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.

Em Specialists PA (NPI 1801112743)

Field	Value
Entity Type	Organization
Organization	Em Specialists PA
Address	9100 W 74th St
City	Shawnee Mission
State	KS
ZIP	66204
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 16, 2010

Payer Source	Total Paid
Medicaid	$876.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	7,320	$60	$439.3K
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.	5,230	$60	$298.3K
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.	5,120	$30	$138.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	100	$10	$520
99053	The provider renders overnight services at a 24 hour facility.	2,120	$0	$0

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

Em Specialists PA — 0 of 4 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	30	200	260	$60	$216K
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.	16	110	320	$60	$205K
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.	42	270	310	$50	$184.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	69	90	410	$10	$20K
99053	The provider renders overnight services at a 24 hour facility.	2	10	270	$1	$570

Nearby Providers

Other providers in the same ZIP code as Em Specialists PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anthem Overland Park Management, LLC	KS	Adult Care Home Facility	$0	$10.7M
Heartland Inc	KS	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$7.5M
Alliance Radiology, PA	KS	Diagnostic Radiology Physician	$0	$2.3M
The Behavior Project LLC	KS	Behavior Analyst	$0	$2M
Health Partnership Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$1.8M
Kansas City Surgery Center, LLC	KS	Ambulatory Surgical Clinic/Center	$1.2M	$0
Shawnee Mission Medical Center Inc	KS	General Acute Care Hospital	$0	$1.2M
Deborah A King Ma & Associates Inc	KS	Speech-Language Pathologist	$0	$961.3K
Shawnee Mission Surgery Center LLC	KS	Ambulatory Surgical Clinic/Center	$800.2K	$0
Ascentist Asc Merriam, LLC	KS	Ambulatory Surgical Clinic/Center	$366.7K	$96.1K

Em Specialists PA — Billing Profile & Reimbursement Data

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Em Specialists PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References