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

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

Southwest Medical Center (NPI 1538109251)

Southwest Medical Center is a general acute care hospital provider located in Liberal, Kansas. This profile covers 0 Medicare and 98 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	Southwest Medical Center
Address	315 W 15th Street
City	Liberal
State	KS
ZIP	67901
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

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

98 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	8,120	$60	$462.6K
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.	2,520	$70	$184.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	5,740	$10	$51.7K
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…	1,130	$40	$43.9K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	1,160	$40	$40.5K
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.	440	$90	$39.3K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	1,160	$30	$38.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	7,230	$10	$36.2K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	390	$80	$29.9K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	1,170	$30	$29.2K

Showing 1–10 of 98

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Southwest Medical Center — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

98 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
86480	The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.	6	10	430	$50	$478.6K
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	8	10	1,000	$50	$385.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	15	60	280	$30	$295.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	15	60	230	$30	$292K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	35	40	150	$20	$241.4K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	5	30	280	$20	$231.6K
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	200	260	$60	$216K
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.	51	110	320	$60	$205K
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.	26	270	310	$50	$184.5K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	15	90	100	$10	$125.6K

Showing 1–10 of 98

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Southwest Medical Center	KS	Surgery Physician	$0	$578.8K
Lisa May	KS	Diagnostic Radiology Physician	$435.4K	$0
Amisha Khicha	KS	Diagnostic Radiology Physician	$398.2K	$0
Kermit Rust	KS	Vascular & Interventional Radiology Physician	$322.2K	$0
Kamran Ali	KS	Diagnostic Radiology Physician	$256.6K	$0
Andrew Topham	KS	Diagnostic Radiology Physician	$236.4K	$0
Tyler Ternes	KS	Diagnostic Radiology Physician	$232.9K	$0
Charles Mcguire	KS	Diagnostic Radiology Physician	$228.5K	$0
Michael Matchette	KS	Diagnostic Radiology Physician	$211.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$15M
Mariana E. Lucero, M.d., Chartered	KS	Pediatrics Physician	$0	$3.4M
Southwest Guidance Center	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.3M
Nargis Husainy	KS	Pediatrics Physician	$0	$1.6M
Dora Finney	KS	Optometrist	$69.8K	$830.1K
Med-trans Corporation	KS	Air Ambulance	$826.4K	$18.5K
South West Pediatrics & Adolescent Medicine PA	KS	Pediatrics Physician	$0	$832.4K
Williams Medical Group Practice, LLC	KS	Family Medicine Physician	$0	$730K
Rural Kansas Emergency Physicians LLC	KS	Emergency Medicine Physician	$0	$549.1K
County Of Seward	KS	Land Ambulance	$228.3K	$190.9K

Southwest Medical Center — Billing Profile & Reimbursement Data

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Southwest 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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