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

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

Baylor University Medical Center (NPI 1447250253)

Baylor University Medical Center is a general acute care hospital provider located in Dallas, Texas. This profile covers 0 Medicare and 178 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	Baylor University Medical Center
Address	3500 Gaston Ave
City	Dallas
State	TX
ZIP	75246
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 22, 2005

Payer Source	Total Paid
Medicaid	$14.7M
Medicare	$0

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

178 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.	17,560	$320	$5.6M
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.	5,670	$360	$2M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	13,300	$60	$811.5K
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.	2,900	$260	$739.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,760	$400	$699.7K
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.	4,250	$110	$446.5K
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.	10,690	$40	$374.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	29,380	$10	$352.5K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	11,650	$30	$303K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	29,630	$10	$237K

Showing 1–10 of 178

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Baylor University Medical Center — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

178 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	106	710	1,790	$200	$2.1M
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.	183	730	1,960	$100	$1M
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.	119	590	740	$170	$969.2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	79	340	400	$50	$553.5K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	15	160	200	$110	$323.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	39	370	360	$120	$279.5K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	73	290	410	$20	$225K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	76	300	410	$20	$223.4K
P9016	Red blood cells, leukocytes reduced, each unit	10	10	140	$400	$189K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	29	150	220	$10	$177.1K

Showing 1–10 of 178

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robyn Olney	TX	Anatomic Pathology & Clinical Pathology Physician	$7.7M	$0
Emanuela Berari	TX	Family Nurse Practitioner	$2.8M	$0
Armine Tumyan	TX	Rheumatology Physician	$1.2M	$0
Sean Mazloom	FL	MOHS-Micrographic Surgery Physician	$1M	$0
Donald Wurzburg	TX	Interventional Cardiology Physician	$805.3K	$0
Jennifer Cather	TX	Dermatology Physician	$703.5K	$0
Andrew Binder	TX	Cardiovascular Disease Physician	$677.6K	$0
Jose Rivera	TX	Cardiovascular Disease Physician	$646.5K	$0
Michael Isaac	TX	Cardiovascular Disease Physician	$641.7K	$0
Hao-yu Ren	TX	Cardiovascular Disease Physician	$546.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Century Integrated Partners, Inc	TX	Emergency Medicine Physician	$0	$27.8M
Brennen Cheek	TX	Radiation Oncology Physician	$5.9M	$0
Robert Berryman	TX	Medical Oncology Physician	$2.7M	$0
Joyce O'shaughnessy	TX	Medical Oncology Physician	$1.9M	$0
Charles Cowey	TX	Medical Oncology Physician	$1.6M	$0
Kartik Konduri	TX	Medical Oncology Physician	$1.5M	$0
Mezgebe Berhe	TX	Infectious Disease Physician	$1.4M	$0
Dallas Endoscopy Center, Ltd	TX	Ambulatory Surgical Clinic/Center	$1.4M	$0
Eric Nadler	TX	Medical Oncology Physician	$1.3M	$0
Dallas Surgical Partners, LLC	TX	Ambulatory Surgical Clinic/Center	$1.2M	$0

Baylor University Medical Center — Billing Profile & Reimbursement Data

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Baylor University Medical Center — 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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