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.

Kansas Orthopaedic Center, P.A. (NPI 1437139979)

Kansas Orthopaedic Center, P.A. is a orthopaedic surgery physician provider located in Wichita, 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	Kansas Orthopaedic Center, P.A.
Address	7550 West Village Circle
City	Wichita
State	KS
ZIP	67205
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	January 19, 2006

Payer Source	Total Paid
Medicaid	$1.4M
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
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…	6,920	$70	$449.5K
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…	12,870	$30	$411.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	4,880	$30	$136.8K
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…	1,120	$50	$58.4K
72082	In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the…	1,330	$40	$48K
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,…	2,420	$20	$41.1K
73560	In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	1,250	$20	$29.9K
99204	The provider sees a new 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 provider…	280	$90	$25.3K
73100	In this procedure, the provider takes two X–ray images of a patient’s wrist to check for any fracture, swelling, or reason of pain in the wrist area.	1,200	$20	$24K
25600	The provider treats a fracture of the wrist end of the radius, one of the bones in the forearm, in which the fracture fragment displaces upward or downward, in a closed procedure. The growth plate at…	140	$160	$23.3K

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

Kansas Orthopaedic Center, P.A. — 9 of 25 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…	61	1,050	560	$80	$266.8K
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…	293	880	400	$60	$136K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	244	310	770	$30	$77.7K
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,…	10	340	100	$100	$43.3K
99204	The provider sees a new 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 provider…	45	170	70	$90	$43.2K
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…	2	240	70	$70	$37.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	22	210	410	$20	$25.4K
25600	The provider treats a fracture of the wrist end of the radius, one of the bones in the forearm, in which the fracture fragment displaces upward or downward, in a closed procedure. The growth plate at…	1	10	140	$160	$23.3K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	47	110	330	$20	$18.8K
72082	In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the…	1	10	120	$50	$18.6K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Ericksen	KS	Orthopaedic Surgery of the Spine Physician	$278.6K	$0
Paul Enns	KS	Orthopaedic Surgery Physician	$212.2K	$0
Prince Chan	KS	Orthopaedic Hand Surgery Physician	$192K	$0
Steven Howell	KS	Orthopaedic Foot and Ankle Surgery Physician	$162.3K	$0
James Gluck	KS	Orthopaedic Hand Surgery Physician	$137.1K	$0
Christopher Miller	KS	Sports Medicine (Orthopaedic Surgery) Physician	$86K	$0
Shawn Morrow	KS	Orthopaedic Foot and Ankle Surgery Physician	$74K	$0
Jason Hermreck	KS	Physician Assistant	$61K	$0
William Messamore	KS	Sports Medicine (Orthopaedic Surgery) Physician	$56.9K	$0
Rachel Matsoukas	CO	Occupational Therapist	$44.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tiny Teeth Pediatric Dentistry, LLC	KS	Pediatric Dentistry	$0	$9.8M
Heartland Hospice Services LLC	KS	Community Based Hospice Care Agency	$0	$1.8M
Heart Of Care Agency, L.L.C.	KS	Developmentally Disabled Services Day Training Agency	$0	$1.4M
Matthew Healy	KS	Pediatric Dentistry	$0	$1.4M
Children's Dental Professionals	KS	Pediatric Dentistry	$0	$1.1M
Ict Internal Medicine & Pain Management, LLC	KS	Internal Medicine Physician	$0	$1M
Ridgewood Surgery And Endoscopy Center LLC	KS	Ambulatory Surgical Clinic/Center	$902K	$0
Reena Patel	KS	Ophthalmology Physician	$753.1K	$480
Absolute Diagnostics, LLC	KS	Clinical Medical Laboratory	$309.6K	$225.2K
Wichita Orthopaedic Asc LLC	KS	Ambulatory Surgical Clinic/Center	$491.2K	$150

Kansas Orthopaedic Center, P.A. — Billing Profile & Reimbursement Data

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Kansas Orthopaedic Center, P.A. — 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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