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 Madisonville Inc (NPI 1447231956)

Key Findings

Field	Value
Entity Type	Organization
Organization	Baptist Health Deaconess Madisonville Inc
Address	900 Hospital Dr
City	Madisonville
State	KY
ZIP	42431
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	November 10, 2005

Payer Source	Total Paid
Medicaid	$80.8M
Medicare	$0

This provider is effectively single-payer in the available data: there is no Medicare billing on file while Medicaid revenue totals $80.8M, so the provider’s observable billing footprint is concentrated entirely in Medicaid rather than split across Medicare and Medicaid. That payer concentration will shape revenue sensitivity to state Medicaid policies and contracting rather than to Medicare fee schedule or enrollment shifts.

Revenue concentration is high in a small set of services: the top three Medicaid codes account for 38.3% of the provider’s total Medicaid revenue. Those top codes are 99284 ($8.1M, 15.3%), 99283 ($7.1M, 13.6%), and 97110 ($4.9M, 9.4%), indicating a meaningful reliance on emergency department evaluation-and-management and therapeutic exercise services for Medicaid income.

The code mix signals a hospital operating with a busy emergency department and strong inpatient/observation throughput. High-revenue ED codes (99284, 99283 and 99285) together drive the largest single-code shares, and hospital observation services (G0378, $3.7M, 7.0%) further support an acute-care workflow that transitions ED cases into short-term observation and inpatient pathways.

Rehabilitation and therapy are a standout service line: 97110 ($4.9M, 9.4%) ranks #4 of 776 providers in-state and is labeled an "extreme outlier, far above typical state volume," while 97530 ($1.5M, 2.9%) ranks #20 of 544 (97th percentile) and 92507 ($2.0M, 3.9%) ranks #19 of 342 (95th percentile). These placements indicate a large, above-typical therapy and rehabilitation program that materially contributes to Medicaid revenue and differentiates the facility within the state.

Endoscopy and GI procedural volume is unusually strong relative to peers: 43239 ($2.0M, 3.8%) ranks #9 of 174 (95th percentile) and 45380 ($1.1M, 2.0%) ranks #3 of 122 (98th percentile), both noted as "notably above typical state volume." Coupled with solid CT imaging revenue (74177 $3.8M, 7.2% and 74176 $1.8M, 3.4%), the data depict a hospital with significant diagnostic and procedural capacity for GI and abdominal care.

Imaging and diagnostic services make up a steady portion of revenue but at largely typical levels versus peers: CT abdomen/pelvis with contrast (74177 $3.8M, 7.2%) and CT head without contrast (70450 $1.7M, 3.2%) sit near the mid-to-upper percentiles (around the 70s), suggesting reliable imaging throughput without state-level dominance. These imaging revenues complement the ED and procedural volumes rather than indicating a specialized imaging center.

Infusion and ancillary inpatient services are meaningful contributors: initial IV infusion and related codes (96365 $1.5M, 2.8%; 96361 $1.5M, 2.8%; 96375 $1.1M, 2.1%) and EKG/monitoring (93005 $783.1K, 1.5%) point to recurring revenue from IV therapies and monitoring tied to acute and observation care. That mix reinforces the view of a full-service rural acute care hospital providing ongoing medical therapies in addition to episodic ED care.

Competitive standing is mixed by service line: the provider is a statewide leader or near-leader in select services (e.g., 97110 at #4/776, 45380 at #3/122), while ED codes show typical to above-typical volumes (99283 and 99284 in the 84th–89th percentiles and 99285 at the 58th percentile). The absence of Medicare billing reduces its engagement with the Medicare population and positions this organization primarily as a Medicaid-focused acute-care competitor in Kentucky.

The provider has an established operating history: its NPI was enumerated 2005-11-10 (~21 years ago), indicating longstanding presence in the market. That tenure, combined with a broad mix of ED, observation, imaging, procedural, rehabilitation, and infusion codes, suggests mature service lines and operational stability within the Medicaid reimbursement environment.

Medicaid: Complete Services Breakdown

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

442 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	28,310	$290	$8.1M
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.	35,360	$200	$7.1M
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…	59,470	$80	$4.9M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7,750	$490	$3.8M
G0378	Hospital observation service, per hour	6,950	$530	$3.7M
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.	6,700	$350	$2.3M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	29,910	$70	$2M
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.	5,920	$340	$2M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,920	$450	$1.8M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	7,150	$240	$1.7M

Showing 1–10 of 442

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 Madisonville Inc — 5 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

442 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	96	310	830	$120	$3.7M
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.	47	280	7,150	$150	$3M
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.	101	240	4,710	$150	$2.6M
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.	32	280	5,700	$120	$2M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	23	40	740	$1,170	$1.7M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	46	180	1,870	$280	$1.5M
G0378	Hospital observation service, per hour	23	90	2,770	$190	$1.3M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	14	30	2,320	$290	$1.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	28	80	7,740	$30	$1.1M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	17	40	550	$910	$1.1M

Showing 1–10 of 442

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health Medical Group Inc	KY	Nurse Practitioner	$0	$54.1M
Baptist Health Medical Group Inc	KY	Internal Medicine Physician	$0	$27.9M
Baptist Health Medical Group Inc	KY	Urgent Care Clinic/Center	$0	$26.7M
Baptist Health Medical Group Inc	KY	Family Medicine Physician	$0	$21.9M
Baptist Health Medical Group Inc	KY	Internal Medicine Physician	$0	$13.7M
Kheder Kutmah	KY	Pulmonary Disease Physician	$523.2K	$0
Vasudeva Iyer	KY	Clinical Neurophysiology Physician	$72.2K	$434.5K
Ashwani Kumar	KY	Hospitalist Physician	$290.5K	$200
Scott Babin	KY	Diagnostic Radiology Physician	$202.8K	$0
Sean Ladson	KY	Diagnostic Radiology Physician	$198.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caris Counseling & Behavioral Health Group	KY	Professional Counselor	$0	$8.1M
Baptist Health Deaconess Medical Group Inc	KY	Internal Medicine Physician	$0	$5.2M
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
Deepak Kapadia	KY	Cardiovascular Disease Physician	$225.1K	$180.7K
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 Madisonville Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References