable presence in the market and a multi-year data footprint for trend analysis. This duration supports using historical Medicaid patterns here for forecasting and competitive benchmarking within the state.

Medicaid: Complete Services Breakdown

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

187 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	165,700	$100	$16.6M
X4011	N/A	12,830	$720	$9.2M
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.	16,990	$350	$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.	19,250	$240	$4.6M
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	50,900	$80	$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…	62,120	$60	$3.7M
X4003	N/A	69,470	$50	$3.2M
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	30,200	$90	$2.7M
X4006	N/A	2,720	$980	$2.7M
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	9,530	$180	$1.7M

Showing 1–10 of 187

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

Claims Volume vs. Missouri Distribution

Truman Medical Center, Incorporated — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

187 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	28	110	5,700	$340	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	6	100	2,240	$80	$2.2M
Y7506	N/A	48	100	980	$250	$1.6M
X4003	N/A	5	70	1,480	$80	$1.1M
X4006	N/A	7	50	370	$780	$969.5K
D7999	N/A	9	20	190	$2,300	$708.3K
Y7507	N/A	5	50	270	$360	$594.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14	90	1,850	$120	$384.1K
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.	87	600	140	$170	$384.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	38	110	2,100	$70	$364.3K

Showing 1–10 of 187

Related Providers

Other providers that share a Tax Identification Number (TIN) with Truman Medical Center, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Truman Medical Center, Incorporated	MO	General Acute Care Hospital	$0	$233.8M
Truman Medical Center, Incorporated	MO	Community/Behavioral Health Agency	$0	$37.8M
Saint Luke's Physician Group Inc	MO	Family Medicine Physician	$0	$15M
Truman Medical Center, Incorporated	MO	Otolaryngology Physician	$0	$14.1M
Truman Medical Center Incorporated	MO	Body Imaging Physician	$0	$4.6M
Truman Medical Center Incorporated	MO	Community/Behavioral Health Agency	$0	$4.6M
William Winn	MN	Diagnostic Radiology Physician	$997.1K	$0
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Philip Beuchert	NY	Diagnostic Radiology Physician	$583.7K	$1.7K
Dani Korya	NJ	Neurology Physician	$432.2K	$0

Nearby Providers

Other providers in the same ZIP code as Truman Medical Center, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harry S. Truman Childrens Neurological Center	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$16.6M
Groves Community Hospice, LLC	MO	Community Based Hospice Care Agency	$0	$3.8M
Cielo Navato-dehning	MO	Physical Medicine & Rehabilitation Physician	$215.9K	$0
Todd Nielsen	MO	Foot & Ankle Surgery Podiatrist	$137.3K	$0
Matthew Bridges	MO	Emergency Medicine Physician	$119.7K	$920
Michael Marling	MO	Podiatrist	$72.3K	$14.9K
Dylan Grau	MO	Foot & Ankle Surgery Podiatrist	$83.4K	$0
Michael Andersen	MO	Foot & Ankle Surgery Podiatrist	$58.6K	$0
Casey Dluhos-sebesto	MO	Family Medicine Physician	$36.1K	$0

Truman Medical Center, Incorporated — Billing Profile & Reimbursement Data

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Truman Medical Center, Incorporated — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References