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.

Wesley Medical Center LLC (NPI 1447299649)

Key Findings

Field	Value
Entity Type	Organization
Organization	Wesley Medical Center LLC
Address	550 N Hillside St
City	Wichita
State	KS
ZIP	67214
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicaid	$30.2M
Medicare	$0

WESLEY MEDICAL CENTER LLC reports no Medicare billing on file and $30.2M in lifetime Medicaid revenue, making its publicly recorded activity effectively single‑payer Medicaid. The absence of Medicare revenue means payers and analysts should treat Medicaid performance as the primary operational and financial signal for this entity.

Revenue is highly concentrated in emergency department E/M codes: the precomputed top‑3 Medicaid codes account for 83.6% of this provider's total Medicaid revenue. The three drivers are 99283 ($14.4M revenue, 48.9%), 99284 ($7.7M revenue, 26.4%), and 99282 ($2.5M revenue, 8.3%), indicating most dollars flow from ED visits.

The code mix points to a high‑throughput emergency department and associated acute care services. Dominant E/M codes 99283/99284/99282 combined with frequent use of infusion and injection codes (e.g., 96374, 96375, 96372) and high claim counts for basic labs and chest radiography (e.g., 85027, 80053, 71045) suggest the hospital manages large numbers of unscheduled ED presentations that require diagnostics, IV therapies, and wound care.

WESLEY is a dominant in‑state provider for ED volume by several metrics: 99283 ranks #1 of 270 providers in‑state (100th percentile; extreme outlier), 99284 ranks #2 of 195 providers (99th percentile; extreme outlier), and 99282 ranks #1 of 130 providers (100th percentile; extreme outlier). Those ranks and percentile placements characterize the hospital as a major regional ED provider well above typical state volumes for these services.

Several ancillary and procedure codes also show unusually high state volumes, reinforcing the ED/wound‑care profile. Examples include 96374 (44.5K claims, $533.4K revenue; rank #1 of 56, 100th percentile; extreme outlier), 11042 (13.9K claims, $1.3M revenue; rank #2 of 26, 96th percentile; notably above typical state volume), and 81025 (24.1K claims, $120.5K revenue; rank #1 of 88, 100th percentile; extreme outlier). These patterns point to frequent IV treatments, wound debridement, and high specimen volumes.

The provider’s dependence on a small set of ED codes creates a concentrated revenue profile that could be sensitive to any Medicaid reimbursement changes or shifts in patient flow. With 83.6% of Medicaid revenue tied to the top three ED codes, changes in policy, coding, or local referral patterns would disproportionately affect overall revenue.

Operational and clinical implications are visible in the breadth of services supporting ED throughput: high counts for basic labs (85027: 63.6K claims, $318K revenue; rank #2 of 91, 99th percentile) and imaging (71045: 20.4K claims, $244.5K revenue; rank #9 of 102, 92nd percentile) indicate embedded diagnostic capacity aligned to emergency care demand. This mix is consistent with a general acute care hospital that functions as a central emergency access point for Medicaid patients.

WESLEY’s NPI was enumerated 2006-06-05 (~20 years ago), indicating long tenure in the market; combined with its top‑rank positions on multiple ED codes, this suggests an established role in statewide Medicaid emergency care. Analysts evaluating network adequacy, capacity, or competitive positioning in Kansas should consider WESLEY a major Medicaid ED provider in Wichita and the surrounding region.

Medicaid: Complete Services Breakdown

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

209 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	172,960	$80	$14.4M
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.	80,600	$100	$7.7M
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.	37,690	$70	$2.5M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	13,950	$90	$1.3M
99281	The provider sees a patient for the lowest level emergency department visit.	11,700	$50	$596.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	44,450	$10	$533.4K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	63,600	$10	$318K
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.	36,710	$10	$293.7K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	14,140	$20	$254.5K
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…	20,380	$10	$244.5K

Showing 1–10 of 209

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

Wesley Medical Center LLC — 16 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

209 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	27	50	300	$60	$648.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	20	60	280	$30	$295.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	19	60	230	$30	$292K
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…	682	1,050	560	$80	$266.8K
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.	2	200	260	$60	$216K
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…	268	290	1,600	$40	$214.2K
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.	48	110	320	$60	$205K
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.	1	270	310	$50	$184.5K
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…	154	160	470	$90	$163.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	20	40	280	$40	$160.9K

Showing 1–10 of 209

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Hild	KS	Family Medicine Physician	$301.4K	$0
James Gluck	KS	Orthopaedic Hand Surgery Physician	$137.1K	$0
Sara Farmer	KS	Family Nurse Practitioner	$128K	$0
Paul Murphy	KS	Psychiatry Physician	$86.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Craig Resources LLC	KS	Home Health Agency	$0	$97.3M
Paradigm Services Inc	KS	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$42.4M
Gracemed Health Clinic Inc	KS	Federally Qualified Health Center (FQHC)	$0	$18.3M
Healthcore Clinic Inc	KS	Federally Qualified Health Center (FQHC)	$0	$15.3M
Diversified Family Services LLC	KS	Home Health Agency	$0	$13.9M
Alpha Service	KS	Developmentally Disabled Services Day Training Agency	$0	$12.1M
Carepoint Emergency Medicine Kansas LLC	KS	Emergency Medicine Physician	$0	$11.8M
Hunter Health Clinic Inc	KS	Federally Qualified Health Center (FQHC)	$0	$10.4M
Ascension Via Christi Hospitals Wichita Inc.	KS	General Acute Care Hospital	$0	$8.9M
Bassam Mattar	KS	Hematology & Oncology Physician	$7.2M	$0

Wesley Medical Center LLC — 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