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.

Emergency Professionals Of Indiana, P.C. (NPI 1013951219)

Field	Value
Entity Type	Organization
Organization	Emergency Professionals Of Indiana, P.C.
Address	7950 W Jefferson Blvd
City	Fort Wayne
State	IN
ZIP	46804
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 16, 2006

Payer Source	Total Paid
Medicaid	$15.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	97,690	$80	$7.4M
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.	96,760	$60	$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.	43,650	$40	$1.7M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	31,140	$1	$93.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	730	$100	$74.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	30	$30	$840
29125	The provider applies a static, or rigid, splint to the lower arm extending from the elbow to the palm to immobilize an injury to the forearm or wrist during healing or for stabilization of a fracture…	10	$0	$0
99053	The provider renders overnight services at a 24 hour facility.	9,240	$0	$0

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

Emergency Professionals Of Indiana, P.C. — 2 of 6 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	11	380	2,470	$100	$1.5M
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.	27	360	3,490	$110	$1.5M
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.	7	330	1,530	$100	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	170	200	280	$130	$321.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	46	140	270	$130	$195.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	24	290	630	$1	$45.5K
29125	The provider applies a static, or rigid, splint to the lower arm extending from the elbow to the palm to immobilize an injury to the forearm or wrist during healing or for stabilization of a fracture…	8	10	50	$10	$460
99053	The provider renders overnight services at a 24 hour facility.	3	40	250	$1	$10

Nearby Providers

Other providers in the same ZIP code as Emergency Professionals Of Indiana, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iom Health System LP	IN	General Acute Care Hospital	$0	$27.4M
Lutheran Medical Group LLC	IN	Cardiovascular Disease Physician	$0	$21.9M
Community Hca, Inc.	IN	Home Health Agency	$0	$19.4M
Booth & Company, Inc.	IN	Clinical Psychologist	$0	$16.5M
Summit Radiology P C	IN	Diagnostic Radiology Physician	$0	$11.6M
Racc Medical Associates LLC	IN	Physical Medicine & Rehabilitation Physician	$0	$11.3M
Jefferson Park Pediatrics P C	IN	Pediatrics Physician	$0	$9.1M
Emergency Medicine Of Indiana LLC	IN	Emergency Medicine Physician	$0	$6.5M
Allergy & Asthma Center, PC	IN	Allergy & Immunology Physician	$0	$4.7M
Inphynet Primary Care Physicians Midwest, S.c.	IN	Physician Assistant	$0	$4.3M

Emergency Professionals Of Indiana, P.C. — Billing Profile & Reimbursement Data

Sign up for Emergency Professionals Of Indiana, P.C. — Billing Profile & Reimbursement Data policy alerts

Emergency Professionals Of Indiana, P.C. — Billing Profile & Reimbursement Data

Sign up for Emergency Professionals Of Indiana, P.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References