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.

Vmd Primary Providers Central Kentucky (NPI 1831674654)

Vmd Primary Providers Central Kentucky is a internal medicine physician provider located in Murray, Kentucky. This profile covers 0 Medicare and 146 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	Vmd Primary Providers Central Kentucky
Address	1000 S 12th St
City	Murray
State	KY
ZIP	42071
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 27, 2018

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

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

146 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…	35,870	$40	$1.4M
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…	35,860	$30	$1M
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	7,070	$50	$374.8K
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…	3,280	$50	$160.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	3,800	$30	$125.5K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	3,500	$30	$111.8K
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.	4,380	$30	$109.5K
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…	1,580	$70	$105.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,390	$70	$98.4K
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…	1,380	$60	$77.1K

Showing 1–10 of 146

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

Vmd Primary Providers Central Kentucky — 1 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

146 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	133	200	16,730	$10	$365.9K
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…	181	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…	58	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…	143	470	770	$20	$188.2K
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…	92	230	720	$60	$180.1K
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…	84	260	540	$70	$176.6K
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…	33	40	170	$700	$160.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	109	310	3,500	$10	$149.9K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	135	180	3,770	$10	$136.2K
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.	142	150	490	$90	$120.4K

Showing 1–10 of 146

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allen Westerfield	KY	Diagnostic Radiology Physician	$306.5K	$0
Darrell New	KY	Family Nurse Practitioner	$44.7K	$181.4K
Richard Blalock	KY	Internal Medicine Physician	$195.2K	$0
Jon Kostelic	KY	Diagnostic Radiology Physician	$191.7K	$0
Jason Harper	KY	Diagnostic Radiology Physician	$186.6K	$0
Thomas Adams	KY	Family Medicine Physician	$177.4K	$0
Dale Absher	KY	Diagnostic Radiology Physician	$175.8K	$0
Daniel Butler	KY	Family Medicine Physician	$168.5K	$0
Carina Butler	MN	Diagnostic Radiology Physician	$160.4K	$0
Scott Mcelroy	KY	Diagnostic Radiology Physician	$123.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Murray-calloway County Public Hospital Corporation	KY	General Acute Care Hospital	$0	$29.5M
Community Living In Kentucky, LLC	KY	Community/Behavioral Health Agency	$0	$21.3M
Behavior Support Services, LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.2M
Watch, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$3.8M
Primary Care Medical Center Inc	KY	Family Medicine Physician	$0	$3.7M
Murray-calloway County Public Hospital Corporation	KY	Multi-Specialty Clinic/Center	$0	$3.3M
Pamela Smith	KY	Hematology & Oncology Physician	$1.8M	$0
Murray Calloway County Emergency	KY	Land Ambulance	$538.6K	$581.8K
Jesse Williams	KY	Optometrist	$44.4K	$352.5K
James Jaco	KY	Optometrist	$69K	$304.6K

Vmd Primary Providers Central Kentucky — Billing Profile & Reimbursement Data

Sign up for Vmd Primary Providers Central Kentucky — Billing Profile & Reimbursement Data policy alerts

Vmd Primary Providers Central Kentucky — Billing Profile & Reimbursement Data

Sign up for Vmd Primary Providers Central Kentucky — 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