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

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

El Dorado Clinic, P.A. (NPI 1780787176)

El Dorado Clinic, P.A. is a rural health clinic/center provider located in El Dorado, Kansas. This profile covers 0 Medicare and 16 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	El Dorado Clinic, P.A.
Address	700 W Central Ave
City	El Dorado
State	KS
ZIP	67042
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	September 7, 2006

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

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

16 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…	18,630	$80	$1.5M
99391	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…	2,020	$90	$179.4K
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…	2,300	$70	$165.6K
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…	1,710	$90	$154.1K
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,…	1,060	$80	$86.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	740	$90	$67.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	470	$90	$41.7K
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…	230	$40	$9.8K
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	270	$20	$5.6K
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…	30	$90	$2.3K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

El Dorado Clinic, P.A. — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

16 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…	36	1,050	560	$80	$266.8K
99391	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…	35	160	470	$90	$163.1K
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…	38	180	300	$100	$141.8K
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…	197	880	400	$60	$136K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	47	190	180	$110	$94.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	46	200	130	$130	$58.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	147	190	290	$30	$44.7K
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,…	38	340	100	$100	$43.3K
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…	174	240	70	$70	$37.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	210	320	290	$20	$28K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Courtney Schwanke	KS	Physician Assistant	$35.3K	$0
Gerard Librodo	KS	Orthopaedic Surgery Physician	$19.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Central Mental Health Counseling Center, Inc.	KS	Mental Health Counselor	$0	$34.9M
Flinthills Services, Inc.	KS	Developmentally Disabled Services Day Training Agency	$0	$20.7M
South Central Mental Health Counseling Center, Inc.	KS	Community/Behavioral Health Agency	$0	$9.1M
Thrive Therapy Of Kansas	KS	Home Health Agency	$0	$9.1M
Associated Home Care	KS	Home Health Registered Nurse	$0	$4.1M
Butler County Clerk	KS	Land Ambulance	$731.1K	$863.3K
Homestead Of El Dorado Operations LLC	KS	Assisted Living Facility	$0	$1.3M
El Dorado Usd #490	KS	Local Education Agency (LEA)	$0	$860.8K
Usd 490	KS	Local Education Agency (LEA)	$0	$805.9K
Christopher A Smith Od PA	KS	Optometrist	$0	$752.7K

El Dorado Clinic, P.A. — Billing Profile & Reimbursement Data

Sign up for El Dorado Clinic, P.A. — Billing Profile & Reimbursement Data policy alerts

El Dorado Clinic, P.A. — Billing Profile & Reimbursement Data

Sign up for El Dorado Clinic, P.A. — 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