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.

Hays Medical Center, Inc. (NPI 1871567479)

Hays Medical Center, Inc. is a internal medicine physician provider located in Hays, Kansas. This profile covers 0 Medicare and 51 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	Hays Medical Center, Inc.
Address	2220 Canterbury Dr
City	Hays
State	KS
ZIP	67601
Taxonomy	Internal Medicine Physician
NPI Enumerated	February 13, 2006

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

51 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…	14,170	$30	$354.3K
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.	4,790	$60	$292.2K
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.	3,170	$50	$142.8K
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.	3,860	$30	$115.7K
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…	3,510	$20	$59.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	9,660	$1	$29K
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…	1,850	$10	$22.2K
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.	3,560	$10	$21.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	790	$20	$11.8K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	1,150	$10	$11.5K

Showing 1–10 of 51

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

Hays Medical Center, Inc. — 2 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

51 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…	58	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.	33	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.	28	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.	54	270	310	$50	$184.5K
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…	137	880	400	$60	$136K
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…	42	70	210	$30	$116.7K
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…	35	130	390	$20	$67.5K
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.	38	50	120	$30	$66.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	19	50	280	$50	$63.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	35	60	130	$70	$60.6K

Showing 1–10 of 51

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hays Medical Center, Inc.	KS	Rural Health Clinic/Center	$0	$2.3M
Don Wynn	TX	Pulmonary Disease Physician	$1.4M	$0
Jay Robinow	KS	Radiation Oncology Physician	$1.2M	$0
Uma Guniganti	OK	Cardiovascular Disease Physician	$797.5K	$0
Hays Medical Center Inc	KS	General Acute Care Hospital	$0	$595.8K
Matthew Mallory	AR	Radiation Oncology Physician	$570.4K	$0
Surekha Boddipalli	IL	Hematology & Oncology Physician	$430.7K	$0
Roy Bryan	CA	Diagnostic Radiology Physician	$417.1K	$90
Son Truong	KS	Pulmonary Disease Physician	$386.2K	$0
Matthew Glynn	KS	Otolaryngology Physician	$292.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Developmental Services Of Northwest Kansas, Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$71.6M
Link Inc	KS	Home Health Agency	$0	$31.4M
High Plains Mental Health Center	KS	Community/Behavioral Health Agency	$0	$14.9M
High Plains Mental Health Center	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.5M
First Care Clinic, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$4.1M
Kvc Hospitals Inc	KS	Psychiatric Residential Treatment Facility	$0	$3.7M
Homestead Of Hays Operations LLC	KS	Assisted Living Facility	$0	$2.5M
Developmental Services Of Northwest Kansas, Inc.	KS	Case Management Agency	$0	$2.4M
Med-trans Corporation	KS	Air Ambulance	$1.4M	$0
Donald Tillman	KS	Dermatology Physician	$1.1M	$0

Hays Medical Center, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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