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

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

Poplar Bluff Emergency Physicians, LLC (NPI 1679822647)

Field	Value
Entity Type	Organization
Organization	Poplar Bluff Emergency Physicians, LLC
Address	3100 Oak Grove Rd
City	Poplar Bluff
State	MO
ZIP	63901
Taxonomy	Emergency Medicine Physician
NPI Enumerated	September 5, 2012

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	26,240	$90	$2.3M
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.	17,550	$70	$1.3M
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.	14,700	$40	$632.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,840	$110	$208K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	13,530	$1	$54.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Poplar Bluff Emergency Physicians, LLC — 3 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	10	600	140	$170	$384.1K
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.	27	950	120	$150	$288.2K
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.	49	1,260	220	$120	$242.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	12	150	80	$150	$93.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	23	370	430	$10	$23.1K

Nearby Providers

Other providers in the same ZIP code as Poplar Bluff Emergency Physicians, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Poplar Bluff Regional Medical Center LLC	MO	General Acute Care Hospital	$0	$71.6M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$37.1M
Independent Living Center Of Southeast Missouri, Inc.	MO	Case Management Agency	$0	$27.3M
State Of Missouri	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.2M
Southern Care And Comfort In Home Agency, LLC	MO	In Home Supportive Care Agency	$0	$15.3M
Ozark Behavioral Health, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.2M
Tri-county Group Xv, Inc.	MO	Home Health Agency	$0	$13.9M
Butler County Ems LLC	MO	Land Ambulance	$1.2M	$8.8M
Poplar Bluff Hma Physician Management, LLC	MO	Family Medicine Physician	$0	$9.9M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$8.8M

Poplar Bluff Emergency Physicians, LLC — Billing Profile & Reimbursement Data

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Poplar Bluff Emergency Physicians, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References