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    OpenPayerNPI Medicare & MedicaidHannibal Regional Healthcare System, Inc
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    Hannibal Regional Healthcare System, Inc — Billing Profile & Reimbursement Data

    NPI 1922042704 · Hannibal, MO · Rural Acute Care Hospital

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    Hannibal Regional Healthcare System, Inc is a rural acute care hospital provider located in Hannibal, Missouri. This profile covers 0 Medicare and 95 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHannibal Regional Healthcare System, Inc
    Address6000 Hospital Dr
    CityHannibal
    StateMO
    ZIP63401
    TaxonomyRural Acute Care Hospital
    NPI EnumeratedJune 15, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$14.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    95 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Y7506N/A6,880$330$2.3M
    99284The 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.12,170$180$2.2M
    X4011N/A8,050$170$1.4M
    99283The 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.9,580$130$1.2M
    85025A 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…22,320$50$1.1M
    80053The 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.19,650$50$1.1M
    Y7507N/A1,500$410$613K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.4,840$110$517.5K
    93005The 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…10,840$40$466K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.5,190$70$384.4K

    Showing 1–10 of 95

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Missouri median

    95 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    X4011N/A431105,700$340$3.2M
    G0463Hospital outpatient clinic visit for assessment and management of a patient821002,240$80$2.2M
    Y7506N/A24100980$250$1.6M
    X4006N/A4150370$780$969.5K
    Y7507N/A1250270$360$594.9K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.22901,850$120$384.1K
    99285The 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.214600140$170$384.1K
    93005The 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…241102,100$70$364.3K
    80053The 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.362401,740$40$353.4K
    85025A 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…37320980$40$352.7K

    Showing 1–10 of 95

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Hannibal Regional Healthcare System, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hannibal Regional Healthcare System, IncMOMulti-Specialty Clinic/Center$0$4.5M
    Linda CookeMODermatology Physician$1.8M$0
    Yuyang ZhangMDDiagnostic Radiology Physician$920.4K$0
    Hrishikesh GhanekarILNephrology Physician$445.9K$372.3K
    Stephen PomeranzOHDiagnostic Radiology Physician$642.3K$0
    Debra OdenKSDiagnostic Radiology Physician$253.7K$92.6K
    Vinu Madhusudanannair KunnuparampilTXHematology & Oncology Physician$331.9K$0
    Usman QayyumMOInterventional Cardiology Physician$188.5K$107.8K
    Matthew ChaninOHDiagnostic Radiology Physician$291.6K$0
    Deborah HolteMOPodiatrist$195.3K$94.1K

    Nearby Providers

    Other providers in the same ZIP code as Hannibal Regional Healthcare System, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark Twain Association For Mental Health, IncMOCommunity/Behavioral Health Agency$0$153.3M
    Boone Supported Living, LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$46.5M
    Northeast Independent Living ServicesMOPersonal Care Attendant$0$21.2M
    Riney-walden IncMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14.6M
    State Of MissouriMODevelopmentally Disabled Services Day Training Agency$0$14.4M
    Marion County Services For The Developmentally DisabledMOCase Management Agency$0$6.9M
    Marion County Services, Inc.MODevelopmentally Disabled Services Day Training Agency$0$6.4M
    Marion County AmbulanceMOLand Ambulance$715.4K$4.4M
    Skills Development, Inc.MODevelopmentally Disabled Services Day Training Agency$0$4.3M
    Jackson Group Home LLCMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$3.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Missouri Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Hannibal Regional Healthcare System, Inc — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri