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

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

Memorial Hospital Association (NPI 1588614002)

Field	Value
Entity Type	Organization
Organization	Memorial Hospital Association
Address	1450 N County Rd 2050
City	Carthage
State	IL
ZIP	62321
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

60 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	73,620	$80	$5.5M
T1040	Medicaid certified community behavioral health clinic services, per diem	1,400	$70	$99.2K
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…	13,390	$1	$13.4K
S5190	Wellness assessment, performed by non-physician	600	$1	$1.8K
0502F	No Summary found for this code	3,230	$0	$0
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	30	$0	$0
3074F	No Summary found for this code	80	$0	$0
3075F	No Summary found for this code	10	$0	$0
3078F	No Summary found for this code	70	$0	$0
3079F	No Summary found for this code	50	$0	$0

Showing 1–10 of 60

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Memorial Hospital Association — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

60 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	87	850	7,490	$120	$3.9M
T1040	Medicaid certified community behavioral health clinic services, per diem	67	190	880	$70	$128.2K
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…	316	1,180	370	$90	$109.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	223	360	300	$50	$67.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	231	760	140	$110	$67.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	740	960	330	$30	$51K
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…	99	14,680	300	$50	$48.7K
0502F	No Summary found for this code	160	1,170	550	$30	$48.2K
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…	337	1,380	370	$40	$46.2K
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…	316	1,270	370	$40	$40.8K

Showing 1–10 of 60

Related Providers

Other providers that share a Tax Identification Number (TIN) with Memorial Hospital Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Veeder	IL	Hematology & Oncology Physician	$2.4M	$153.7K
Adam Rafi	IL	Interventional Cardiology Physician	$558.8K	$168.1K
Wissam Derian	IL	Cardiovascular Disease Physician	$527.9K	$176.4K
Daniel Schneider	IL	Urology Physician	$275.3K	$40.1K
Manoj Sreedharan	IL	Occupational Medicine Physician	$210K	$61.1K
Dan Evans	IL	Nephrology Physician	$175.7K	$75.3K
Corey Welchlin	IL	Orthopaedic Surgery Physician	$18.5K	$0

Memorial Hospital Association — Billing Profile & Reimbursement Data

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Memorial Hospital Association — 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

Frequently Asked Questions

References