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

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

Baptist Healthcare System, Inc (NPI 1538244918)

Key Findings

Field	Value
Entity Type	Organization
Organization	Baptist Healthcare System, Inc
Address	1740 Nicholasville Rd
City	Lexington
State	KY
ZIP	40503
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 26, 2006

Payer Source	Total Paid
Medicaid	$98.1M
Medicare	$0

This facility is effectively single-payer on file: there is no Medicare billing on file while total Medicaid revenue is $98.1M, so Medicaid dominates the revenue picture for this provider. Analysts should treat performance and volume patterns here as concentrated in the Medicaid population rather than split across Medicare/Medicaid dynamics.

Revenue concentration is high in a small set of emergency and imaging codes: the top 3 Medicaid codes (99284, 99283, 74177) account for 32.2% of the provider's total Medicaid revenue. Those three codes individually report $7.1M (99284), $7M (99283), and $4.4M (74177), signaling that ED E/M visits and abdomen/pelvis CT with contrast are the single largest revenue drivers.

The code mix points to a high-volume emergency department with substantial observation and downstream admissions: 99284 ($7.1M), 99283 ($7M), and 99285 ($3.3M) are prominent, and G0378 (hospital observation service) contributes $3M. Together these findings indicate significant ED throughput and use of observation-level care as part of the hospital’s operational model.

Imaging and cardiac procedural services are an important service line: 74177 ($4.4M), 74176 ($2.7M), 70450 ($1.4M), 70553 ($1.2M), 71275 ($1.2M), and cardiac imaging codes such as 93306 ($3.5M) and 93458 ($3.3M) all appear in the top codes list. Notably, 93458 ranks #3 of 56 in-state at the 96th percentile and is described as notably above typical state volume, which suggests the hospital has an above-typical role in imaging support for left heart catheterization and related interventional cardiology procedures.

The provider maintains substantial infusion and oncology activity on Medicaid: 96413 (chemotherapy) generates $2.3M, 96365 (initial IV infusion) $1.9M, and 96375 (IV push sequential infusion) $1.5M. These figures, together with the ED and observation volume, imply integrated acute, oncology infusion, and procedural capabilities rather than a narrowly focused specialty clinic.

Laboratory and diagnostic throughput is unusually high for some measures: 80053 (comprehensive metabolic panel) records 144.2K claims and $1.3M in revenue and ranks #9 of 195 in-state at the 96th percentile (notably above typical state volume). High claim counts and top-state-percentile placement for basic panels and for COVID testing (U0004: 28.5K claims, $1.8M; rank #3 of 33, 94th percentile) indicate heavy routine diagnostic utilization supporting the hospital’s clinical activity.

Across many high-revenue codes this provider sits in upper state percentiles but is not uniformly the single statewide leader: examples include 99283 at the 93rd percentile (rank #21 of 284), 93306 at the 90th percentile (rank #21 of 209), and 80053 at the 96th percentile (rank #9 of 195). This pattern signals a broad, high-volume Medicaid acute care footprint across ED, imaging, cardiology, and lab services, with particular strengths in cath lab imaging and laboratory throughput.

The provider has an established operating history with its NPI enumerated on 2006-10-26 (~20 years ago), indicating long-tenure market presence. That longevity combined with the Medicaid concentration should be considered when modeling contract leverage, Medicaid rate exposure, and potential operational continuity risks tied to a largely single-payer revenue base.

Medicaid: Complete Services Breakdown

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

536 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.	28,450	$250	$7.1M
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.	42,900	$160	$7M
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.	10,630	$410	$4.4M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	8,700	$410	$3.5M
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	3,290	$1,020	$3.3M
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.	9,980	$330	$3.3M
G0378	Hospital observation service, per hour	9,560	$310	$3M
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.	7,510	$360	$2.7M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	6,210	$380	$2.3M
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	4,340	$480	$2.1M

Showing 1–10 of 536

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Baptist Healthcare System, Inc — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

536 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	134	310	830	$120	$3.7M
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.	46	280	7,150	$150	$3M
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.	75	240	4,710	$150	$2.6M
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.	21	280	5,700	$120	$2M
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.	27	180	1,870	$280	$1.5M
G0378	Hospital observation service, per hour	16	90	2,770	$190	$1.3M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	12	30	2,320	$290	$1.2M
C1776	Joint device (implantable)	14	20	130	$2,890	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	34	80	7,740	$30	$1.1M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	15	40	550	$910	$1.1M

Showing 1–10 of 536

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Encore Adhc, LLC	KY	Adult Day Care Clinic/Center	$0	$51.9M
Center For Comprehensive Services, Inc	KY	Rehabilitation Hospital	$0	$28.7M
Lhcg Lxx, LLC	KY	Home Health Agency	$0	$27.1M
P & C Labs, LLC	KY	Clinical Medical Laboratory	$427.3K	$18M
Healthfirst Bluegrass Inc	KY	Federally Qualified Health Center (FQHC)	$0	$18.1M
Ndt Care Services, LLC	KY	Community/Behavioral Health Agency	$0	$17.5M
Lexington Urgent Care PLLC	KY	Urgent Care Clinic/Center	$0	$16.7M
Ballard Wright, Md, Psc	KY	Interventional Pain Medicine Physician	$0	$12.4M
Big Smiles Kentucky Psc	KY	Dentist	$0	$12.3M
Baptist-physicians Surgery Center	KY	Ambulatory Surgical Clinic/Center	$1.3M	$5.8M

Baptist Healthcare System, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$121.5M
Baptist Healthcare System Inc	KY	General Acute Care Hospital	$0	$95.7M
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$72.6M
Baptist Healthcare System Inc.	KY	General Acute Care Hospital	$0	$62.4M
Baptist Healthcare System, Inc.	KY	General Acute Care Hospital	$0	$58.5M
Hardin Memorial Hospital	KY	General Acute Care Hospital	$0	$37.2M
Baptist Healthcare System, Inc.	IN	General Acute Care Hospital	$0	$34.6M
Baptist Healthcare System, Inc.	KY	General Acute Care Hospital	$0	$16.1M
Baptist Healthcare System, Inc.	KY	Ambulatory Surgical Clinic/Center	$1.2M	$183.5K
Baptist Healthcare System Inc	KY	Land Ambulance	$424.7K	$47.4K