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 1780841361)

Owensboro Health Medical Group, Inc. is a specialist provider located in Owensboro, Kentucky. This profile covers 0 Medicare and 67 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	1301 Pleasant Valley Rd Ste 202
City	Owensboro
State	KY
ZIP	42303
Taxonomy	Specialist
NPI Enumerated	May 21, 2008

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

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

67 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…	32,240	$30	$1.1M
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…	23,960	$40	$958.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	7,770	$40	$326.5K
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…	4,380	$60	$271.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	22,490	$10	$157.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1,990	$70	$131.1K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,620	$70	$110.2K
99204	The provider sees a new 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 provider…	1,260	$80	$101K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,740	$60	$100.7K
93000	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…	5,240	$10	$73.3K

Showing 1–10 of 67

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. — 2 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

67 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	28	210	1,340	$160	$568K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	28	60	170	$780	$500.2K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	52	130	420	$270	$375.3K
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…	200	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…	92	2,460	580	$40	$245K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	219	470	770	$20	$188.2K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	23	40	170	$700	$160.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	23	90	480	$60	$158.4K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	103	110	700	$60	$155.3K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	94	150	490	$90	$120.4K

Showing 1–10 of 67

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	Family Medicine Physician	$0	$3M
Kishor Vora	KY	Cardiovascular Disease Physician	$2M	$334.5K
Todd Scarbrough	TN	Therapeutic Radiology Physician	$1.3M	$0
Roshan Mathew	KY	Interventional Cardiology Physician	$1M	$0
Sarah Estes	KY	Family Nurse Practitioner	$981.6K	$0
Bernard Buchanan	KY	Internal Medicine Physician	$760.4K	$0
Aseedu Kalik	KY	Internal Medicine Physician	$143.8K	$554.3K
Richard Sweet	KY	Orthopaedic Surgery Physician	$540.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Owensboro Health Inc	KY	General Acute Care Hospital	$0	$148.8M
Green River District Home Health	KY	Early Intervention Provider Agency	$0	$22.1M
Wendell Foster's Campus For Developmental Disabilities	KY	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$19M
Puzzle Pieces, Inc.	KY	Community/Behavioral Health Agency	$0	$13.2M
Caretenders Vs Of Western Ky, LLC	KY	Home Health Agency	$0	$12.8M
Truenorth Treatment Center, LLC	KY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.8M
Community Alternatives Kentucky, Inc.	KY	Case Management Agency	$0	$9.5M
Owensboro Pediatrics LLC	KY	Pediatrics Physician	$0	$9.2M
Green River District Health Dept	KY	Home Health Agency	$0	$7.2M
Owensboro Ambulatory Surgical Facility Ltd	KY	Ambulatory Surgical Clinic/Center	$1.3M	$4.8M

Owensboro Health Medical Group, Inc. — Billing Profile & Reimbursement Data

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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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