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.

Acs Primary Care Physicians-midwest (NPI 1609811413)

Field	Value
Entity Type	Organization
Organization	Acs Primary Care Physicians-midwest
Address	150 N Eagle Creek Dr
City	Lexington
State	KY
ZIP	40509
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	19,780	$90	$1.8M
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.	18,560	$60	$1.2M
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.	11,880	$40	$487.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	6,420	$10	$38.5K
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…	110	$140	$16.2K
99053	The provider renders overnight services at a 24 hour facility.	2,230	$0	$0

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

Acs Primary Care Physicians-midwest — 0 of 5 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

6 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.	83	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.	40	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.	102	280	5,700	$120	$2M
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…	110	160	420	$140	$270.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	60	220	1,520	$10	$82K
99053	The provider renders overnight services at a 24 hour facility.	6	30	190	$1	$1.2K

Nearby Providers

Other providers in the same ZIP code as Acs Primary Care Physicians-midwest, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Joseph Health System, Inc	KY	General Acute Care Hospital	$0	$67.4M
Scott-wilson, Inc.	KY	Home Infusion Therapy Pharmacy	$0	$24.5M
Labtox, LLC	KY	Clinical Medical Laboratory	$43.5K	$21.8M
Phi Health, LLC	KY	Air Ambulance	$2M	$13.2M
Retina And Vitreous Associates Of Kentucky PLLC	KY	Retina Specialist (Ophthalmology) Physician	$0	$13.3M
Key Assets Kentucky, Inc.	KY	Community/Behavioral Health Agency	$0	$10.8M
Grace Place Adult Day Center LLC	KY	Adult Day Care Clinic/Center	$0	$9.7M
Uhs Of Ridge LLC	KY	Psychiatric Hospital	$0	$9.1M
United Seating And Mobility LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$8.6M
Ridge Outpatient Counseling, LLC	KY	Psychiatric Hospital Unit	$0	$5.2M

Acs Primary Care Physicians-midwest — Billing Profile & Reimbursement Data

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Acs Primary Care Physicians-midwest — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References