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.

Black River Community Medical Center (NPI 1548546138)

Field	Value
Entity Type	Organization
Organization	Black River Community Medical Center
Address	217 Physicians Park Drive
City	Poplar Bluff
State	MO
ZIP	63901
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	October 26, 2011

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Y7506	N/A	2,420	$710	$1.7M
D7999	N/A	440	$3,030	$1.3M
Y7507	N/A	690	$1,340	$919.2K
X4011	N/A	3,100	$200	$626K
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.	870	$110	$94.3K
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…	590	$110	$67.5K
87400	The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.	340	$140	$47.5K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	170	$180	$30.9K
87430	The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.	190	$140	$27.4K
83735	The lab analyst performs a test to measure the amount of magnesium in a patient specimen.	230	$90	$20.4K

Showing 1–10 of 21

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

Black River Community Medical Center — 0 of 19 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	73	110	5,700	$340	$3.2M
Y7506	N/A	40	100	980	$250	$1.6M
D7999	N/A	6	20	190	$2,300	$708.3K
Y7507	N/A	20	50	270	$360	$594.9K
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.	180	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…	182	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.	452	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.	256	1,260	220	$120	$242.4K
J3490	Unclassified drugs	69	150	790	$50	$188.9K
87430	The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.	22	40	200	$160	$143.1K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Wirz	MO	Surgery Physician	$52.6K	$920

Nearby Providers

Other providers in the same ZIP code as Black River Community Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Poplar Bluff Regional Medical Center LLC	MO	General Acute Care Hospital	$0	$71.6M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$37.1M
Independent Living Center Of Southeast Missouri, Inc.	MO	Case Management Agency	$0	$27.3M
State Of Missouri	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.2M
Southern Care And Comfort In Home Agency, LLC	MO	In Home Supportive Care Agency	$0	$15.3M
Ozark Behavioral Health, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.2M
Tri-county Group Xv, Inc.	MO	Home Health Agency	$0	$13.9M
Butler County Ems LLC	MO	Land Ambulance	$1.2M	$8.8M
Poplar Bluff Hma Physician Management, LLC	MO	Family Medicine Physician	$0	$9.9M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$8.8M

Black River Community Medical Center — Billing Profile & Reimbursement Data

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Black River Community 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