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.

Murray-calloway County Public Hospital Corporation (NPI 1629202858)

Murray-calloway County Public Hospital Corporation is a multi-specialty clinic/center provider located in Murray, Kentucky. This profile covers 0 Medicare and 91 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	Murray-calloway County Public Hospital Corporation
Address	300 S 8th St Ste 401e
City	Murray
State	KY
ZIP	42071
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 1, 2009

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

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

91 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	32,130	$30	$996.2K
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…	21,160	$40	$825.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	4,930	$40	$206.8K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	4,100	$40	$151.7K
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…	2,490	$60	$144.3K
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.	1,720	$80	$132.7K
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…	1,210	$80	$92.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	2,220	$40	$91.1K
88307	The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	1,320	$50	$68.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	8,310	$10	$49.9K

Showing 1–10 of 91

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

Murray-calloway County Public Hospital Corporation — 1 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

91 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	105	210	1,340	$160	$568K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	50	60	170	$780	$500.2K
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…	111	130	6,080	$40	$449.7K
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.	74	170	1,300	$230	$441K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	47	130	2,450	$60	$382.4K
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…	202	3,340	1,020	$30	$296K
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…	104	2,460	580	$40	$245K
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…	75	120	300	$320	$215.2K
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…	358	470	770	$20	$188.2K
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…	83	110	230	$340	$175.7K

Showing 1–10 of 91

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Murray-calloway County Public Hospital Corporation	KY	General Acute Care Hospital	$0	$29.5M
Pamela Smith	KY	Hematology & Oncology Physician	$1.8M	$0
Ali Homayuni	GA	Interventional Cardiology Physician	$227.9K	$890
Derek Morgan	KY	Orthopaedic Surgery Physician	$199.1K	$0
Richard Blalock	KY	Internal Medicine Physician	$195.2K	$0
Myra Irvin	KY	Internal Medicine Physician	$181K	$0
Rebecca Craig	KY	Obstetrics & Gynecology Physician	$166.4K	$0
James Dowdy	KY	Surgery Physician	$121.7K	$0
Monte Finch	KY	Gastroenterology Physician	$106.1K	$0
Ghanshyam Shastri	KY	Pulmonary Disease Physician	$98.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living In Kentucky, LLC	KY	Community/Behavioral Health Agency	$0	$21.3M
Behavior Support Services, LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.2M
Vmd Primary Providers Central Kentucky	KY	Internal Medicine Physician	$0	$4.4M
Watch, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$3.8M
Primary Care Medical Center Inc	KY	Family Medicine Physician	$0	$3.7M
Murray Calloway County Emergency	KY	Land Ambulance	$538.6K	$581.8K
Jesse Williams	KY	Optometrist	$44.4K	$352.5K
James Jaco	KY	Optometrist	$69K	$304.6K
James Outland	KY	Dermatology Physician	$348.8K	$0
Jacques Youssef	KY	Nephrology Physician	$322.1K	$0

Murray-calloway County Public Hospital Corporation — Billing Profile & Reimbursement Data

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Murray-calloway County Public 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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