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

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

Sarah Bush Lincoln Health Center (NPI 1669564662)

Sarah Bush Lincoln Health Center is a general acute care hospital provider located in Mattoon, Illinois. This profile covers 0 Medicare and 139 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	Sarah Bush Lincoln Health Center
Address	1000 Health Center Dr
City	Mattoon
State	IL
ZIP	61938
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 28, 2006

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.

139 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	26,130	$70	$1.9M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	4,490	$40	$184K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	1,970	$70	$140.1K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	2,100	$60	$132.2K
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…	1,300	$90	$114K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	2,650	$30	$69K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	2,640	$20	$58.1K
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…	6,740	$10	$47.2K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	620	$80	$46.8K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	1,320	$30	$44.8K

Showing 1–10 of 139

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Sarah Bush Lincoln Health Center — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

139 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0480	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…	59	70	570	$50	$565.6K
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…	131	350	400	$70	$514.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8	30	50	$50	$422.6K
G0481	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…	31	30	420	$70	$308.4K
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.	174	280	1,120	$30	$218.9K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	130	170	150	$200	$190.9K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	51	250	450	$40	$185.7K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	53	110	150	$40	$184.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	23	1,220	540	$60	$179.4K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	74	360	600	$30	$165.1K

Showing 1–10 of 139

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Hospital & Medical Foundation Of Paris, Inc.	IL	Rural Health Clinic/Center	$0	$8.2M
Crawford Hospital District	IL	Rural Health Clinic/Center	$0	$5.5M
Columbia Lutheran Charities	OR	Surgery Physician	$0	$4.7M
Effingham Obstetrics And Gynecology Associates PLLC	IL	Obstetrics & Gynecology Physician	$0	$3.8M
Hospital & Medical Foundation Of Paris, Inc.	IL	Rural Health Clinic/Center	$0	$3.1M
Luke Xie	IL	Family Medicine Physician	$41.9K	$2.9M
Kirby Medical Center	IL	Rural Health Clinic/Center	$0	$2.8M
Musaberk Goksel	IL	Medical Oncology Physician	$2.1M	$67.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coles County Mental Health Association, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17.2M
Hoopeston Community Memorial Hospital	IL	Rural Health Clinic/Center	$0	$7.5M
Mitchell-jerdan Funeral Home Ltd	IL	Land Ambulance	$449.5K	$3M
Aziz Ahmed	IL	Diagnostic Radiology Physician	$611.2K	$1.1M
Joshua Garrett	IL	Diagnostic Radiology Physician	$275.4K	$976.9K
Matthew Jones	IL	Diagnostic Radiology Physician	$314.5K	$874.6K
Air Evac Ems, Inc.	IL	Air Ambulance	$879.9K	$189.7K
Nehemiah Tan	IL	Rheumatology Physician	$910.1K	$350
Naresh Nekkanti	IL	Family Medicine Physician	$53.1K	$780.4K
Ragai Mitry	IL	Interventional Pain Medicine Physician	$157K	$571.1K

Sarah Bush Lincoln Health Center — Billing Profile & Reimbursement Data

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Sarah Bush Lincoln Health Center — 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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