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.

South Central Kansas Regional Medical Center (NPI 1962947952)

Field	Value
Entity Type	Organization
Organization	South Central Kansas Regional Medical Center
Address	6401 Patterson Pkwy
City	Arkansas City
State	KS
ZIP	67005
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	December 29, 2016

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 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…	7,110	$110	$746.5K
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…	1,860	$120	$230K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	210	$70	$14.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	80	$130	$10.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	30	$140	$4.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	80	$40	$3.4K
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.	70	$1	$130
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	830	$0	$0
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	10	$0	$0
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	10	$0	$0

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

South Central Kansas Regional Medical Center — 0 of 7 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

10 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…	121	1,050	560	$80	$266.8K
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…	232	880	400	$60	$136K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	152	190	180	$110	$94.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	120	200	130	$130	$58.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	138	340	100	$100	$43.3K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	45	100	80	$100	$18.4K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	114	120	210	$10	$15.6K
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.	145	260	90	$10	$6.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	106	320	350	$1	$1.5K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	53	50	140	$1	$30

Related Providers

Other providers that share a Tax Identification Number (TIN) with South Central Kansas Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Central Kansas Regional Medical Center	KS	Rural Health Clinic/Center	$0	$1.9M
South Central Kansas Clinic LLC	KS	Rural Health Clinic/Center	$0	$1.2M
South Central Kansas Regional Medical Center	KS	Rural Acute Care Hospital	$0	$564.5K
Jason Wiltshire	KS	Surgery Physician	$177.6K	$0
Willie Posey	KS	Family Medicine Physician	$30.6K	$0
Michelle Darnall	KS	Family Medicine Physician	$19.5K	$0

Nearby Providers

Other providers in the same ZIP code as South Central Kansas Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Twin Rivers Developmental Supports Inc	KS	Case Management Agency	$0	$24.6M
Medicalodges, Inc.	KS	Home Health Agency	$0	$3.6M
Rogers Family Dentistry PA	KS	General Practice Dentistry	$0	$1.2M
Hcp1oc Alderbrook, LLC	KS	Assisted Living Facility	$0	$1.1M
Tran Majher And Shaw O.d. P.A.	KS	Optometrist	$0	$965.4K
City Of Arkansas City	KS	Land Ambulance	$183K	$211K
Lucinda Minkler	KS	Physical Therapist	$106.1K	$0
Kristina Post	KS	Optometrist	$59.2K	$0

South Central Kansas Regional Medical Center — Billing Profile & Reimbursement Data

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South Central Kansas Regional Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References