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.

Clark Regional Physician Practices LLC (NPI 1841953783)

Field	Value
Entity Type	Organization
Organization	Clark Regional Physician Practices LLC
Address	225 Hospital Dr
City	Winchester
State	KY
ZIP	40391
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 18, 2021

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

72 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…	29,840	$30	$984.7K
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…	9,360	$50	$496K
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…	3,280	$80	$256K
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…	2,930	$70	$199.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,390	$80	$183.6K
0241U	N/A	1,520	$110	$162.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	6,070	$20	$139.6K
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…	2,450	$40	$107.9K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	5,830	$10	$81.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	850	$90	$73.9K

Showing 1–10 of 72

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

Clark Regional Physician Practices LLC — 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

72 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…	220	3,340	1,020	$30	$296K
0241U	N/A	25	50	1,460	$80	$254.2K
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…	229	2,460	580	$40	$245K
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…	58	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…	51	260	540	$70	$176.6K
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.	153	200	1,020	$30	$98.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	32	320	180	$70	$79.9K
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…	34	210	230	$40	$79.7K
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…	842	1,020	120	$70	$62K
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…	554	870	480	$20	$61.8K

Showing 1–10 of 72

Related Providers

Other providers that share a Tax Identification Number (TIN) with Clark Regional Physician Practices LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kentucky Hospital, LLC	KY	General Acute Care Hospital	$0	$83.8M
Clark Regional Physician Practices, LLC	KY	Durable Medical Equipment & Medical Supplies	$0	$9.4M
Enio Kuvliev	KY	Internal Medicine Physician	$143K	$0
Freddie Terrell	KY	Urology Physician	$109.4K	$0
Bruce Kostelnik	KY	Emergency Medicine Physician	$87.9K	$0
Yousof Elgaried	KY	Pulmonary Disease Physician	$87.1K	$0
Alexander Landfield	KY	Neurology Physician	$70.8K	$0
Charles Arnold	KY	Family Medicine Physician	$55.3K	$0
Selena Raines	KY	Family Medicine Physician	$37.9K	$0
Stephanie Fields	KY	Family Nurse Practitioner	$23K	$0

Nearby Providers

Other providers in the same ZIP code as Clark Regional Physician Practices LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kentucky Addiction Centers, LLC	KY	Substance Abuse Rehabilitation Facility	$0	$16.7M
Dungarvin Kentucky, LLC - Winchester	KY	Developmentally Disabled Services Day Training Agency	$0	$13.4M
Caky E Winchester	KY	Case Management Agency	$0	$12.1M
New Day Recovery Center	KY	Substance Abuse Rehabilitation Facility	$0	$10.6M
John I. Gray, Iii, Psc	KY	Oral and Maxillofacial Surgery (Dentist)	$0	$7.1M
Clark Emergency Physicians	KY	Emergency Medicine Physician	$0	$6.7M
Beall Recovery Clinics	KY	Addiction Medicine (Preventive Medicine) Physician	$0	$5M
Kentucky Orthopaedics & Spine PLLC	KY	Orthopaedic Surgery Physician	$0	$4.6M
Timothy Crisp	KY	Pediatric Dentistry	$0	$4.4M
Oral Surgery & Implant Associates	KY	Oral and Maxillofacial Surgery (Dentist)	$0	$3.7M

Clark Regional Physician Practices LLC — Billing Profile & Reimbursement Data

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Clark Regional Physician Practices LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References