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.

Missouri Delta Medical Center (NPI 1508967860)

Missouri Delta Medical Center is a internal medicine physician provider located in Sikeston, Missouri. This profile covers 0 Medicare and 105 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	Missouri Delta Medical Center
Address	1008 N Main St
City	Sikeston
State	MO
ZIP	63801
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

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

105 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	25,140	$40	$980.3K
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…	18,040	$40	$631.4K
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…	25,700	$20	$513.9K
99203	The 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…	4,850	$70	$339.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	4,890	$40	$181K
99204	The provider sees a new 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 provider…	2,020	$80	$159.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,780	$60	$104.8K
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…	6,470	$20	$103.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	19,970	$1	$59.9K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,280	$40	$54.9K

Showing 1–10 of 105

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

Missouri Delta Medical Center — 7 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

105 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	63	90	120	$250	$141.3K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	32	60	510	$70	$128.9K
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…	39	3,170	230	$70	$128.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	67	70	70	$520	$121K
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…	17	590	260	$40	$120.5K
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…	83	4,310	300	$60	$110.8K
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…	102	150	80	$150	$93.6K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	50	80	350	$60	$90.8K
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.	45	240	140	$60	$80.2K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	10	40	30	$700	$78.8K

Showing 1–10 of 105

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Missouri Delta Medical Center	MO	General Acute Care Hospital	$0	$22.7M
Shamseldeen Mahmoud	MO	Neuroradiology Physician	$109.5K	$474K
Arti Raj	IL	Diagnostic Radiology Physician	$163.7K	$313.6K
Wesley Pruett	MN	Diagnostic Radiology Physician	$441.3K	$770
Enock Faustin	MO	Diagnostic Radiology Physician	$357.4K	$120
Stephen Johnston	MN	Diagnostic Radiology Physician	$353.5K	$0
Robert Gardner	CA	Diagnostic Radiology Physician	$335.5K	$0
Rafay Ahmed	IL	Diagnostic Radiology Physician	$134K	$172.3K
Adel Abdalla	FL	Diagnostic Radiology Physician	$259.9K	$6.1K
Eugene Kim	MN	Diagnostic Radiology Physician	$248.2K	$16.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crossroads Isl, LLC	MO	Developmentally Disabled Services Day Training Agency	$0	$85.8M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$45.9M
Bootheel Counseling Services	MO	Community/Behavioral Health Agency	$0	$27M
Allen Home Care Services, Inc.	MO	Nursing Care Agency	$0	$10.1M
Mosaic Community Services, LLC	MO	In Home Supportive Care Agency	$0	$6.2M
Catholic Charities Of Southern Missouri	MO	Case Management Agency	$0	$6M
Wyatt's Dream Center	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.1M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$4.7M
Knights Of Columbus 3151 St. Francis Xavier	MO	Adult Day Care Clinic/Center	$0	$4.3M
Mba In-home Services LLC	MO	In Home Supportive Care Agency	$0	$4.2M

Missouri Delta Medical Center — Billing Profile & Reimbursement Data

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Missouri Delta Medical Center — 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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