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.

Acs Primary Care Physicians Southwest, PA (NPI 1538101019)

Field	Value
Entity Type	Organization
Organization	Acs Primary Care Physicians Southwest, PA
Address	1900 Hospital Blvd
City	Gainesville
State	TX
ZIP	76240
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 11, 2006

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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.	91,500	$70	$6M
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.	49,640	$60	$3M
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.	59,030	$50	$2.7M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	11,160	$1	$33.5K
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.	160	$30	$4.2K
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…	10	$40	$550
99053	The provider renders overnight services at a 24 hour facility.	8,950	$0	$0

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

Acs Primary Care Physicians Southwest, PA — 3 of 6 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

7 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.	15	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.	30	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.	14	590	740	$170	$969.2K
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.	231	370	360	$120	$279.5K
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…	265	280	190	$130	$148.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	34	490	470	$1	$17.5K
99053	The provider renders overnight services at a 24 hour facility.	9	40	340	$1	$700

Related Providers

Other providers that share a Tax Identification Number (TIN) with Acs Primary Care Physicians Southwest, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jacquelyn Hopkins	TX	Family Nurse Practitioner	$1.6M	$0
Gregory Messner	TX	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$1M	$0
Evans Smith	TX	Emergency Medicine Physician	$161.9K	$23.8K
Brandon Gilmore	TX	Emergency Medicine Physician	$130.6K	$0
Paul Dwyer	MI	Emergency Medicine Physician	$125.2K	$0
Joe Nieto	TX	Emergency Medicine Physician	$96.5K	$16.7K
Edmond Yabut	TN	Emergency Medicine Physician	$87.3K	$14.4K
Stephen Lyon	OH	Emergency Medicine Physician	$97.9K	$0
Robert Lawson	TX	Emergency Medicine Physician	$85.1K	$0
Oleg Uryasev	NM	Emergency Medicine Physician	$83K	$0

Nearby Providers

Other providers in the same ZIP code as Acs Primary Care Physicians Southwest, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abdul Khan	TX	Nephrology Physician	$426.5K	$0
Kamran Rizvi	TX	Cardiovascular Disease Physician	$276.2K	$0
Tamarae Dobbs	TX	Nurse Practitioner	$115.7K	$0
Ursula Alford	TX	Rehabilitation Psychologist	$95.1K	$0
Vidya Pai	TX	Pediatric Sleep Medicine Physician	$3.9K	$0

Acs Primary Care Physicians Southwest, PA — Billing Profile & Reimbursement Data

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Acs Primary Care Physicians Southwest, PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References