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.

Swope Health Services (NPI 1427749936)

Swope Health Services is a federally qualified health center (fqhc) provider located in Leavenworth, Kansas. This profile covers 0 Medicare and 33 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	Swope Health Services
Address	1001 6th Ave Ste 210
City	Leavenworth
State	KS
ZIP	66048
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 16, 2023

Payer Source	Total Paid
Medicaid	$723.7K
Medicare	$0

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

33 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…	1,780	$180	$325.9K
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…	330	$210	$69.1K
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…	320	$210	$67.4K
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…	370	$170	$61.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	250	$190	$47.7K
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…	170	$190	$31.2K
99383	The provider performs a well–patient visit for a child who is between the ages of 5 and 11 who meets the definition of new patient.	180	$160	$29.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	130	$200	$26.8K
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,…	90	$220	$19.8K
99384	The provider performs a well–patient visit for an adolescent who is between the ages of 12 and 17 who meets the definition of new patient.	90	$170	$15.3K

Showing 1–10 of 33

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

Swope Health Services — 0 of 19 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

33 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…	337	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…	86	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…	85	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…	561	880	400	$60	$136K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	79	190	180	$110	$94.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	101	200	130	$130	$58.6K
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,…	181	340	100	$100	$43.3K
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…	49	240	70	$70	$37.1K
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	37	50	80	$10	$35.2K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	59	80	120	$90	$33.3K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swope Health Services	MO	Federally Qualified Health Center (FQHC)	$0	$9.3M
Vernon Mills	KS	Pediatrics Physician	$0	$1.2M
Swope Health Services	KS	Federally Qualified Health Center (FQHC)	$0	$882.9K
Debra Heidgen	KS	Pediatrics Physician	$0	$818.9K
Swope Health Services	KS	Federally Qualified Health Center (FQHC)	$0	$643.5K
Andy Anderson	KS	Diagnostic Radiology Physician	$270.9K	$0
Jason Swink	MO	Diagnostic Radiology Physician	$216.3K	$0
Luke Wilson	KS	Diagnostic Radiology Physician	$200.9K	$0
Richard Miller	KS	Diagnostic Radiology Physician	$184.5K	$0
Milton Wolf	KS	Diagnostic Radiology Physician	$172.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Guidance Center, Inc	KS	Mental Health Counselor	$0	$22.7M
The Guidance Center, Inc	KS	Community/Behavioral Health Agency	$0	$11.9M
Riverside Resources, Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.8M
Va Eastern Kansas Health Care System	KS	Emergency Medicine Physician	$0	$7M
Robinson Kiser	KS	Pediatric Dentistry	$0	$1.9M
County Of Leavenworth	KS	Ambulance	$684.3K	$1.1M
Robinson T Kiser Dmd LLC	KS	Pediatric Dentistry	$0	$1.7M
Emergent Care Plus Of Overland Park, LLC	KS	Urgent Care Clinic/Center	$0	$1.1M
Prime Healthcare Services - Saint John Leavenworth, LLC	KS	General Acute Care Hospital	$0	$855.8K
Norris And Kelly, P.A.	KS	Optometrist	$0	$831.7K

Swope Health Services — Billing Profile & Reimbursement Data

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Swope Health Services — 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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