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.

Heartland Regional Medical Center (NPI 1538200357)

Field	Value
Entity Type	Organization
Organization	Heartland Regional Medical Center
Address	5325 Faraon St
City	Saint Joseph
State	MO
ZIP	64506
Taxonomy	General Practice Physician
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicaid	$20.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

141 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…	91,050	$60	$5.2M
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…	84,420	$50	$4.4M
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…	61,480	$30	$1.9M
X4003	N/A	24,740	$60	$1.5M
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.	13,200	$100	$1.3M
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.	15,950	$80	$1.3M
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.	12,520	$50	$600.8K
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…	6,360	$80	$496K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	3,810	$90	$357.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	7,520	$50	$345.8K

Showing 1–10 of 141

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

Heartland Regional Medical Center — 11 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

141 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	92	100	2,240	$80	$2.2M
Y7506	N/A	97	100	980	$250	$1.6M
X4003	N/A	10	70	1,480	$80	$1.1M
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.	33	600	140	$170	$384.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	110	110	2,100	$70	$364.3K
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.	119	240	1,740	$40	$353.4K
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…	109	320	980	$40	$352.7K
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.	31	950	120	$150	$288.2K
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.	54	1,260	220	$120	$242.4K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	17	20	30	$450	$147.8K

Showing 1–10 of 141

Related Providers

Other providers that share a Tax Identification Number (TIN) with Heartland Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Regional Medical Center	MO	General Acute Care Hospital	$0	$57.1M
Corey Krenz	MO	Family Nurse Practitioner	$491.4K	$0
Jack Kotlarz	IL	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$455.2K	$0
Andrew Walker	MO	Radiation Oncology Physician	$317.6K	$0
Kala Danushkodi	MO	Physical Medicine & Rehabilitation Physician	$306.4K	$0
Rony Abou-jawde	MO	Medical Oncology Physician	$303K	$0
Sam Alnajjar	AZ	Critical Care Medicine (Internal Medicine) Physician	$280.2K	$0
Habib Munshi	MO	Pulmonary Disease Physician	$227.5K	$530
Mohan Hindupur	MO	Cardiovascular Disease Physician	$225.1K	$0
Vikas Agarwal	MO	Internal Medicine Physician	$219.3K	$0

Nearby Providers

Other providers in the same ZIP code as Heartland Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Res-care Kansas, Inc.	MO	Home Health Agency	$0	$64.8M
Choices Of St Joseph, Inc	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$64.3M
Family Guidance Center For Behavioral Healthcare	MO	Community/Behavioral Health Agency	$0	$63.4M
Heartland Residential Care, Inc.	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$49.1M
Peace Of Mind Home Care, LLC	MO	Home Health Agency	$0	$39.8M
Progressive Community Services	MO	Case Management Agency	$0	$14M
United Cerebral Palsy Of Northwest Missouri	MO	Voluntary or Charitable Agency	$0	$12.2M
Regional Emergency Medical Services Authority	MO	Land Ambulance	$1.3M	$7.4M
St Joseph Center For Outpatient Surgery, LLC	MO	Ambulatory Surgical Clinic/Center	$2M	$92.9K
Murphy Watson Burr Surgery Center Inc	MO	Ophthalmologic Surgery Clinic/Center	$1.3M	$89.6K

Heartland Regional Medical Center — Billing Profile & Reimbursement Data

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Heartland Regional 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

Related Providers

Nearby Providers

Frequently Asked Questions

References