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

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

Baptist Health Deaconess Medical Group Inc (NPI 1437730942)

Baptist Health Deaconess Medical Group Inc is a internal medicine physician provider located in Madisonville, Kentucky. This profile covers 0 Medicare and 122 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	Baptist Health Deaconess Medical Group Inc
Address	800 Hospital Dr Fl 1
City	Madisonville
State	KY
ZIP	42431
Taxonomy	Internal Medicine Physician
NPI Enumerated	April 16, 2021

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

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

122 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	40,930	$40	$1.6M
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…	38,320	$30	$1M
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…	3,410	$80	$259.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,800	$80	$229.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	2,890	$70	$199.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	7,000	$30	$195.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,330	$130	$176.6K
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…	2,270	$60	$124.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	16,460	$10	$98.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,090	$80	$91.6K

Showing 1–10 of 122

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Baptist Health Deaconess Medical Group Inc — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

122 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	62	210	1,340	$160	$568K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	53	60	170	$780	$500.2K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	42	170	1,300	$230	$441K
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…	165	3,340	1,020	$30	$296K
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…	48	2,460	580	$40	$245K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	32	70	230	$420	$228.2K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	22	120	300	$320	$215.2K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	31	30	200	$190	$207.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	98	470	770	$20	$188.2K
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…	94	230	720	$60	$180.1K

Showing 1–10 of 122

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dwight Fitch	FL	Radiation Oncology Physician	$1.5M	$0
Jonathan Barnes	GA	Radiation Oncology Physician	$1.1M	$0
Arvind Durvasan	AZ	Nephrology Physician	$639.3K	$8.9K
Peter Locken	KY	Radiation Oncology Physician	$426K	$0
Deepak Kapadia	KY	Cardiovascular Disease Physician	$225.1K	$180.7K
Mandeep Sahani	AZ	Nephrology Physician	$403.6K	$0
James Fellows	KY	Urology Physician	$192.2K	$137.8K
Sandeep Sharma	KY	Pulmonary Disease Physician	$297.9K	$0
Abhishek Kapila	KY	Internal Medicine Physician	$258.1K	$0
Anthony Voelkel	IN	Interventional Cardiology Physician	$248.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health Deaconess Madisonville Inc	KY	Rural Acute Care Hospital	$0	$80.8M
Caris Counseling & Behavioral Health Group	KY	Professional Counselor	$0	$8.1M
Medical Center Ambulance Service Inc	KY	Land Ambulance	$745.8K	$1.2M
Owensboro Health Medical Group, Inc	KY	Clinical Medical Laboratory	$42.2K	$478.6K
Ashwani Kumar	KY	Hospitalist Physician	$290.5K	$200
Robert Holzknecht	KY	Family Medicine Physician	$217.1K	$0
Henry Smith	KY	Plastic and Reconstructive Surgery Physician	$186.8K	$0
William Smith	KY	Dermatology Physician	$174.6K	$0
Francinia Mccartney	KY	Ophthalmology Physician	$150.8K	$0
Bradly Newcom	KY	Pain Medicine Physician	$147.1K	$0

Baptist Health Deaconess Medical Group Inc — 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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