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.

Mid-america Cardiology Associates, Inc. (NPI 1467406306)

Mid-america Cardiology Associates, Inc. is a cardiovascular disease physician provider located in Kansas City, Kansas. This profile covers 0 Medicare and 22 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	Mid-america Cardiology Associates, Inc.
Address	4000 Cambridge St
City	Kansas City
State	KS
ZIP	66160
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	May 22, 2006

Payer Source	Total Paid
Medicaid	$578.1K
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	10,190	$30	$265K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	35,430	$10	$177.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,450	$40	$58.2K
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…	1,800	$20	$41.4K
93018	The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…	570	$10	$7.4K
93295	In this service the provider evaluates from a remote location an implantable single, dual, or multiple lead defibrillator system. The service includes his interim analyses during a period of up to 90…	460	$20	$7.3K
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…	50	$110	$5.2K
93016	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	310	$10	$3.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	90	$40	$3.1K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	150	$20	$2.9K

Showing 1–10 of 22

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

Mid-america Cardiology Associates, Inc. — 4 of 21 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	764	1,050	560	$80	$266.8K
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…	238	880	400	$60	$136K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	12	10	320	$120	$123.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	49	70	210	$30	$116.7K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	17	20	750	$50	$71.9K
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…	123	130	390	$20	$67.5K
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	50	280	$50	$63.7K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	13	10	310	$60	$60.1K
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…	22	30	140	$90	$57.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3	90	410	$10	$20K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ukhs Great Bend, LLC	KS	Rural Health Clinic/Center	$0	$2.6M
Ukhs Great Bend, LLC	KS	Rural Health Clinic/Center	$0	$2.6M
Ukhs Great Bend, LLC	KS	Rural Health Clinic/Center	$0	$2.5M
Kansas University Physicians Inc	KS	Diagnostic Radiology Physician	$0	$2M
Glenda Holzman	KS	Diagnostic Radiology Physician	$1.1M	$440
Randall Hildebrand	KS	Orthopaedic Surgery Physician	$340.8K	$0
Yeruva Veera Madhu Reddy	KS	Clinical Cardiac Electrophysiology Physician	$250.9K	$0
Bassem Rouphael	KS	Internal Medicine Physician	$242.1K	$0
Siva Kumar Soma	KS	Clinical Cardiac Electrophysiology Physician	$220.9K	$0
Daniel Sanchez	KS	Family Medicine Physician	$205.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Kansas Hospital Authority	KS	General Acute Care Hospital	$0	$9.2M
Kansas University Physicians Inc	KS	Pediatrics Physician	$0	$7.6M
Kansas University Physicians Inc	KS	Psychiatry Physician	$0	$4M
University Of Kansas Hospital Authority	KS	Multi-Specialty Clinic/Center	$0	$3.9M
Kansas University Physicians Inc	KS	Internal Medicine Physician	$0	$3M
Kansas University Physicians Inc	KS	Obstetrics & Gynecology Physician	$0	$1.8M
Kansas University Physicians Inc	KS	Ophthalmology Physician	$0	$731.8K
Dhanunjaya Lakkireddy	KS	Clinical Cardiac Electrophysiology Physician	$293.2K	$0
Kristin Williams	KS	Diagnostic Radiology Physician	$274.4K	$0
Andrew Arther	KS	Urology Physician	$236.3K	$0

Mid-america Cardiology Associates, Inc. — Billing Profile & Reimbursement Data

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Mid-america Cardiology Associates, 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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