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.

Ozark Tri-county Health Care Consortium (NPI 1538151733)

Ozark Tri-county Health Care Consortium is a federally qualified health center (fqhc) provider located in Joplin, Missouri. This profile covers 0 Medicare and 35 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	Ozark Tri-county Health Care Consortium
Address	530 S Maiden Ln
City	Joplin
State	MO
ZIP	64801
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 16, 2005

Payer Source	Total Paid
Medicaid	$4M
Medicare	$0

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

35 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…	13,450	$140	$1.8M
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…	18,400	$80	$1.5M
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…	2,180	$80	$181.3K
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…	530	$120	$64.9K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	9,190	$10	$45.9K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	350	$120	$42.1K
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…	300	$120	$36.8K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1,270	$30	$35.5K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	640	$50	$34.7K
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…	330	$100	$33.6K

Showing 1–10 of 35

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

Ozark Tri-county Health Care Consortium — 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

35 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…	75	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…	82	4,310	300	$60	$110.8K
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…	148	440	250	$70	$71.8K
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…	327	680	280	$90	$65.3K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	56	260	180	$60	$61.6K
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…	160	420	90	$100	$60.2K
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…	249	640	210	$90	$59.5K
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…	129	1,060	250	$40	$57.7K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	80	90	170	$60	$42.5K
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…	262	580	60	$110	$42K

Showing 1–10 of 35

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Washington Health Services Association	WA	General Acute Care Hospital	$0	$63.5M
Wenatchee Valley Hospital	WA	General Acute Care Hospital	$0	$22.9M
Wenatchee Valley Hospital	WA	Multi-Specialty Clinic/Center	$0	$19.5M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$14.1M
Central Washington Health Services Association	WA	General Acute Care Hospital	$0	$10.9M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$8.6M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$7.4M
Central Washington Health Services Association	WA	Emergency Medical Services (Emergency Medicine) Physician	$0	$7M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$5.6M
Wenatchee Valley Hospital	WA	Clinical Medical Laboratory	$299.2K	$2.4M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matt Ferguson	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.9M
Greater Joplin Area Emergency Medical Services System Inc	MO	Land Ambulance	$1.3M	$9.1M
Michael Joseph	MO	Rheumatology Physician	$5.1M	$0
Charlottes Angels, LLC	MO	In Home Supportive Care Agency	$0	$4.4M
Bokker, Inc.	MO	In Home Supportive Care Agency	$0	$3.7M
Avril Prabakaran	MO	Physical Therapist	$307.3K	$0
Roger Schoenfeld	MO	Urology Physician	$114.2K	$0
Michael Knapp	MO	Family Medicine Physician	$96.8K	$770
Vanessa Jarrett	MO	Nurse Practitioner	$2.8K	$0

Ozark Tri-county Health Care Consortium — Billing Profile & Reimbursement Data

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Ozark Tri-county Health Care Consortium — 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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