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 Missouri for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Missouri 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. Missouri (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.

Capital Region Medical Center (NPI 1477980837)

Capital Region Medical Center is a family medicine physician provider located in Jefferson City, Missouri. This profile covers 0 Medicare and 80 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	Capital Region Medical Center
Address	1125 Madison St
City	Jefferson City
State	MO
ZIP	65101
Taxonomy	Family Medicine Physician
NPI Enumerated	October 1, 2013

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

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

80 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	34,590	$60	$2M
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…	19,770	$50	$1M
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…	2,710	$90	$241.1K
90834	In 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…	3,200	$60	$198.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	3,780	$40	$154.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,460	$90	$125.6K
99392	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…	1,220	$90	$109.6K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	2,590	$30	$72.6K
87804	The 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.	2,680	$20	$58.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	540	$90	$46.7K

Showing 1–10 of 80

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Capital Region Medical Center — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

80 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	51	3,170	230	$70	$128.1K
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…	43	4,310	300	$60	$110.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	177	190	270	$70	$91.4K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	76	240	140	$60	$80.2K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	65	80	130	$110	$72.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	64	440	250	$70	$71.8K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	125	250	270	$40	$67.9K
99308	The 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…	84	350	370	$20	$65.6K
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…	37	680	280	$90	$65.3K
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…	88	420	90	$100	$60.2K

Showing 1–10 of 80

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Curators Of The University Of Missouri	MO	General Acute Care Hospital	$0	$12.1M
Walter Coats	MO	Interventional Cardiology Physician	$272.2K	$0
Roland Njoh	MO	Cardiovascular Disease Physician	$269K	$0
Jeffrey Sanders	MO	Interventional Cardiology Physician	$248.9K	$0
Troy Loethen	MO	Internal Medicine Physician	$241.2K	$0
Patrick Morello	MO	Interventional Cardiology Physician	$238.8K	$0
James Tritz	MO	Interventional Cardiology Physician	$191K	$0
Andrew Roudebush	SC	Family Medicine Physician	$103.5K	$87.2K
Mitchell Godbee	MO	Diagnostic Radiology Physician	$171.5K	$5K
Douglas Boudreau	GA	Pediatrics Physician	$0	$169K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Missouri	MO	Rehabilitation Psychologist	$0	$493.6M
State Of Missouri	MO	Addiction (Substance Use Disorder) Counselor	$0	$271.2M
State Of Missouri	MO	Rehabilitation Psychologist	$0	$91.5M
State Of Missouri	MO	Local Education Agency (LEA)	$0	$39M
Cole County Residential Services, Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.2M
Central Connections, Inc	MO	Case Management Agency	$0	$8.6M
State Of Missouri	MO	Clinical Medical Laboratory	$0	$7.8M
Community Health Ctr Of Central Missouri	MO	Federally Qualified Health Center (FQHC)	$0	$4.4M
Paige Hedgpath Od,pc	MO	Optometrist	$0	$3.6M
Cmmp Surgical Center LLC	MO	Ambulatory Surgical Clinic/Center	$1.2M	$14K

Capital Region Medical Center — Billing Profile & Reimbursement Data

Sign up for Capital Region Medical Center — Billing Profile & Reimbursement Data policy alerts

Capital Region Medical Center — Billing Profile & Reimbursement Data

Sign up for Capital Region Medical Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References