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 Hospital, LLC (NPI 1912423260)

Field	Value
Entity Type	Organization
Organization	Topeka Hospital, LLC
Address	1700 Sw 7th St
City	Topeka
State	KS
ZIP	66606
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 18, 2017

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

156 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.	21,130	$40	$845K
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.	18,000	$40	$702K
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.	11,300	$30	$384.1K
0241U	N/A	2,420	$90	$225.1K
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…	7,740	$30	$224.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	12,950	$20	$220.2K
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.	19,190	$10	$153.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	30,610	$1	$122.4K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	11,700	$10	$105.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	2,350	$40	$98.7K

Showing 1–10 of 156

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 Hospital, LLC — 9 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

156 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	12	20	120	$20	$375.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	9	60	280	$30	$295.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	9	60	230	$30	$292K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	19	40	150	$20	$241.4K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	12	20	1,030	$20	$216.3K
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.	8	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.	12	110	320	$60	$205K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	16	20	120	$10	$200.9K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	15	20	670	$20	$199.3K
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.	7	270	310	$50	$184.5K

Showing 1–10 of 156

Nearby Providers

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

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
Partners In Pediatrics PA	KS	Pediatric Adolescent Medicine Physician	$0	$3.7M
Pediatric Associates Of Topeka, P.A.	KS	Pediatrics Physician	$0	$3.5M
Southerncare, Inc.	KS	Community Based Hospice Care Agency	$0	$2.1M

Topeka Hospital, LLC — Billing Profile & Reimbursement Data

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Topeka Hospital, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References