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

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

Bowling Green-warren County Community Hospital Corporation (NPI 1598125502)

Bowling Green-warren County Community Hospital Corporation is a critical access hospital provider located in Albany, Kentucky. This profile covers 0 Medicare and 136 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	Bowling Green-warren County Community Hospital Corporation
Address	723 Burkesville Rd
City	Albany
State	KY
ZIP	42602
Taxonomy	Critical Access Hospital
NPI Enumerated	March 3, 2016

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

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

136 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	9,350	$210	$1.9M
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.	3,850	$230	$878.3K
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.	5,310	$150	$769.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,970	$360	$713.1K
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.	1,160	$380	$440.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	10,390	$30	$311.6K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	1,360	$220	$299.6K
G0378	Hospital observation service, per hour	1,440	$190	$268.5K
93005	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…	4,520	$60	$248.5K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	5,930	$40	$219.3K

Showing 1–10 of 136

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Bowling Green-warren County Community Hospital Corporation — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

136 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	125	280	7,150	$150	$3M
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.	129	240	4,710	$150	$2.6M
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.	146	280	5,700	$120	$2M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	144	180	1,870	$280	$1.5M
G0378	Hospital observation service, per hour	59	90	2,770	$190	$1.3M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	105	170	2,610	$250	$1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	52	110	8,390	$50	$749.1K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	129	180	2,960	$110	$672.4K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	50	100	5,870	$70	$670.3K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	120	140	2,000	$60	$639.8K

Showing 1–10 of 136

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bowling Green-warren County Community Hospital Corporation	KY	General Acute Care Hospital	$0	$112.1M
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$14.4M
Logan Memorial Hospital LLC	KY	Rural Acute Care Hospital	$0	$14.3M
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$13.5M
Bowling Green-warren County Community Hospital Corporation	KY	Critical Access Hospital	$0	$13.2M
Shiraz Rahim	ID	Diagnostic Radiology Physician	$148.8K	$599.6K
Carol Peddicord	KY	Family Medicine Physician	$189.7K	$395K
Pravin Avula	KY	Internal Medicine Physician	$424.4K	$0
Lynetta Stiltner	KY	Family Medicine Physician	$203.2K	$0
Abdelrahman Abdalla	IN	Diagnostic Radiology Physician	$202.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Adult Health Care LLC	KY	Occupational Therapist	$0	$2.8M
Air Evac Ems Inc	KY	Air Ambulance	$745K	$509.5K
County Judge County Of Clinton	KY	Land Ambulance	$264.3K	$274.1K
Tracy Cross	KY	Surgery Physician	$53.7K	$0
Central Kentucky Apothecary	KY	Community/Retail Pharmacy	$30.5K	$1.8K

Bowling Green-warren County Community Hospital Corporation — Billing Profile & Reimbursement Data

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Bowling Green-warren County Community Hospital Corporation — 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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