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.

Doctors Hospital, LLC (NPI 1871698472)

Field	Value
Entity Type	Organization
Organization	Doctors Hospital, LLC
Address	4901 College Blvd
City	Leawood
State	KS
ZIP	66211
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 14, 2006

Payer Source	Total Paid
Medicaid	$46.4M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-only reporter: there is no Medicare revenue on file while lifetime Medicaid revenue totals $46.4M, so payer exposure is concentrated entirely in the Medicaid program. The absence of Medicare claims prevents any national Medicare benchmarking for this entity and makes Medicaid trends the primary lens for competitive analysis.

Revenue is extremely concentrated in a very small set of procedure codes: the precomputed top three Medicaid codes account for 96.7% of the provider's Medicaid revenue. In particular, Y7506 alone represents $36.7M (79.2% of Medicaid revenue), X4006 accounts for $6.8M (14.7%), and X4003 contributes $1.3M (2.9%), indicating dependence on a narrow set of billed services.

Top-3 code descriptions are not available in the feed (Y7506, X4006, X4003), which limits direct clinical interpretation of the single largest revenue drivers. However, the remaining high-revenue items reported (for example 27279 sacroiliac joint fusion, G0260 sacroiliac injection, and multiple facet/joint injection codes such as 64493 and 64490) point to a service mix concentrated in spinal and interventional pain procedures and associated outpatient imaging and injections.

Despite the limited descriptive metadata for the top-3 codes, the provider is the leading in-state reporter for those codes: Y7506 ranks #1 of 4 providers in-state (100th percentile; typical, unremarkable volume for this code), X4006 ranks #1 of 3 providers in-state (100th percentile; typical, unremarkable volume for this code), and X4003 ranks #1 of 4 providers in-state (100th percentile; typical, unremarkable volume for this code). This ranking pattern implies the provider is the dominant state supplier for these specific billed items, but each code is measured against a small in-state peer set.

The provider also shows substantial outpatient clinic throughput: G0463 (Hospital outpatient clinic visit) generated 15.3K claims, $44 avg paid/claim and $672.8K revenue (1.5% of Medicaid revenue) and ranks #3 of 52 providers in-state (96th percentile; typical, unremarkable volume for this code). That volume suggests an active outpatient assessment-and-management platform supporting its procedural work.

There are indications of higher-than-typical state activity in targeted interventional procedures: 64493 (lumbar/sacral facet injection) shows 706 claims, $145 avg paid/claim and $102.4K revenue (0.2% of Medicaid revenue) and is labeled "notably above typical state volume" while ranking #1 of 7 providers in-state. This supports the interpretation that the organization performs interventional spine/pain procedures at elevated state volume for at least some modalities.

Several codes are reported with no meaningful in-state peer comparison (labels: "0th percentile; no state peer volume comparison available"), including G0260, 64635, 64415, 20605 and 72141 in the provided list. Those entries either reflect unique services in the state or small peer pools and should be treated cautiously when assessing relative market share because the dataset provides no standard peer-driven percentile context for these items.

The provider has a long-tenured NPI (enumerated 2006-09-14, ~20 years ago), indicating established operations in the market. Coupled with the heavy revenue concentration in a few high-dollar codes and strong in-state rank for those codes, the profile is consistent with a stable, specialized facility that depends on a narrow set of Medicaid-billed services rather than a broad payer mix.

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Y7506	N/A	4,370	$8,410	$36.7M
X4006	N/A	2,720	$2,510	$6.8M
X4003	N/A	10,990	$120	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	15,290	$40	$672.8K
27279	The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic…	30	$10,880	$359.1K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	470	$240	$111.9K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	710	$150	$108.9K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	710	$150	$102.4K
64449	The provider administers an anesthetic agent, steroid, or both via continuous infusion through a catheter as a nerve block of the lumbar plexus to keep the target region anesthetized as long as…	100	$490	$47.5K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	30	$990	$31.6K

Showing 1–10 of 36

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

Doctors Hospital, LLC — 8 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Y7506	N/A	1	10	1,030	$6,380	$10.6M
X4006	N/A	1	10	950	$3,250	$4M
X4003	N/A	1	10	3,320	$230	$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…	621	1,050	560	$80	$266.8K
27279	The provider performs sacroiliac (SI) joint fusion using a percutaneous or minimally invasive approach. The SI joint is where the sacrum (the base of the spine) meets the ilium (part of the pelvic…	1	10	30	$5,760	$184.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	15	40	280	$40	$160.9K
G0260	Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography	1	10	470	$240	$111.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3	50	510	$10	$66.5K
64449	The provider administers an anesthetic agent, steroid, or both via continuous infusion through a catheter as a nerve block of the lumbar plexus to keep the target region anesthetized as long as…	1	10	60	$430	$24K
64490	The provider injects a diagnostic or therapeutic substance into a single cervical or thoracic paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging…	1	10	200	$100	$18.9K

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as Doctors Hospital, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Children's Mercy Hospital	KS	Children's Hospital	$0	$22.3M
Mosaic	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$18M
Destiny Home Health	KS	Home Health Agency	$0	$6.9M
Care Alternatives Of Missouri, LLC	KS	Community Based Hospice Care Agency	$0	$6.4M
Ku Medwest Ambulatory Surgery Center, LLC	KS	Ambulatory Surgical Clinic/Center	$4.6M	$5.7K
Novamed Eye Surgery Center Of Overland Park, LLC	KS	Ambulatory Surgical Clinic/Center	$2.9M	$24.9K
Mark Thompson	KS	Radiation Oncology Physician	$2.6M	$0
Kenon Qamar	KS	Radiation Oncology Physician	$2.5M	$0
Minuteclinic Diagnostic Of Kansas PA	KS	Family Nurse Practitioner	$0	$2.1M
Signature Medical Group Of Kc, P.A.	KS	Orthopaedic Surgery Physician	$0	$1.8M

Doctors Hospital, LLC — Billing Profile & Reimbursement Data

Sign up for Doctors Hospital, LLC — Billing Profile & Reimbursement Data policy alerts

Doctors Hospital, LLC — Billing Profile & Reimbursement Data

Sign up for Doctors Hospital, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References