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.

Kansas University Physicians Inc (NPI 1962548883)

Kansas University Physicians Inc is a pediatrics physician provider located in Kansas City, Kansas. This profile covers 0 Medicare and 71 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	Kansas University Physicians Inc
Address	4000 Cambridge St
City	Kansas City
State	KS
ZIP	66160
Taxonomy	Pediatrics Physician
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicaid	$7.6M
Medicare	$0

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

71 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…	33,220	$40	$1.3M
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…	17,750	$70	$1.2M
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…	15,280	$70	$1.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	7,680	$70	$568.5K
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…	7,290	$60	$451.9K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	2,150	$130	$285.6K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	8,570	$30	$265.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,520	$80	$263.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	5,540	$40	$221.5K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	3,190	$70	$219.8K

Showing 1–10 of 71

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

Kansas University Physicians Inc — 7 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

71 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	4	10	300	$260	$449.8K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	2	10	80	$130	$285.9K
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…	13	1,050	560	$80	$266.8K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	4	10	280	$130	$191.2K
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…	2	160	470	$90	$163.1K
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…	2	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…	75	880	400	$60	$136K
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…	157	730	440	$80	$128.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3	190	180	$110	$94.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	240	280	320	$50	$87.5K

Showing 1–10 of 71

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Luke's Physician Group Inc	MO	Family Medicine Physician	$0	$15M
Kansas University Physicians Inc	KS	Psychiatry Physician	$0	$4M
University Of Kansas Hospital Authority	KS	Multi-Specialty Clinic/Center	$0	$3.9M
Kansas University Physicians Inc	KS	Internal Medicine Physician	$0	$3M
Kansas University Physicians Inc	KS	Diagnostic Radiology Physician	$0	$2M
Kansas University Physicians Inc	KS	Obstetrics & Gynecology Physician	$0	$1.8M
Keith Warren	KS	Ophthalmology Physician	$1.1M	$8.4K
Thomas Hocker	KS	MOHS-Micrographic Surgery Physician	$1.1M	$0
Kansas University Physicians Inc	KS	Ophthalmology Physician	$0	$731.8K
Nebiyu Beteselassie	MO	Diagnostic Radiology Physician	$627.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Kansas Hospital Authority	KS	General Acute Care Hospital	$0	$9.2M
Mid-america Cardiology Associates, Inc.	KS	Cardiovascular Disease Physician	$0	$578.1K
Dhanunjaya Lakkireddy	KS	Clinical Cardiac Electrophysiology Physician	$293.2K	$0
Kristin Williams	KS	Diagnostic Radiology Physician	$274.4K	$0
Yeruva Veera Madhu Reddy	KS	Clinical Cardiac Electrophysiology Physician	$250.9K	$0
Andrew Arther	KS	Urology Physician	$236.3K	$0
Joshua Jones	KS	Student in an Organized Health Care Education/Training Program	$230.6K	$0
Siva Kumar Soma	KS	Clinical Cardiac Electrophysiology Physician	$220.9K	$0
David Anderson	KS	Orthopaedic Surgery Physician	$220.3K	$0
Yiqing Butler-xu	KS	Radiation Oncology Physician	$219.3K	$0

Kansas University Physicians 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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