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.

Topeka Ear, Nose And Throat, P.A. (NPI 1881616845)

Topeka Ear, Nose And Throat, P.A. is a otolaryngology physician provider located in Topeka, Kansas. This profile covers 0 Medicare and 15 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	Topeka Ear, Nose And Throat, P.A.
Address	920 Sw Lane St
City	Topeka
State	KS
ZIP	66606
Taxonomy	Otolaryngology Physician
NPI Enumerated	July 25, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

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

15 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…	10,630	$30	$297.6K
99203	The provider sees a new 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 provider…	4,770	$60	$276.5K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	9,770	$10	$136.8K
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…	1,510	$90	$128.7K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	2,660	$40	$109.2K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	3,310	$30	$102.7K
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…	1,920	$40	$82.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,470	$20	$46.9K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	420	$100	$40.2K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	120	$140	$17.5K

Showing 1–10 of 15

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

Topeka Ear, Nose And Throat, P.A. — 5 of 15 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

15 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…	76	1,050	560	$80	$266.8K
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…	226	880	400	$60	$136K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	12	20	120	$220	$101.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	9	340	100	$100	$43.3K
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…	12	170	70	$90	$43.2K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	3	10	80	$110	$41.3K
99203	The provider sees a new 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 provider…	5	240	70	$70	$37.1K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	2	10	420	$100	$36.1K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	9	20	1,320	$10	$26.8K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	3	30	120	$30	$18.7K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Service And Guidance Center Of Topeka, Inc.	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$44.9M
Astra Mental Health And Recovery, Inc.	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$35.9M
Cotton-o'neil Clinic Revocable Trust	KS	Internal Medicine Physician	$0	$21.7M
Family Service And Guidance Center Of Topeka, Inc.	KS	Community/Behavioral Health Agency	$0	$17.6M
Astra Mental Health And Recovery, Inc.	KS	Community/Behavioral Health Agency	$0	$11.2M
Cotton-o'neil Clinic Revocable Trust	KS	Clinical Medical Laboratory	$3.6M	$6.8M
Midland Care Connection, Inc.	KS	Community Based Hospice Care Agency	$0	$4.3M
Topeka Hospital, LLC	KS	General Acute Care Hospital	$0	$3.9M
Partners In Pediatrics PA	KS	Pediatric Adolescent Medicine Physician	$0	$3.7M
Pediatric Associates Of Topeka, P.A.	KS	Pediatrics Physician	$0	$3.5M

Topeka Ear, Nose And Throat, P.A. — Billing Profile & Reimbursement Data

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Topeka Ear, Nose And Throat, P.A. — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Glynn	KS	Otolaryngology Physician	$292.9K	$0
Jason Meyers	KS	Otolaryngology Physician	$175.4K	$0
Tyler Grindal	KS	Otolaryngology Physician	$155.6K	$0
Michael Franklin	KS	Otolaryngology Physician	$139.1K	$0
Scot Hirschi	KS	Otolaryngology Physician	$120.2K	$0
Robert Lane	KS	Otolaryngology Physician	$93.8K	$0
Jason Lepse	KS	Otolaryngology Physician	$72.4K	$0
Mel Setter	KS	Physician Assistant	$65.8K	$0
Sheri Becker	KS	Speech-Language Pathologist	$58.9K	$0
Molly Rana	KS	Speech-Language Pathologist	$54.3K	$0