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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Tschetter & Hohm Clinic, P.C. (NPI 1760492979)

Tschetter & Hohm Clinic, P.C. is a internal medicine physician provider located in Huron, South Dakota. This profile covers 0 Medicare and 48 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	Tschetter & Hohm Clinic, P.C.
Address	455 Kansas Ave Se
City	Huron
State	SD
ZIP	57350
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 9, 2006

Payer Source	Total Paid
Medicaid	$145.1K
Medicare	$0

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

48 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…	3,330	$20	$80K
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…	460	$40	$16.9K
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,…	560	$20	$8.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	130	$30	$4.4K
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.	970	$1	$2.9K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	60	$50	$2.8K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	170	$20	$2.5K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	620	$1	$2.5K
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…	180	$10	$2.1K
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…	90	$20	$1.9K

Showing 1–10 of 48

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Tschetter & Hohm Clinic, P.C. — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

48 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	89	340	1,010	$100	$511K
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…	159	260	860	$80	$222.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	55	70	200	$80	$176.7K
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…	149	190	430	$90	$154.1K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	34	50	1,650	$10	$125.4K
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,…	47	160	210	$120	$97.4K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	38	40	360	$50	$88.1K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	107	130	390	$90	$86.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	42	110	990	$20	$82.9K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	54	50	400	$30	$76.4K

Showing 1–10 of 48

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Huron Regional Medical Center Inc	SD	Critical Access Hospital	$0	$3.4M
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Peter Piampiano	TN	Diagnostic Radiology Physician	$254.4K	$20.1K
Naveen Selvam	PA	Diagnostic Radiology Physician	$190.6K	$80
Nathan Bockholt	SD	Urology Physician	$172.7K	$0
Darlys Hofer	SD	Urology Physician	$164.4K	$0
Huron Regional Medical Center, Inc	SD	Critical Access Hospital Clinic/Center	$0	$122.5K
Luke Roller	ND	Diagnostic Radiology Physician	$119.3K	$0
Kevin Vaska	SD	Cardiovascular Disease Physician	$118.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Huron Area Center For Independence	SD	Developmental Disabilities Clinic/Center	$0	$75.7M
Our Home Inc	SD	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$35.3M
Community Counseling Service	SD	Mental Health Counselor	$0	$13.7M
Our Home, Inc.	SD	Substance Abuse Rehabilitation Facility	$0	$9.6M
Independent Health Solutions LLC	SD	Home Health Agency	$0	$4M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$3.2M
Huron Vt LLC	SD	Assisted Living Facility	$0	$1.9M
Dakota Family Dentistry, Prof. LLC	SD	Dental Clinic/Center	$0	$1.3M
Huron Eye Clinic PC	SD	Optometrist	$0	$1.2M
Huron Clinic Foundation Ltd	SD	Family Medicine Physician	$0	$1M

Tschetter & Hohm Clinic, P.C. — Billing Profile & Reimbursement Data

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Tschetter & Hohm Clinic, P.C. — 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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