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.

Skaggs Community Hospital Association (NPI 1760443980)

Field	Value
Entity Type	Organization
Organization	Skaggs Community Hospital Association
Address	525 Branson Landing Blvd.
City	Branson
State	MO
ZIP	65616
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 29, 2006

Payer Source	Total Paid
Medicaid	$18.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

99 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
X4011	N/A	20,980	$250	$5.2M
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.	6,200	$350	$2.2M
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.	7,370	$270	$2M
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.	8,050	$200	$1.6M
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…	32,320	$40	$1.2M
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.	30,360	$40	$1.2M
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	18,880	$50	$906K
Y7506	N/A	3,800	$200	$767.4K
93005	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…	14,320	$50	$701.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	3,700	$140	$503.1K

Showing 1–10 of 99

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

Skaggs Community Hospital Association — 1 of 25 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

99 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
X4011	N/A	14	110	5,700	$340	$3.2M
X4014	N/A	7	10	1,070	$1,030	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	32	100	2,240	$80	$2.2M
Y7506	N/A	34	100	980	$250	$1.6M
X4003	N/A	28	70	1,480	$80	$1.1M
X4006	N/A	49	50	370	$780	$969.5K
Y7507	N/A	25	50	270	$360	$594.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	29	90	1,850	$120	$384.1K
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.	59	600	140	$170	$384.1K
93005	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…	11	110	2,100	$70	$364.3K

Showing 1–10 of 99

Related Providers

Other providers that share a Tax Identification Number (TIN) with Skaggs Community Hospital Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lester E Cox Medical Centers	MO	General Acute Care Hospital	$0	$112.3M
Partners Physician Group	OH	Surgery Physician	$0	$28.5M
Lester E Cox Medical Centers	MO	Land Ambulance	$0	$25.8M
Lester E Cox Medical Centers	MO	Family Medicine Physician	$0	$17M
Lester E Cox Medical Centers	MO	General Practice Physician	$0	$9.2M
Levent Akduman	MO	Ophthalmology Physician	$3.1M	$1.4M
Robert Dorsey	FL	Surgery Physician	$4.3M	$0
Lester E. Cox Medical Centers	MO	Durable Medical Equipment & Medical Supplies	$0	$3.5M
Juanita Golden-allen	MO	Acute Care Nurse Practitioner	$2.9M	$0
Richard Jones	MO	Ophthalmology Physician	$1M	$0

Nearby Providers

Other providers in the same ZIP code as Skaggs Community Hospital Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Linkability, Inc.	MO	Case Management Agency	$0	$9.5M
Developmental Connections	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.5M
Douglas Leone	MO	Dermatology Physician	$725.1K	$186.5K
Nicholas Anderson	MO	Physical Medicine & Rehabilitation Physician	$231.7K	$0
Habib Munshi	MO	Pulmonary Disease Physician	$227.5K	$530
Surgery Center Of Branson LLC	MO	Ambulatory Surgical Clinic/Center	$225.3K	$0
Larry Meyer	MO	Ophthalmology Physician	$213.7K	$0
Douglas Hughes	MO	Diagnostic Radiology Physician	$187.3K	$0
Narin Arunakul	MO	Interventional Cardiology Physician	$154.1K	$0
Christy Rainey	MO	Dermatology Physician	$152.4K	$0

Skaggs Community Hospital Association — Billing Profile & Reimbursement Data

Sign up for Skaggs Community Hospital Association — Billing Profile & Reimbursement Data policy alerts

Skaggs Community Hospital Association — Billing Profile & Reimbursement Data

Sign up for Skaggs Community Hospital Association — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References