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

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

Memorial Hermann Health System (NPI 1982666111)

Field	Value
Entity Type	Organization
Organization	Memorial Hermann Health System
Address	6411 Fannin St
City	Houston
State	TX
ZIP	77030
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 4, 2006

Payer Source	Total Paid
Medicaid	$39.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

171 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	20,100	$590	$11.9M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	2,940	$3,610	$10.6M
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.	18,440	$160	$3M
A0436	Rotary wing air mileage, per statute mile	2,930	$1,020	$3M
95716	The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…	1,060	$2,010	$2.1M
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.	4,620	$430	$2M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	320	$3,090	$981.7K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	530	$1,480	$784K
95700	The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…	1,100	$490	$536.3K
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…	21,330	$20	$383.9K

Showing 1–10 of 171

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Memorial Hermann Health System — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

171 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	2	20	90	$2,520	$2.2M
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.	94	710	1,790	$200	$2.1M
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.	109	730	1,960	$100	$1M
A0436	Rotary wing air mileage, per statute mile	2	20	90	$1,160	$1M
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.	140	590	740	$170	$969.2K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	20	30	330	$1,020	$750.2K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	222	320	920	$180	$720.3K
95716	The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…	1	10	150	$1,580	$641.4K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	159	340	400	$50	$553.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	28	60	340	$590	$491.5K

Showing 1–10 of 171

Related Providers

Other providers that share a Tax Identification Number (TIN) with Memorial Hermann Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hermann Health System	TX	General Acute Care Hospital	$0	$84.4M
Memorial Hermann Health System	TX	General Acute Care Hospital	$0	$26.8M
Conroe Surgery Center 2, LLC	TX	Ambulatory Surgical Clinic/Center	$2M	$0
Memorial Hermann Surgery Center Sugar Land LLP	TX	Ambulatory Surgical Clinic/Center	$1.8M	$0
Memorial Hermann Surgery Center Preston Road, Ltd.	TX	Ambulatory Surgical Clinic/Center	$1.7M	$1.3K
Memorial Hermann Surgery Center Kirby, LLC	TX	Ambulatory Surgical Clinic/Center	$1.6M	$0
Physicians West Houston Surgical Center, LLC	TX	Ambulatory Surgical Clinic/Center	$1.3M	$0
Memorial Hermann Surgery Center Woodlands Parkway, LLC	TX	Ambulatory Surgical Clinic/Center	$1.2M	$0
Memorial Hermann Surgery Center Southwest LLP	TX	Ambulatory Surgical Clinic/Center	$1.2M	$27K
Sugar Land Cardiovascular Asc LLC	TX	Ambulatory Surgical Clinic/Center	$1M	$0

Nearby Providers

Other providers in the same ZIP code as Memorial Hermann Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Texas Children's Hospital	TX	Children's Hospital	$0	$277.4M
Texas Children's Physician Group	TX	Pediatrics Physician	$0	$160.6M
Ut Physicians	TX	Anesthesiology Physician	$0	$94.4M
Texas Children's Urgent Care	TX	Pediatrics Physician	$0	$63.7M
Harris County Hospital District	TX	General Acute Care Hospital	$0	$27.7M
Baylor College Of Medicine	TX	Family Medicine Physician	$0	$18.1M
Igor Cherches	TX	Neurology Physician	$6.7M	$0
David Brown	TX	Ophthalmology Physician	$5.7M	$0
Tien Wong	TX	Ophthalmology Physician	$4.5M	$0
Ankoor Shah	TX	Ophthalmology Physician	$3.7M	$0

Memorial Hermann Health System — Billing Profile & Reimbursement Data

Sign up for Memorial Hermann Health System — Billing Profile & Reimbursement Data policy alerts

Memorial Hermann Health System — Billing Profile & Reimbursement Data

Sign up for Memorial Hermann Health System — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References