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.

Owensboro Health Medical Group, Inc. (NPI 1770001877)

Owensboro Health Medical Group, Inc. is a family medicine physician provider located in Powderly, Kentucky. This profile covers 0 Medicare and 68 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	Owensboro Health Medical Group, Inc.
Address	2025 W Everly Brothers Blvd Ste 1a
City	Powderly
State	KY
ZIP	42367
Taxonomy	Family Medicine Physician
NPI Enumerated	September 8, 2017

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

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

68 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…	35,920	$30	$1M
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…	9,270	$50	$417.3K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	2,770	$100	$285.4K
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…	3,570	$80	$268K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	6,480	$30	$188K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	5,600	$30	$139.9K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	1,860	$60	$113.6K
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…	1,650	$50	$89K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	4,850	$10	$63.1K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	590	$110	$62K

Showing 1–10 of 68

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

Owensboro Health Medical Group, Inc. — 0 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

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	162	180	1,870	$280	$1.5M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	14	70	310	$100	$495.2K
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…	122	130	6,080	$40	$449.7K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	24	50	570	$110	$393.6K
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…	180	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…	234	2,460	580	$40	$245K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	80	110	2,910	$30	$218.5K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	143	170	1,020	$80	$180.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	222	260	540	$70	$176.6K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	101	330	1,400	$30	$156.7K

Showing 1–10 of 68

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Owensboro Health Medical Group, Inc	KY	Family Medicine Physician	$0	$10.6M
Owensboro Health Medical Group, Inc	KY	Pediatrics Physician	$0	$7.4M
Owensboro Health Medical Group, Inc.	KY	Specialist	$0	$3.9M
Kishor Vora	KY	Cardiovascular Disease Physician	$2M	$334.5K
Roshan Mathew	KY	Interventional Cardiology Physician	$1M	$0
Bernard Buchanan	KY	Internal Medicine Physician	$760.4K	$0
Owensboro Health Medical Group, Inc	KY	Clinical Medical Laboratory	$42.2K	$478.6K
Philip Mcdonald	FL	Diagnostic Radiology Physician	$444.3K	$42.8K
Abbas Chamsuddin	IL	Diagnostic Radiology Physician	$368.8K	$114.2K
David True	MO	Rheumatology Physician	$477.4K	$2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oh Muhlenberg, LLC	KY	Land Ambulance	$530.1K	$1.1M
Baptist Health Deaconess Medical Group Inc	KY	Clinical Medical Laboratory	$25.9K	$161.6K
Mark Tackett	KY	Family Medicine Physician	$164.1K	$0
Ashley Gabbard	KY	Internal Medicine Physician	$125.9K	$0
Christopher Noffsinger	KY	Physical Therapist	$115.3K	$0
Tracey Sloan	KY	Family Nurse Practitioner	$41.4K	$0
Gabrielle Harris	KY	Family Nurse Practitioner	$23.9K	$0
Jessica Anderson-brown	KY	Women's Health Nurse Practitioner	$150	$0

Owensboro Health Medical Group, 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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