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.

Physician Groups Lc (NPI 1427114990)

Physician Groups Lc is a multi-specialty clinic/center provider located in Farmington, Missouri. This profile covers 0 Medicare and 20 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	Physician Groups Lc
Address	1103 W Liberty
City	Farmington
State	MO
ZIP	63640
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	December 29, 2006

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	57,550	$70	$4M
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…	1,400	$60	$78.5K
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…	1,220	$40	$42.6K
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…	200	$80	$14.9K
99203	The provider sees a new 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 provider…	210	$40	$7.6K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	410	$10	$2.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	140	$20	$2.6K
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…	30	$80	$2.1K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	180	$10	$1.8K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	10	$120	$1.4K

Showing 1–10 of 20

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

Physician Groups Lc — 1 of 19 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	3	170	2,460	$70	$498.3K
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…	578	3,170	230	$70	$128.1K
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…	944	4,310	300	$60	$110.8K
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…	390	680	280	$90	$65.3K
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…	543	640	210	$90	$59.5K
99203	The provider sees a new 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 provider…	242	860	60	$70	$33.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	444	1,020	100	$40	$27K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	110	120	50	$170	$25.9K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	145	200	170	$20	$17.6K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	45	50	100	$40	$17.5K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Physician Groups Lc	MO	Multi-Specialty Clinic/Center	$0	$9.8M
Carolyn Jachna	MO	Endocrinology, Diabetes & Metabolism Physician	$490.8K	$0
Azamuddin Khaja	MO	Interventional Cardiology Physician	$415.2K	$0
Junaid Munshi	MO	Family Medicine Physician	$345K	$63.8K
Andrew Krainik	MO	Clinical Cardiac Electrophysiology Physician	$395.6K	$0
Andre Bouhasin	MO	Interventional Cardiology Physician	$285.6K	$13.8K
Curtis Steyers	MO	Clinical Cardiac Electrophysiology Physician	$260.4K	$0
Gabriel Soto	MO	Clinical Cardiac Electrophysiology Physician	$240.9K	$0
Cheryl Faber	MO	Neurology Physician	$206.2K	$0
Gus Theodos	MO	Interventional Cardiology Physician	$192.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkland Health Center	MO	General Acute Care Hospital	$0	$33.5M
L.i.f.e Center For Independent Living	MO	Specialist	$0	$19.5M
St. Francois County Ambulance District	MO	Land Ambulance	$1.5M	$12.4M
L.i.f.e., Inc.	MO	In Home Supportive Care Agency	$0	$5.4M
Greater Heights Adhc, LLC	MO	Adult Day Care Clinic/Center	$0	$5.2M
St. Francois County Board For The Developmentally Disabled	MO	Case Management Agency	$0	$4.5M
Healthy Home & Family, Inc.	MO	Home Health Agency	$0	$4.3M
Sarah Hull	MO	Nurse Practitioner	$2.6M	$0
Surgery Center Of Farmington, L.L.C.	MO	Ambulatory Surgical Clinic/Center	$538.5K	$262.7K
Air Evac Ems Inc	MO	Air Ambulance	$497.3K	$0

Physician Groups Lc — Billing Profile & Reimbursement Data

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Physician Groups Lc — 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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