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.

Lake Regional Health System (NPI 1386619450)

Field	Value
Entity Type	Organization
Organization	Lake Regional Health System
Address	54 Hospital Drive
City	Osage Beach
State	MO
ZIP	65065
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	February 21, 2006

Payer Source	Total Paid
Medicaid	$23.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

145 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
X4011	N/A	13,960	$300	$4.1M
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…	42,350	$60	$2.6M
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.	10,830	$190	$2.1M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	36,320	$60	$2.1M
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.	16,680	$120	$2M
Y7506	N/A	11,530	$130	$1.5M
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	11,510	$120	$1.4M
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…	8,400	$70	$562.5K
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.	2,090	$260	$548.1K
X4006	N/A	850	$620	$525.3K

Showing 1–10 of 145

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

Lake Regional Health System — 4 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

145 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	23	110	5,700	$340	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	48	100	2,240	$80	$2.2M
Y7506	N/A	21	100	980	$250	$1.6M
X4003	N/A	30	70	1,480	$80	$1.1M
X4006	N/A	18	50	370	$780	$969.5K
Y7507	N/A	22	50	270	$360	$594.9K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	5	10	960	$60	$584.3K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	15	30	80	$120	$440.4K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	24	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.	110	600	140	$170	$384.1K

Showing 1–10 of 145

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lake Regional Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Bryer	MO	Radiation Oncology Physician	$638K	$0
Reed Cope	MO	Radiation Oncology Physician	$572.2K	$0
Muthu Krishnan	MO	Interventional Cardiology Physician	$330.3K	$310
Andrew Leiker	MO	Radiation Oncology Physician	$303.9K	$0
Nicole Edwards	SC	Family Medicine Physician	$300.4K	$0
Zubair Khan	MO	Interventional Cardiology Physician	$263.3K	$4.2K
James Edwards	MO	Orthopaedic Surgery Physician	$190.7K	$9.8K
William Decker	MO	Radiation Oncology Physician	$192.8K	$0
Eric Mcqueary	MO	Urology Physician	$182.3K	$0
Justin Malone	MO	Neurology Physician	$155.6K	$0

Nearby Providers

Other providers in the same ZIP code as Lake Regional Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Camden Emergency Group LLC	MO	Emergency Medicine Physician	$0	$3.5M
Lake Regional Imaging Partners, LLC	MO	Radiology Clinic/Center	$633.1K	$132.3K
Air Evac Ems, Inc.	MO	Air Ambulance	$545.8K	$0
Rachandeep Singh	MO	Nephrology Physician	$224.4K	$0
Baron Adkins	MO	Diagnostic Radiology Physician	$196.8K	$18.5K
Timothy Lischwe	MO	Corneal and Contact Management Optometrist	$201.9K	$1K
Amy Butler	MO	Family Nurse Practitioner	$187.3K	$0
Walgreen Co	MO	Pharmacy	$187K	$0
John Dymond	MO	Diagnostic Radiology Physician	$167.6K	$5.8K
Karen Eshraghi	MO	Dermatology Physician	$169.6K	$0

Lake Regional Health System — Billing Profile & Reimbursement Data

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Lake Regional Health System — 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