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.

Taylor County Hospital District Health Facilities Corporation (NPI 1689761942)

Taylor County Hospital District Health Facilities Corporation is a general acute care hospital provider located in Campbellsville, Kentucky. This profile covers 0 Medicare and 352 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	Taylor County Hospital District Health Facilities Corporation
Address	1700 Old Lebanon Rd
City	Campbellsville
State	KY
ZIP	42718
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$36.1M
Medicare	$0

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

352 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.	28,260	$110	$3.2M
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.	15,960	$150	$2.4M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,520	$1,060	$1.6M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	5,060	$210	$1.1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,490	$300	$1M
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.	6,140	$150	$896.3K
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…	25,690	$30	$821.9K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	10,710	$80	$813.8K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	850	$890	$752.3K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1,250	$560	$706.1K

Showing 1–10 of 352

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

Taylor County Hospital District Health Facilities Corporation — 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

352 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	88	280	7,150	$150	$3M
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.	109	240	4,710	$150	$2.6M
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.	46	280	5,700	$120	$2M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	16	40	740	$1,170	$1.7M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	70	180	1,870	$280	$1.5M
G0378	Hospital observation service, per hour	87	90	2,770	$190	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	26	80	7,740	$30	$1.1M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	41	40	550	$910	$1.1M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	39	170	2,610	$250	$1M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	29	50	2,340	$200	$829.7K

Showing 1–10 of 352

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-generations LLC Central Ky	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$36.1M
Modern Care LLC	KY	Adult Care Home Facility	$0	$29.7M
The Kid Spot Center	KY	Occupational Therapist	$0	$27.4M
Phoenix Way, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$13.6M
Reach For The Stars Case Management	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.4M
Air Evac Ems Inc	KY	Air Ambulance	$987.5K	$1.8M
City Of Campbellsville Ky	KY	Land Ambulance	$516.8K	$805.8K
Peter Hardin	KY	Radiation Oncology Physician	$694K	$0
Matthew Feltner	KY	Podiatrist	$633.9K	$0
Mark Risen	KY	Primary Podiatric Medicine Podiatrist	$170K	$444.7K

Taylor County Hospital District Health Facilities Corporation — Billing Profile & Reimbursement Data

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Taylor County Hospital District Health Facilities 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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