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.

Scott & White Memorial Hospital (NPI 1477516466)

Scott & White Memorial Hospital is a general acute care hospital provider located in Temple, Texas. This profile covers 0 Medicare and 339 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	Scott & White Memorial Hospital
Address	2401 S 31st St
City	Temple
State	TX
ZIP	76508
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 10, 2006

Payer Source	Total Paid
Medicaid	$55.1M
Medicare	$0

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

339 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.	33,410	$420	$14.1M
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…	177,660	$60	$10.5M
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…	100,660	$60	$6.2M
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.	10,380	$480	$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.	29,330	$50	$1.4M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	7,570	$150	$1.1M
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	19,780	$60	$1.1M
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…	1,410	$720	$1M
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…	13,590	$70	$924.3K
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.	18,250	$50	$876K

Showing 1–10 of 339

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

Scott & White Memorial Hospital — 13 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

339 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S3620	Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis;…	56	110	90	$270	$3.5M
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.	52	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.	69	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.	77	590	740	$170	$969.2K
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…	923	1,350	1,860	$80	$872.4K
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	11	20	250	$40	$821.3K
95716	The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…	5	10	150	$1,580	$641.4K
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…	33	70	850	$180	$621.2K
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…	71	340	400	$50	$553.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	31	60	340	$590	$491.5K

Showing 1–10 of 339

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott & White Clinic	TX	Internal Medicine Physician	$0	$45.6M
Acclaim Physician Group, Inc	TX	Internal Medicine Physician	$0	$30.9M
Robyn Olney	TX	Anatomic Pathology & Clinical Pathology Physician	$7.7M	$0
Brian Ransdell	TX	MOHS-Micrographic Surgery Physician	$785.5K	$0
Joshua Gordon	OK	Anesthesiology Physician	$514.6K	$0
Jorge De La Chapa	TX	Ophthalmology Physician	$513K	$0
Bradley Evanson	UT	Dermatology Physician	$465.7K	$0
Michael Magee	TN	Retina Specialist (Ophthalmology) Physician	$458.1K	$0
Syed Jaffery	TX	Pain Medicine (Anesthesiology) Physician	$373.5K	$0
William Riggs	TX	Ophthalmology Physician	$360.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nilan Naik	TX	Radiation Oncology Physician	$906.8K	$0
Matthew Jepson	TX	Internal Medicine Physician	$361.6K	$0
Johnny Ross	TX	Physical Medicine & Rehabilitation Physician	$322.1K	$0
Jeffrey Knabe	TX	Orthopaedic Surgery Physician	$284K	$0
Gregory Stenoien	TX	Diagnostic Radiology Physician	$275.1K	$0
Daniel Dubose	TX	Anesthesiology Physician	$242.1K	$0
Mehul Patel	TX	Radiation Oncology Physician	$231.8K	$0
Kirby Hitt	TX	Orthopaedic Surgery Physician	$223K	$0
Mark Lawrence	TX	Interventional Cardiology Physician	$201.5K	$0
Chad Housewright	TX	MOHS-Micrographic Surgery Physician	$188.1K	$0

Scott & White Memorial Hospital — 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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