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

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

Saint Luke's Hospital Of Allen County, Inc (NPI 1639185457)

Saint Luke's Hospital Of Allen County, Inc is a critical access hospital provider located in Iola, Kansas. This profile covers 0 Medicare and 49 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	Saint Luke's Hospital Of Allen County, Inc
Address	3066 N Kentucky St
City	Iola
State	KS
ZIP	66749
Taxonomy	Critical Access Hospital
NPI Enumerated	August 1, 2006

Payer Source	Total Paid
Medicaid	$775.7K
Medicare	$0

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	6,650	$40	$286.1K
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.	4,580	$50	$210.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	5,200	$10	$62.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,050	$30	$59.6K
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…	1,510	$20	$22.6K
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…	4,460	$10	$22.3K
0241U	N/A	170	$120	$20K
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.	450	$40	$18.4K
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	4,030	$1	$12.1K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	190	$40	$7.8K

Showing 1–10 of 49

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Saint Luke's Hospital Of Allen County, Inc — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

49 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	47	50	300	$60	$648.3K
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…	362	1,050	560	$80	$266.8K
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.	35	200	260	$60	$216K
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.	50	110	320	$60	$205K
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.	33	270	310	$50	$184.5K
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…	815	880	400	$60	$136K
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…	28	30	570	$20	$112.7K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	44	110	120	$10	$103.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	34	180	620	$10	$85.3K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	39	50	510	$10	$66.5K

Showing 1–10 of 49

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aruna Baratham	KS	Rheumatology Physician	$768.3K	$0
Saint Luke's Hospital Of Allen County, Inc	KS	Rural Health Clinic/Center	$0	$695.6K
Brandon Pomeroy	MO	Urology Physician	$130K	$0
Brian Tolefree	KS	Certified Registered Nurse Anesthetist	$101.6K	$0
Lukas Hockman	MO	Urology Physician	$97.4K	$0
Brieanna Mueller	KS	Medical Physician Assistant	$95.7K	$0
Adam Madl	KS	Pain Medicine (Anesthesiology) Physician	$74.7K	$0
Sarbjot Dulai	VA	Neurology Physician	$57.7K	$0
Thomas Bembynista	MO	Podiatrist	$44.4K	$0
Robin Wilson	KS	Certified Registered Nurse Anesthetist	$25.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Of Southeast Kansas, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$5.7M
The Family Physicians PA	KS	Rural Health Clinic/Center	$0	$1.7M
Wb Real Estate Of Iola, LLC	KS	Home Health Agency	$0	$725.1K
County Of Allen	KS	Ambulance	$380.5K	$237.4K
Walmart Inc.	KS	Community/Retail Pharmacy	$113.5K	$0

Saint Luke's Hospital Of Allen County, 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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