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.

Southeast Missouri Hospital Physicians, LLC (NPI 1558311522)

Field	Value
Entity Type	Organization
Organization	Southeast Missouri Hospital Physicians, LLC
Address	1701 Lacey St
City	Cape Girardeau
State	MO
ZIP	63701
Taxonomy	Family Medicine Physician
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

79 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	43,330	$50	$2.1M
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…	33,630	$50	$1.5M
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.	7,780	$70	$560.3K
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.	6,350	$80	$526.7K
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.	9,420	$40	$404.9K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,050	$110	$112.5K
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…	1,080	$100	$107.3K
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…	4,780	$20	$105.1K
93000	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…	11,950	$10	$95.6K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	860	$100	$87.6K

Showing 1–10 of 79

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

Southeast Missouri Hospital Physicians, LLC — 6 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

79 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	58	600	140	$170	$384.1K
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.	72	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.	75	1,260	220	$120	$242.4K
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.	39	40	200	$160	$143.1K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	38	90	120	$250	$141.3K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	15	30	90	$340	$140.3K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	4	100	50	$390	$131.8K
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…	30	3,170	230	$70	$128.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	57	70	70	$520	$121K
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…	88	590	260	$40	$120.5K

Showing 1–10 of 79

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southeast Missouri Hospital Physicians, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Law	MO	Interventional Cardiology Physician	$367.7K	$0
Ellie Hull	MO	Family Nurse Practitioner	$353.5K	$0
Steven Carr	MO	Interventional Cardiology Physician	$313.4K	$0
Bryan Beck	MO	Cardiovascular Disease Physician	$277.4K	$0
Gabriel Soto	MO	Clinical Cardiac Electrophysiology Physician	$240.9K	$0
Venumadhav Chirunomula	MO	Hospitalist Physician	$233K	$0
Robert Gardner	MO	Neurology Physician	$229.7K	$0
Chizor Iwuchukwu	MO	Interventional Cardiology Physician	$225.8K	$0
Jeannie Knotts	MO	Family Nurse Practitioner	$193K	$25.5K
Thomas Erickson	IA	Emergency Medicine Physician	$64.4K	$132.4K

Nearby Providers

Other providers in the same ZIP code as Southeast Missouri Hospital Physicians, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeast Hospital	MO	General Acute Care Hospital	$0	$34.7M
Southeast Missouri Area Agency On Aging, Inc.	MO	Home Delivered Meals	$0	$25.8M
Catholic Charities Of Southern Missouri For Cape County	MO	Case Management Agency	$0	$9.2M
Aspirations For Independent Living LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.4M
At Home Help, LLC Dba Comfort Keepers	MO	Home Health Agency	$0	$7.8M
Cape County Private Ambulance Service, Inc.	MO	Ambulance	$1.3M	$5.5M
Extra Hands Incorporated	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$5.4M
Southeast Mo Area Agency On Aging	MO	Case Management Agency	$0	$5.4M
Southeast Missouri State University	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.2M
All Love & Care Home Health	MO	Home Health Agency	$0	$3.8M

Southeast Missouri Hospital Physicians, LLC — Billing Profile & Reimbursement Data

Sign up for Southeast Missouri Hospital Physicians, LLC — Billing Profile & Reimbursement Data policy alerts

Southeast Missouri Hospital Physicians, LLC — Billing Profile & Reimbursement Data

Sign up for Southeast Missouri Hospital Physicians, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References