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.

Ashley Clinic, LLC (NPI 1912087958)

Ashley Clinic, LLC is a family medicine physician provider located in Chanute, Kansas. This profile covers 0 Medicare and 64 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	Ashley Clinic, LLC
Address	505 S Plummer Ave
City	Chanute
State	KS
ZIP	66720
Taxonomy	Family Medicine Physician
NPI Enumerated	October 16, 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.

64 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…	17,300	$30	$467.1K
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…	5,500	$30	$165.1K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	550	$260	$145.7K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	2,800	$30	$84.1K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	30	$1,120	$29.2K
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.	1,090	$20	$24K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,070	$20	$17.1K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	770	$10	$10K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	1,650	$10	$9.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	980	$10	$9.8K

Showing 1–10 of 64

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

Ashley Clinic, LLC — 3 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

64 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…	41	1,050	560	$80	$266.8K
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…	134	180	300	$100	$141.8K
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…	97	880	400	$60	$136K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	81	90	100	$10	$125.6K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	23	110	120	$10	$103.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	165	190	180	$110	$94.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	62	180	620	$10	$85.3K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	22	30	90	$10	$76.3K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	17	30	80	$60	$67.9K
87660	The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.	10	20	300	$20	$61.8K

Showing 1–10 of 64

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bruce Lee	KS	Family Medicine Physician	$219.1K	$2.4K
Robert Thomen	KS	Family Medicine Physician	$178.2K	$2.4K
Kathi Yokum	KS	Nurse Practitioner	$169.6K	$1.3K
Martin Dillow	KS	Family Medicine Physician	$158.4K	$2.8K
David Guernsey	KS	Family Medicine Physician	$154.9K	$1.7K
John Robinson	KS	Urology Physician	$151.2K	$0
Erika Dick	KS	Primary Care Nurse Practitioner	$51.6K	$0
Kelli Eccles	KS	Family Nurse Practitioner	$18K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-valley Developmental Services, Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$37.6M
Tri-valley Developmental Services, Inc.	KS	Case Management Agency	$0	$2M
Ashley Clinic LLC	KS	Rural Health Clinic/Center	$0	$1.7M
Neosho Memorial Regional Medical Center	KS	Critical Access Hospital	$0	$1.6M
Neosho Memorial Regional Medical Center	KS	Rural Health Clinic/Center	$0	$1.2M
Darren Klish	KS	Radiation Oncology Physician	$1M	$0
Med-trans Corporation	KS	Air Ambulance	$557.8K	$0
Kevin Hamm	KS	Diagnostic Radiology Physician	$275.4K	$66.6K
Jessica Schaaf	KS	Physical Therapist	$110.4K	$0
Brieanna Mueller	KS	Medical Physician Assistant	$95.7K	$0

Ashley Clinic, LLC — Billing Profile & Reimbursement Data

Sign up for Ashley Clinic, LLC — Billing Profile & Reimbursement Data policy alerts

Ashley Clinic, LLC — Billing Profile & Reimbursement Data

Sign up for Ashley Clinic, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References