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.

Lawrence Usd 497 (NPI 1548281702)

Field	Value
Entity Type	Organization
Organization	Lawrence Usd 497
Address	110 Mcdonald Dr
City	Lawrence
State	KS
ZIP	66044
Taxonomy	Student Health Clinic/Center
NPI Enumerated	July 22, 2006

Payer Source	Total Paid
Medicaid	$728.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	8,830	$40	$379.6K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	9,080	$20	$172.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	4,500	$30	$121.4K
99402	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	3,280	$10	$19.7K
T1017	Targeted case management, each 15 minutes	1,870	$10	$18.7K
T1027	Family training and counseling for child development, per 15 minutes	1,840	$10	$14.7K
99411	The provider offers advice on maintaining and improving health to a group of patients for roughly half an hour.	130	$10	$1.2K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	60	$10	$580

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

Lawrence Usd 497 — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	145	220	5,390	$40	$599.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	43	290	1,600	$40	$214.2K
92508	The provider treats a group of two or more individuals with communication and hearing difficulties by directly interacting with them. He assesses the patients with impairment in their ability to make…	47	230	2,530	$20	$157.2K
T1027	Family training and counseling for child development, per 15 minutes	16	30	2,110	$30	$129.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	61	310	770	$30	$77.7K
99402	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	21	100	730	$10	$25.2K
99411	The provider offers advice on maintaining and improving health to a group of patients for roughly half an hour.	32	40	470	$10	$18.3K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	55	60	330	$10	$14.3K

Nearby Providers

Other providers in the same ZIP code as Lawrence Usd 497, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bert Nash Community Mental Health Center Inc	KS	Community/Behavioral Health Agency	$0	$28.8M
Oral Surgery Kansas, Lc	KS	Oral and Maxillofacial Surgery (Dentist)	$0	$19.1M
Bert Nash Community Mental Health Center Inc	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.7M
Heartland Medical Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$11.4M
Heartland Medical Clinic, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$8M
Lawrence Memorial Hospital	KS	General Acute Care Hospital	$0	$5.3M
Pediatric & Adolescent Medicine P.A.	KS	Pediatrics Physician	$0	$2.4M
Lawrence Pediatric Dentistry LLC	KS	Pediatric Dentistry	$0	$1.9M
Robert Gollier	KS	Dentist	$0	$1.5M
Benjamin Slane	KS	Radiation Oncology Physician	$1.1M	$0

Lawrence Usd 497 — Billing Profile & Reimbursement Data

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Lawrence Usd 497 — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References