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 Inc (NPI 1669615233)

Harrison Memorial Hospital Inc is a multi-specialty clinic/center provider located in Cynthiana, Kentucky. This profile covers 0 Medicare and 86 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 Inc
Address	1210 Ky Highway 36 E
City	Cynthiana
State	KY
ZIP	41031
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	April 13, 2009

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

86 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…	57,760	$40	$2M
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…	30,190	$40	$1.2M
93000	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…	18,200	$10	$200.2K
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,…	6,280	$20	$150.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,120	$60	$135.9K
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…	1,100	$120	$135.8K
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…	3,180	$40	$111.3K
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…	1,430	$50	$74.1K
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…	720	$80	$55.4K
99334	N/A	3,500	$20	$52.5K

Showing 1–10 of 86

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 Inc — 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

86 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…	54	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…	13	60	170	$780	$500.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	397	1,270	760	$80	$447.2K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	51	130	420	$270	$375.3K
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…	95	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…	68	2,460	580	$40	$245K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	25	40	180	$110	$217.1K
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…	359	470	770	$20	$188.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	66	90	480	$60	$158.4K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	84	110	700	$60	$155.3K

Showing 1–10 of 86

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harrison Memorial Hospital	KY	General Acute Care Hospital	$0	$34.7M
Frank Mongiardo	KY	Otolaryngology/Facial Plastic Surgery Physician	$428.7K	$5.6M
Bal Srivastava	OH	Cardiovascular Disease Physician	$384.6K	$0
Denis Yalkut	KY	Urology Physician	$249.1K	$0
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
Alberto Laureano	KY	Otolaryngology Physician	$87.9K	$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
Brian Mulberry	KY	Family Medicine Physician	$58.2K	$0
Leslie Schwindel	KY	Orthopaedic Surgery Physician	$55.4K	$0

Harrison Memorial Hospital 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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