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

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

Bhs Physicians Network, Inc (NPI 1598958431)

Bhs Physicians Network, Inc is a family medicine physician provider located in San Antonio, Texas. This profile covers 0 Medicare and 270 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	Bhs Physicians Network, Inc
Address	502 Madison Oak Dr Ste 310
City	San Antonio
State	TX
ZIP	78258
Taxonomy	Family Medicine Physician
NPI Enumerated	August 23, 2007

Payer Source	Total Paid
Medicaid	$32.1M
Medicare	$0

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

270 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…	168,470	$40	$6.7M
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…	207,600	$30	$6.4M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	31,550	$50	$1.5M
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…	16,060	$80	$1.3M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	1,820	$550	$993.5K
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…	11,640	$80	$931.5K
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…	9,280	$80	$723.6K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	20,680	$30	$661.7K
99203	The provider sees a new 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 provider…	12,750	$50	$637.6K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	1,000	$620	$619.6K

Showing 1–10 of 270

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Bhs Physicians Network, Inc — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

270 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	26	80	1,160	$220	$768.8K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	18	110	80	$1,260	$398.1K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	15	270	130	$570	$318.8K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	15	150	170	$30	$302.9K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	76	120	310	$220	$302.6K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	7	370	550	$80	$249.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	27	130	150	$370	$240.6K
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…	15	6,040	710	$40	$232.8K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	14	160	350	$110	$230.4K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	23	210	260	$120	$221.2K

Showing 1–10 of 270

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Community Health Services, Inc	TX	Federally Qualified Health Center (FQHC)	$0	$406.7M
Straight Line Arla	TX	Psychiatry Physician	$242.4K	$1M
Jason Yoho	TX	Interventional Cardiology Physician	$1.2M	$0
Seth Fritcher	TX	Vascular Surgery Physician	$1.1M	$0
Teresa Duran	TX	Anatomic Pathology Physician	$772.1K	$0
Yasser Farra	TX	Cardiovascular Disease Physician	$766.8K	$0
Michael Peck	TX	Vascular Surgery Physician	$718.4K	$0
Christopher Phelps	TX	Orthopaedic Surgery Physician	$571.2K	$0
John Barrington	TX	Adult Reconstructive Orthopaedic Surgery Physician	$568.1K	$0
Jaweed Sayeed	TX	Interventional Cardiology Physician	$537.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kevin Kempf	TX	Rheumatology Physician	$3.6M	$0
Robert Zajac	TX	Infectious Disease Physician	$3.1M	$0
Gautam Moorjani	TX	Rheumatology Physician	$2.3M	$0
Everett Allen	TX	Rheumatology Physician	$2.3M	$0
Livingston Med Lab LLC	TX	Clinical Medical Laboratory	$81K	$1.7M
Jane Ayala	TX	Rheumatology Physician	$1.7M	$0
Emily Marx	TX	Rheumatology Physician	$1.7M	$0
Christus Santa Rosa Pasc-san Antonio LLC	TX	Ambulatory Surgical Clinic/Center	$1M	$606.9K
Scott Ulmer	TX	Hematology & Oncology Physician	$1.3M	$0
Gcsa Ambulatory Surgery Center, LLC	TX	Ambulatory Surgical Clinic/Center	$1.3M	$0

Bhs Physicians Network, Inc — Billing Profile & Reimbursement Data

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Bhs Physicians Network, Inc — 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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