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.

Greenview Hospital, Inc. (NPI 1871547703)

Key Findings

Field	Value
Entity Type	Organization
Organization	Greenview Hospital, Inc.
Address	1801 Ashley Cir
City	Bowling Green
State	KY
ZIP	42104
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 22, 2006

Payer Source	Total Paid
Medicaid	$49.1M
Medicare	$0

GREENVIEW HOSPITAL, INC. reports Total Medicare revenue: none (no Medicare billing on file) and Total Medicaid revenue: $49.1M, making it effectively a Medicaid-centric provider in these data rather than a dual-payer operation. Analysts should treat Medicaid patterns as representative of the hospital’s public-payer activity because there is no Medicare billing on file to balance the profile.

The provider’s NPI was enumerated 2006-05-22 (~20 years ago), indicating a long-established billing presence in the market. That tenure supports interpretation of the current code mix as mature operational patterns rather than a new or transitional service mix.

Revenue concentration is high: the precomputed top 3 Medicaid codes account for 57.1% of the provider’s total Medicaid revenue. Those top contributors are 99283 ($10.7M, 24.8%), 99284 ($10.5M, 24.1%), and 96374 ($3.6M, 8.3%), showing the hospital’s Medicaid dollars are heavily concentrated in a small set of services.

The code mix indicates an emergency-department and acute-imaging oriented operation: 99283 and 99284 are the two largest revenue drivers and additional ED E/M codes (99285, 99282, 99281) also appear in the top list. High-volume imaging and diagnostics such as 74176 ($3.3M), 74177 ($2.6M), and 70450 ($1.5M) further support a throughput model focused on emergency evaluation plus on-site CT capacity.

Despite large absolute Medicaid dollars tied to ED E/M codes, the state-ranking descriptors characterize most top codes as "typical, unremarkable volume for this code"; for example, 99283 is ranked #15 of 284 providers in-state (95th percentile, labeled "typical, unremarkable volume for this code") and 99284 is #29 of 282 (90th percentile, labeled "typical, unremarkable volume for this code"). In other words, the hospital posts substantial Medicaid ED revenue but does so in a pattern that state comparisons label within typical ranges for high-volume facilities rather than as anomalous.

Clinical throughput is further evidenced by frequent IV administration and infusion codes: 96374 ($3.6M), 96375 ($707.4K), 96372 ($582.4K), and 96361 ($262K) appear among the top codes, plus observation hours G0378 ($362.3K) and high counts of basic monitoring/ECG 93005 ($487.1K) and chest x-ray 71045 ($888.4K). This cluster is consistent with an ED/acute care workflow that combines imaging, monitoring, and parenteral therapies as principal revenue drivers.

The provider shows a notable specialty outlier in implantable joint devices: C1776 ($566.3K, 1.3% of Medicaid revenue) is ranked #1 of 22 providers in-state and explicitly labeled an "extreme outlier, far above typical state volume for this code." Alongside C1713 ($653K, ranked #8 of 44, 84th percentile) this suggests above-typical orthopedic implant activity relative to peers, which may reflect a surgical service line that is small in revenue share but unusually concentrated compared with other in-state hospitals.

Because 57.1% of Medicaid revenue is concentrated in three codes dominated by ED E/M and IV administration, the hospital’s Medicaid revenue profile is sensitive to policy or reimbursement changes affecting emergency-department evaluation-and-management payments or parenteral/infusion billing. For payers and contracting analysts, that concentration highlights both negotiation leverage points and financial vulnerability tied to a narrow set of service lines.

Medicaid: Complete Services Breakdown

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

222 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	59,360	$180	$10.7M
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.	43,580	$240	$10.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	27,540	$130	$3.6M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	9,340	$360	$3.3M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	6,410	$410	$2.6M
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.	5,760	$370	$2.1M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	9,100	$170	$1.5M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	8,610	$130	$1.1M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	22,780	$40	$888.4K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	12,410	$60	$707.4K

Showing 1–10 of 222

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

Greenview Hospital, 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

222 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.	29	280	7,150	$150	$3M
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.	113	240	4,710	$150	$2.6M
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.	15	280	5,700	$120	$2M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	19	40	740	$1,170	$1.7M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	53	180	1,870	$280	$1.5M
G0378	Hospital observation service, per hour	36	90	2,770	$190	$1.3M
C1776	Joint device (implantable)	1	20	130	$2,890	$1.1M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	8	40	550	$910	$1.1M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	19	170	2,610	$250	$1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	23	110	8,390	$50	$749.1K

Showing 1–10 of 222

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advantage Health Club	KY	Adult Day Care Clinic/Center	$0	$20.6M
Faith Harbor	KY	Developmentally Disabled Services Day Training Agency	$0	$20.1M
Marpe' Therapy Services	KY	Mental Health Counselor	$0	$11.5M
Positive Directions Support Services, PLLC	KY	Community/Behavioral Health Agency	$0	$9.9M
Dungarvin Kentucky, LLC - Bowling Green	KY	Developmentally Disabled Services Day Training Agency	$0	$8.1M
Destiny Adult, Child & Family Services LLC	KY	Community/Behavioral Health Agency	$0	$7.1M
Familyworks Therapy, LLC	KY	Community/Behavioral Health Agency	$0	$7M
Zipclinic, Psc	KY	Primary Care Clinic/Center	$0	$4.4M
Ky Doctors Of Optometry, PLLC	KY	Eyewear Supplier	$0	$4.3M
Drakes Creek Emergency Physicians LLC	KY	Emergency Medicine Physician	$0	$4.1M

Greenview Hospital, Inc. — 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

Nearby Providers

Frequently Asked Questions

References