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.

Pediatric Care Irrv Trust (NPI 1578661278)

Pediatric Care Irrv Trust is a pediatrics physician provider located in Topeka, Kansas. This profile covers 0 Medicare and 41 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Pediatric Care Irrv Trust
Address	4100 Sw 15th St
City	Topeka
State	KS
ZIP	66604
Taxonomy	Pediatrics Physician
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

41 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…	11,670	$30	$396.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,890	$70	$268.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,830	$70	$264.4K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	6,930	$40	$242.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	12,570	$20	$238.8K
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	110	$2,020	$228.4K
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…	4,210	$50	$218.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,490	$70	$174.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2,320	$50	$120.5K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	1,300	$70	$89.5K

Showing 1–10 of 41

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

Pediatric Care Irrv Trust — 2 of 25 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

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	70	1,050	560	$80	$266.8K
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	1	10	90	$1,870	$166.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	22	160	470	$90	$163.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	18	180	300	$100	$141.8K
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…	119	880	400	$60	$136K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	706	730	440	$80	$128.1K
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…	51	70	210	$30	$116.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	19	190	180	$110	$94.2K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	45	100	390	$30	$78.1K
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…	56	130	390	$20	$67.5K

Showing 1–10 of 41

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cotton-o'neil Clinic Revocable Trust	KS	Internal Medicine Physician	$0	$21.7M
Cotton-o'neil Clinic Revocable Trust	KS	Clinical Medical Laboratory	$3.6M	$6.8M
Stormont-vail Healthcare Inc	KS	General Acute Care Hospital	$0	$4.6M
Kenon Qamar	KS	Radiation Oncology Physician	$2.5M	$0
Jay Robinow	KS	Radiation Oncology Physician	$1.2M	$0
Cotton O'neil Clinic Recovable Trust	KS	Psychiatry Physician	$0	$1.1M
Robyn Moran	KS	Rheumatology Physician	$859.1K	$0
Gilbert Katz	KS	Cardiovascular Disease Physician	$706.4K	$0
Matthew Ricks	KS	Dermatology Physician	$702.7K	$0
Coleman Ritchie	KS	Dermatology Physician	$639.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Capper Foundation Easter Seals	KS	Developmental Disabilities Clinic/Center	$0	$57.8M
Exploring Life Inc	KS	Developmentally Disabled Services Day Training Agency	$0	$5.5M
Flint Hills Health Care Services, Inc.	KS	Community Based Hospice Care Agency	$0	$3.6M
Monaco & Associates Incorporated	KS	Case Management Agency	$0	$3.5M
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$1.4M
Yellow Transportation LLC	KS	Non-emergency Medical Transport (VAN)	$0	$1.3M
Radiology And Nuclear Medicine LLC	KS	Diagnostic Radiology Physician	$0	$726.7K
Lincare Inc	KS	Durable Medical Equipment & Medical Supplies	$0	$688.1K
Molecular Lab Associates LLC	KS	Clinical Medical Laboratory	$259.9K	$69.5K
Brett Meggison	KS	Diagnostic Radiology Physician	$298.9K	$0

Pediatric Care Irrv Trust — Billing Profile & Reimbursement Data

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Pediatric Care Irrv Trust — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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