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    OpenPayerNPI Medicare & MedicaidHannibal Regional Healthcare System, Inc
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    Hannibal Regional Healthcare System, Inc — Billing Profile & Reimbursement Data

    NPI 1447789300 · Kirksville, MO · Multi-Specialty Clinic/Center

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    Hannibal Regional Healthcare System, Inc is a multi-specialty clinic/center provider located in Kirksville, Missouri. This profile covers 0 Medicare and 34 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHannibal Regional Healthcare System, Inc
    Address1611 S Baltimore St
    CityKirksville
    StateMO
    ZIP63501
    TaxonomyMulti-Specialty Clinic/Center
    NPI EnumeratedJune 5, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…42,180$70$2.9M
    99214The 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…12,370$70$853.4K
    99203The 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…4,030$90$351K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.5,070$20$86.1K
    99212The 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,…1,540$50$69.3K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.10,770$10$64.6K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…630$60$36K
    U0003Infectious 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…310$110$33.1K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1,560$20$31.3K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.1,830$20$31.1K

    Showing 1–10 of 34

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The 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.2052401,740$40$353.4K
    85025A 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…209320980$40$352.7K
    99214The 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…843,170230$70$128.1K
    99213The 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…374,310300$60$110.8K
    U0003Infectious 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…5480450$30$79.5K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…77270430$30$77.9K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…285350370$20$65.6K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…5291,060250$40$57.7K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…118150450$20$40.7K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…134320310$30$40.6K

    Showing 1–10 of 34

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Hannibal Regional Healthcare System, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hannibal Regional Healthcare System, IncMORural Acute Care Hospital$0$14.5M
    Linda CookeMODermatology Physician$1.8M$0
    Yuyang ZhangMDDiagnostic Radiology Physician$920.4K$0
    Hrishikesh GhanekarILNephrology Physician$445.9K$372.3K
    Stephen PomeranzOHDiagnostic Radiology Physician$642.3K$0
    Debra OdenKSDiagnostic Radiology Physician$253.7K$92.6K
    Vinu Madhusudanannair KunnuparampilTXHematology & Oncology Physician$331.9K$0
    Usman QayyumMOInterventional Cardiology Physician$188.5K$107.8K
    Matthew ChaninOHDiagnostic Radiology Physician$291.6K$0
    Deborah HolteMOPodiatrist$195.3K$94.1K

    Nearby Providers

    Other providers in the same ZIP code as Hannibal Regional Healthcare System, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Preferred Family HealthcareMOCommunity/Behavioral Health Agency$0$134.5M
    Chariton Valley Association, Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$27.2M
    State Of MissouriMODevelopmentally Disabled Services Day Training Agency$0$11.1M
    Rural Advocates For Independent LivingMOCommunity Based Hospice Care Agency$0$10.2M
    Chariton Valley Association, Inc.MOIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$9.1M
    Adair County Sb40 Developmental Disability BoardMOCase Management Agency$0$8.5M
    Kirksville Missouri Hospital Company, LLCMOGeneral Acute Care Hospital$0$8M
    Northeast Missouri Area Agency On AgingMOVoluntary or Charitable Agency$0$6.5M
    Ellendel Isl LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$6.2M
    Northeast Missouri Health Council, Inc.MOFederally Qualified Health Center (FQHC)$0$3.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Missouri Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Hannibal Regional Healthcare System, Inc — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri