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.

Harrison Memorial Hospital (NPI 1629084702)

Harrison Memorial Hospital is a general acute care hospital provider located in Cynthiana, Kentucky. This profile covers 0 Medicare and 282 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	Harrison Memorial Hospital
Address	1210 Ky Highway 36 E
City	Cynthiana
State	KY
ZIP	41031
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicaid	$34.7M
Medicare	$0

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

282 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	3,810	$880	$3.3M
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…	3,580	$660	$2.4M
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.	2,090	$830	$1.7M
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.	12,430	$130	$1.7M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	28,580	$50	$1.5M
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.	7,680	$180	$1.4M
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.	6,140	$220	$1.4M
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.	3,650	$280	$1M
87632	The lab analyst performs a test to identify a respiratory virus using an amplified nucleic acid probe technique. He may also use the multiplex reverse transcription technique. The provider does this…	5,160	$180	$928.6K
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.	11,030	$80	$926.3K

Showing 1–10 of 282

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

Harrison Memorial Hospital — 3 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

282 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.	137	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.	108	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.	98	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.	64	180	1,870	$280	$1.5M
G0482	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…	47	50	2,830	$90	$1.4M
G0378	Hospital observation service, per hour	30	90	2,770	$190	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	47	80	7,740	$30	$1.1M
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.	98	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.	58	110	8,390	$50	$749.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	247	340	2,700	$40	$673.3K

Showing 1–10 of 282

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harrison Memorial Hospital Inc	KY	Multi-Specialty Clinic/Center	$0	$4.5M
Stephen Besson	KY	Adolescent Medicine (Internal Medicine) Physician	$141.5K	$0
Dwight Lewis	KY	Internal Medicine Physician	$61.8K	$76.7K
Ryan Hubbard	VA	Family Medicine Physician	$119.5K	$0
Matthew Shotwell	KY	Interventional Cardiology Physician	$109.3K	$0
Laura Faughn	KY	Family Medicine Physician	$109K	$0
Vedant Gupta	KY	Cardiovascular Disease Physician	$83.6K	$0
Timothy Adkins	KY	Urology Physician	$70K	$0
Brian Mulberry	KY	Family Medicine Physician	$58.2K	$0
Steve Leung	KY	Cardiovascular Disease Physician	$38.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
My Turning Point, LLC	KY	Addiction Medicine (Psychiatry & Neurology) Physician	$0	$6.9M
Hospice Of The Bluegrass, Inc.	KY	Home Health Agency	$0	$4.6M
Central Kentucky Recovery Management	KY	Addiction Medicine (Family Medicine) Physician	$0	$3.9M
Harrison County Eldercare	KY	Adult Day Care Clinic/Center	$0	$3.7M
Arch Care Consultants, LLC	KY	Case Management Agency	$0	$3.3M
Deborah Spicer	KY	Clinical Social Worker	$990	$747.7K
Harrison County Ems	KY	Land Ambulance	$293.8K	$197.1K
Jeremy Smith	KY	Optometrist	$19.6K	$75K
Leslie Schwindel	KY	Orthopaedic Surgery Physician	$55.4K	$0
Amber Hunt	KY	Family Nurse Practitioner	$37.8K	$0

Harrison Memorial Hospital — Billing Profile & Reimbursement Data

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Harrison Memorial Hospital — 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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