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.

Northwest Texas Healthcare System Inc (NPI 1467442418)

Northwest Texas Healthcare System Inc is a general acute care hospital provider located in Amarillo, Texas. This profile covers 0 Medicare and 164 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	Northwest Texas Healthcare System Inc
Address	1501 S Coulter St
City	Amarillo
State	TX
ZIP	79106
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 21, 2005

Payer Source	Total Paid
Medicaid	$44.8M
Medicare	$0

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

164 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.	33,830	$580	$19.5M
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.	48,370	$150	$7.3M
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.	8,580	$630	$5.4M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	7,950	$330	$2.6M
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…	13,550	$110	$1.5M
0241U	N/A	16,970	$50	$899.5K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	2,710	$260	$701.1K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	2,420	$280	$668.7K
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.	3,740	$150	$550.1K
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…	3,610	$150	$534.3K

Showing 1–10 of 164

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

Northwest Texas Healthcare System Inc — 5 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

164 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.	51	710	1,790	$200	$2.1M
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	24	30	2,990	$90	$1.2M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	50	70	370	$760	$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.	41	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.	91	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…	137	340	400	$50	$553.5K
G0378	Hospital observation service, per hour	37	70	300	$500	$465K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	16	160	200	$280	$321.8K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	74	150	170	$30	$302.9K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	57	240	420	$30	$296.8K

Showing 1–10 of 164

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sammy Cox	TX	Cardiovascular Disease Physician	$1M	$0
D Soya	TX	Cardiovascular Disease Physician	$1M	$0
Monte Slatton	TX	Cardiovascular Disease Physician	$983.1K	$0
Assadour Assadourian	TX	Cardiovascular Disease Physician	$934.2K	$0
Arunava Ray	TX	Cardiovascular Disease Physician	$821.1K	$0
Rajesh Nambiar	TX	Cardiovascular Disease Physician	$818.7K	$0
Kade Carthel	TX	Interventional Cardiology Physician	$796.3K	$0
David Brabham	TX	Cardiovascular Disease Physician	$735.4K	$0
Jon Haddad	TX	Cardiovascular Disease Physician	$636.4K	$0
Marc Moreau	TX	Cardiovascular Disease Physician	$534.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amarillo Independent School District	TX	Local Education Agency (LEA)	$0	$17.5M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$13.8M
Britkare Home Medical Of Texas Ltd	TX	Durable Medical Equipment & Medical Supplies	$0	$12.6M
Texas Panhandle Mental Health Mental Retardation	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.6M
Jason Ysasaga	TX	Ophthalmology Physician	$9.9M	$0
Ryan Rush	TX	Ophthalmology Physician	$9.7M	$0
Antonio Aragon	TX	Ophthalmology Physician	$7.3M	$0
Apc-amarillo Surgical Operating Company, LLC	TX	Ambulatory Surgical Clinic/Center	$4.8M	$380
Amarillo Cataract And Eye Surgery Center Ltd	TX	Ophthalmologic Surgery Clinic/Center	$3.8M	$77.7K
Janet Schwartzenberg	TX	Rheumatology Physician	$2.6M	$0

Northwest Texas Healthcare System Inc — Billing Profile & Reimbursement Data

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Northwest Texas Healthcare System 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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