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 Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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.

Baptist Health Medical Group Inc (NPI 1922401611)

Baptist Health Medical Group Inc is a family medicine physician provider located in Paducah, Kentucky. This profile covers 0 Medicare and 222 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	Baptist Health Medical Group Inc
Address	2605 Kentucky Ave
City	Paducah
State	KY
ZIP	42003
Taxonomy	Family Medicine Physician
NPI Enumerated	October 8, 2014

Payer Source	Total Paid
Medicaid	$21.9M
Medicare	$0

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

222 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…	191,650	$30	$5.9M
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…	144,440	$40	$5.8M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	22,590	$40	$971.4K
99391	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…	15,570	$60	$918.7K
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…	13,010	$70	$884.7K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	17,550	$30	$543.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	8,950	$60	$536.8K
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…	5,840	$80	$473.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	65,530	$10	$458.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,210	$70	$428.2K

Showing 1–10 of 222

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Baptist Health Medical Group Inc — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

222 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	14	20	460	$540	$739.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	20	210	1,340	$160	$568K
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…	131	130	6,080	$40	$449.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	964	1,270	760	$80	$447.2K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	26	170	1,300	$230	$441K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	51	130	2,450	$60	$382.4K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	117	130	420	$270	$375.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	309	340	2,730	$40	$328.2K
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…	25	3,340	1,020	$30	$296K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	27	60	160	$780	$292.2K

Showing 1–10 of 222

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Health Deaconess Madisonville Inc	KY	Rural Acute Care Hospital	$0	$80.8M
Baptist Healthcare System, Inc.	KY	General Acute Care Hospital	$0	$58.5M
Baptist Health Medical Group Inc	KY	Nurse Practitioner	$0	$54.1M
Baptist Health Medical Group Inc	KY	Internal Medicine Physician	$0	$27.9M
Baptist Health Medical Group Inc	KY	Urgent Care Clinic/Center	$0	$26.7M
Baptist Health Medical Group Inc	KY	Internal Medicine Physician	$0	$13.7M
Irfan Afaq	IN	Specialist	$84.2K	$6M
Peter Blackburn	KY	Retina Specialist (Ophthalmology) Physician	$1M	$251.2K
Artin Aharonian	MD	Diagnostic Radiology Physician	$1M	$0
Corey Hatfield	KY	Rheumatology Physician	$736.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$72.6M
Mercy Health-lourdes Hospital LLC	KY	General Acute Care Hospital	$0	$61.9M
Mercy Health Physicians Kentucky LLC	KY	Family Medicine Physician	$0	$11.9M
Ambulatory Surgery Center LLC	KY	Ambulatory Surgical Clinic/Center	$771.4K	$8.7M
Joseph Blackmon	KY	MOHS-Micrographic Surgery Physician	$6.9M	$0
John Colgan Jr.	KY	Pediatric Dentistry	$0	$5.6M
Mercy Health Physicians Kentucky Specialty Care LLC	KY	Surgery Physician	$0	$4.7M
Justin Colgan	KY	Pediatric Dentistry	$0	$4.6M
Paducah Ophthalmology Asc LLC	KY	Ambulatory Surgical Clinic/Center	$1.3M	$467.8K
Halden Ford	KY	Dermatology Physician	$1.3M	$4.5K

Baptist Health Medical Group Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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