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.

Cotton-o'neil Clinic Revocable Trust (NPI 1811944457)

Key Findings

Field	Value
Entity Type	Organization
Organization	Cotton-o'neil Clinic Revocable Trust
Address	901 Sw Garfield Ave
City	Topeka
State	KS
ZIP	66606
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 28, 2006

Payer Source	Total Paid
Medicaid	$21.7M
Medicare	$0

This entity effectively operates as a Medicaid-focused provider: there is no Medicare billing on file while total Medicaid revenue is $21.7M, so its public-payer footprint is overwhelmingly concentrated in Medicaid rather than split across payers. The absence of Medicare activity makes this organization effectively single‑payer (Medicaid) in the available claims data.

Revenue is highly concentrated in a few evaluation-and-management codes: the precomputed top three Medicaid codes (99214, 99213, 99284) account for 48.6% of the provider’s total Medicaid revenue. Individually those codes are $4.1M (21.8%) for 99214, $3.5M (18.4%) for 99213, and $1.6M (8.5%) for 99284, indicating a reliance on established outpatient visits and moderate-complexity ED visits for most revenue.

The mix of high-volume codes suggests a broad primary care and acute-care operation that spans ambulatory medicine, emergency care, and inpatient follow-up: large claims counts and revenue for 99214 and 99213 point to a high-throughput established-patient practice, while material revenue from 99284/99285 and 99233/99232/99223 shows substantial ED and hospital care involvement. Complementary lines such as preventive care (99392/99391/99393), vaccinations (90471/90472), obstetric ultrasound (//), behavioral health (//), and therapeutic exercise () indicate integrated services beyond routine office visits.

On statewide competitive standing this provider is a major player for multiple Medicaid codes: 99214 ranks #1 of 882 providers in-state (100th percentile; extreme outlier) and 99213 ranks #2 of 1047 (100th percentile; extreme outlier), showing outsized share of in-state established-patient visits. Additional #1 rankings and top percentiles for higher-acuity codes — for example 99291 ranks #1 of 29 (100th percentile; extreme outlier) and 99239 ranks #1 of 33 (100th percentile; extreme outlier) — further support characterization as a dominant statewide provider for several service lines.

Emergency, inpatient, and critical-care services are a meaningful part of the profile: 99284 is $1.6M (8.5%) and ranks #6 of 195 in-state (97th percentile; notably above typical state volume), 99285 is $980K (5.2%) and ranks #6 of 113 (96th percentile; typical, unremarkable volume), and critical care 99291 is $677.7K (3.6%) and ranks #1 of 29 (100th percentile; extreme outlier). These placements suggest the organization is not only delivering high-volume ambulatory care but also staffed and utilized for higher-acuity emergency and critical services at scale.

Preventive and maternal-child services show prominent utilization consistent with a broad community clinic: 99392 ($693.7K, 3.7%) ranks #6 of 178 (97th percentile; notably above), 99391 ($567.2K, 3.0%) ranks #8 of 159 (96th percentile; notably above), and obstetric ultrasound codes such as 76819 ($357.6K, 1.9%) rank #3 of 28 (93th percentile; notably above). High vaccine administration counts (90471 and 90472 totaling over $977.8K combined) reinforce a strong preventive and pediatric/maternal outreach component in their Medicaid population.

Ancillary diagnostics and procedure billing indicates on-site capabilities and service breadth: 93010 (40.9K claims, $245.3K) ranks #2 of 90 (99th percentile; extreme outlier), psychiatric evaluation 90792 (2.3K claims, $232.8K) ranks #2 of 77 (99th percentile; extreme outlier), and J0585 (609 claims, $215K) ranks #1 of 6 (100th percentile; typical, unremarkable volume). Together these codes imply the provider offers ECG interpretation, psychiatric evaluation, and certain procedure-level injections as part of its care mix rather than referring all such services externally.

The provider has long-tenured enrollment: the NPI was enumerated on 2006-05-28 (~20 years ago), which—coupled with the large Medicaid volume and multiple top-percentile code rankings—indicates an established operational presence and scale in Kansas Medicaid markets rather than a recent entrant or small practice. This tenure helps explain the wide service mix and high statewide ranks across primary, emergency, inpatient, preventive, and ancillary codes.

Medicaid: Complete Services Breakdown

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

192 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	108,450	$40	$4.1M
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…	115,710	$30	$3.5M
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.	25,880	$60	$1.6M
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.	15,080	$70	$980K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	24,140	$30	$796.5K
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…	8,890	$80	$693.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	9,410	$70	$677.7K
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.	19,640	$30	$569.4K
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…	7,460	$80	$567.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,520	$80	$521.9K

Showing 1–10 of 192

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

Cotton-o'neil Clinic Revocable Trust — 20 of 25 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

192 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…	2	1,050	560	$80	$266.8K
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.	6	200	260	$60	$216K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	215	290	1,600	$40	$214.2K
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.	6	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.	8	270	310	$50	$184.5K
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…	8	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…	6	180	300	$100	$141.8K
76821	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the middle cerebral artery. This test determines the timing of labor induction and…	3	10	1,260	$60	$140.2K
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…	1	880	400	$60	$136K
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…	73	730	440	$80	$128.1K

Showing 1–10 of 192

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cotton-o'neil Clinic Revocable Trust	KS	Clinical Medical Laboratory	$3.6M	$6.8M
Stormont-vail Healthcare Inc	KS	General Acute Care Hospital	$0	$4.6M
Kenon Qamar	KS	Radiation Oncology Physician	$2.5M	$0
Pediatric Care Irrv Trust	KS	Pediatrics Physician	$0	$2.5M
Jay Robinow	KS	Radiation Oncology Physician	$1.2M	$0
Cotton O'neil Clinic Recovable Trust	KS	Psychiatry Physician	$0	$1.1M
Robyn Moran	KS	Rheumatology Physician	$859.1K	$0
Gilbert Katz	KS	Cardiovascular Disease Physician	$706.4K	$0
Matthew Ricks	KS	Dermatology Physician	$702.7K	$0
Coleman Ritchie	KS	Dermatology Physician	$639.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Service And Guidance Center Of Topeka, Inc.	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$44.9M
Astra Mental Health And Recovery, Inc.	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$35.9M
Family Service And Guidance Center Of Topeka, Inc.	KS	Community/Behavioral Health Agency	$0	$17.6M
Astra Mental Health And Recovery, Inc.	KS	Community/Behavioral Health Agency	$0	$11.2M
Midland Care Connection, Inc.	KS	Community Based Hospice Care Agency	$0	$4.3M
Topeka Hospital, LLC	KS	General Acute Care Hospital	$0	$3.9M
Partners In Pediatrics PA	KS	Pediatric Adolescent Medicine Physician	$0	$3.7M
Pediatric Associates Of Topeka, P.A.	KS	Pediatrics Physician	$0	$3.5M
Southerncare, Inc.	KS	Community Based Hospice Care Agency	$0	$2.1M
Total Renal Care Inc	KS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2M

Cotton-o'neil Clinic Revocable Trust — Billing Profile & Reimbursement Data

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Cotton-o'neil Clinic Revocable Trust — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References