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.

Poplar Bluff Hma Physician Management, LLC (NPI 1598710147)

Field	Value
Entity Type	Organization
Organization	Poplar Bluff Hma Physician Management, LLC
Address	3098 Oak Grove Rd
City	Poplar Bluff
State	MO
ZIP	63901
Taxonomy	Family Medicine Physician
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

98 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	39,540	$50	$2.1M
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…	45,880	$40	$1.6M
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…	24,760	$30	$817.2K
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…	5,900	$110	$666.4K
43249	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.	1,840	$300	$543.2K
99204	The provider sees a new 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 provider…	6,390	$90	$542.7K
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.	4,440	$120	$519K
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…	1,980	$220	$433.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	6,920	$50	$353K
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…	5,240	$60	$288K

Showing 1–10 of 98

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

Poplar Bluff Hma Physician Management, LLC — 18 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

98 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	106	110	2,100	$70	$364.3K
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…	176	320	980	$40	$352.7K
43249	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.	1	10	260	$390	$241.6K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	4	20	30	$450	$147.8K
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.	3	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…	2	30	90	$340	$140.3K
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…	27	3,170	230	$70	$128.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	61	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…	20	590	260	$40	$120.5K
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…	28	4,310	300	$60	$110.8K

Showing 1–10 of 98

Related Providers

Other providers that share a Tax Identification Number (TIN) with Poplar Bluff Hma Physician Management, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Dorsey	FL	Surgery Physician	$4.3M	$0
Roland Njoh	MO	Cardiovascular Disease Physician	$269K	$0
Victor Lawrinenko	MO	Gastroenterology Physician	$231.6K	$10.3K
Raghuveer Kura	MO	Nephrology Physician	$241K	$0
Harikrishnan Damodaran Nair	KY	Interventional Cardiology Physician	$234.8K	$0
David Wood	MO	Family Medicine Physician	$219.6K	$0
Juan Carlos Ruiz Diaz	MO	Cardiovascular Disease Physician	$138.9K	$0
Shahid Choudhary	MO	Neurology Physician	$138.7K	$0
Carl Jenson	OR	Radiation Oncology Physician	$130.7K	$0
Rubina Mirza	MO	Interventional Cardiology Physician	$115.2K	$0

Nearby Providers

Other providers in the same ZIP code as Poplar Bluff Hma Physician Management, LLC, 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
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$8.8M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$7.5M

Poplar Bluff Hma Physician Management, LLC — Billing Profile & Reimbursement Data

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Poplar Bluff Hma Physician Management, LLC — 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