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

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

Anthony Medical Associates P C (NPI 1003892555)

Anthony Medical Associates P C is a family medicine physician provider located in Fort Wayne, Indiana. This profile covers 0 Medicare and 48 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	Anthony Medical Associates P C
Address	1330 N Coliseum Blvd
City	Fort Wayne
State	IN
ZIP	46805
Taxonomy	Family Medicine Physician
NPI Enumerated	December 16, 2005

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

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

48 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…	57,800	$50	$2.8M
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…	11,660	$60	$687.8K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	1,640	$90	$144.5K
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,…	3,900	$30	$101.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	620	$90	$54.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	4,660	$10	$27.9K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	910	$20	$18.1K
99397	The provider performs an established well–patient visit for a patient who is 65 years or older.	170	$80	$13.3K
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…	290	$40	$11.1K
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	560	$20	$8.9K

Showing 1–10 of 48

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Anthony Medical Associates P C — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

48 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	235	2,120	870	$60	$450.6K
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…	59	2,380	920	$50	$376.8K
J3300	Injection, triamcinolone acetonide, preservative free, 1 mg	2	10	1,180	$60	$243.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	245	320	310	$80	$133.9K
99203	The provider sees a new 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 provider…	612	890	160	$60	$76.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	177	290	160	$80	$67.3K
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,…	73	880	250	$40	$59.2K
95250	In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…	7	10	70	$70	$50.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	273	660	530	$10	$47.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	65	120	220	$30	$34.3K

Showing 1–10 of 48

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Center, Inc.	IN	Community/Behavioral Health Agency	$0	$49.9M
Professional Emergency Physicians PC	IN	Emergency Medicine Physician	$0	$39.1M
Park Center Inc	IN	Psychiatric Hospital	$0	$26.7M
Park Center Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.6M
Am Home Health Care, Inc	IN	Home Health Agency	$0	$14.8M
Center For Behavioral Health Indiana LLC	IN	Methadone Clinic	$252.3K	$12.3M
Crossroad Child & Family Services, Inc.	IN	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$11.6M
Parkview Hospital, Inc.	IN	Air Ambulance	$0	$3.8M
Midwest Eye Consultants, P.C.	IN	Optometrist	$0	$3.6M
Transcend Orthotics & Prosthetics, LLC	IN	Prosthetic/Orthotic Supplier	$0	$3M

Anthony Medical Associates P C — Billing Profile & Reimbursement Data

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Anthony Medical Associates P C — 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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