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NPI 1053361642 · Evansville, IN · General Acute Care Hospital
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Deaconess Hospital, Inc. is a general acute care hospital provider located in Evansville, Indiana. This profile covers 2 Medicare and 298 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Deaconess Hospital, Inc. |
| Address | 600 Mary St |
| City | Evansville |
| State | IN |
| ZIP | 47710 |
| Taxonomy | General Acute Care Hospital |
| NPI Enumerated | May 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $77.5M |
| Medicare | $49.2K |
Provider is overwhelmingly Medicaid-centric: reported Total Medicare revenue is $49.2K versus Total Medicaid revenue of $77.5M, indicating Medicaid accounts for the vast majority of billed revenue and the organization operates at a materially different scale across the two payers. The NPI was enumerated on 2006-05-12 (~20 years ago), so this profile represents an established hospital with long tenure in the market.
Medicare activity is highly concentrated in breast imaging: the precomputed top-3 Medicare codes account for 100.0% of the provider's Medicare revenue, dominated by 77067 (79.0% of Medicare revenue) and 77063 (21.0% of Medicare revenue). Both codes represent screening mammography modalities (2D and tomosynthesis), which implies that the provider’s Medicare-facing services are largely imaging-focused rather than inpatient or broad outpatient care.
Medicare competitive standing is modest: 77067 ranks #4451 of 15198 providers nationally and 77063 ranks #4170 of 14277 providers nationally (both at the 71th percentile), characterized in the source as "typical, unremarkable volume" — this suggests the hospital is a routine regional provider of mammography without unusual national dominance.
Medicaid revenue is concentrated in emergency and outpatient evaluation/management: the top 3 Medicaid codes account for 47.4% of Medicaid revenue, driven by 99284 (28.0%), G0463 (11.0%), and 99283 (8.4%). These codes describe moderate- and low-complexity ED visits and hospital outpatient clinic visits, indicating the hospital’s Medicaid business is heavily ED- and clinic-centric rather than elective or specialty-procedure driven.
State-level competitive standing is strong in emergency and outpatient throughput: 99284 ranks #8 of 382 in-state (98th percentile; labeled an "extreme outlier") and G0463 ranks #4 of 99 in-state (97th percentile; "extreme outlier"), signaling that the hospital is a major in-state provider for ED and outpatient clinic services and likely captures unusually high Medicaid emergency volume versus peers. 99283 is also high at the 92th percentile (typical, unremarkable volume).
The facility shows exceptional volume for testing, specimen collection, and observation-level services on Medicaid: high-ranked, labeled "extreme outlier" or top-ranking codes include C9803 (rank #1 of 75, 100th percentile), U0003 (rank #2 of 89, 99th percentile), Q9967 (rank #1 of 105, 100th percentile), 87637 (rank #1 of 50, 100th percentile), and G0378 (rank #1 of 44, 100th percentile). Together these entries point to very high throughput for SARS‑CoV‑2 testing, specimen collection, contrast supply usage, multiplex respiratory testing, and hospital observation hours within the Medicaid population.
Ancillary and diagnostic services support the high outpatient/ED mix: the Medicaid top-25 list includes large volumes and elevated ranks for imaging and procedural codes such as 71045/71046 chest x‑rays, 74177 CT abdomen/pelvis (rank #18 of 147, 88th percentile), 70450 CT head (88th percentile), and endoscopy 43239 (rank #11 of 132, 92th percentile). Laboratory panels and phlebotomy are also highly reported (80050, 80053, 36415 all ranked at or near the top in-state), consistent with a high-throughput acute-care hospital supporting ED and observation care.
Operational implication: the mix and state-level dominance on many Medicaid codes indicate the provider functions as a high-volume regional acute-care and emergency hub for Medicaid members, with imaging, lab, COVID testing, and observation services tightly integrated into its revenue base. For payers and network planners, this combination of extreme in‑state ranks on ED, testing, and outpatient visit codes signals a facility that plays an outsized role in Medicaid service delivery and should be evaluated as a key access point for Medicaid beneficiaries in the region.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 77067 | The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software… | 470 | $80 | $38.8K |
| 77063 | The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis… | 470 | $20 | $10.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
298 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. | 120,610 | $160 | $18.9M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 98,740 | $80 | $7.4M |
| 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. | 41,110 | $140 | $5.7M |
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 35,900 | $120 | $4.2M |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 8,710 | $350 | $3M |
| 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… | 44,550 | $70 | $3M |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 22,570 | $130 | $3M |
| 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. | 12,350 | $240 | $2.9M |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 3,970 | $650 | $2.6M |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 3,050 | $760 | $2.3M |
Showing 1–10 of 298
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
298 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. | 8 | 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. | 30 | 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. | 65 | 330 | 1,530 | $100 | $1.1M |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 22 | 30 | 280 | $820 | $992.2K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 4 | 100 | 2,210 | $70 | $926K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 6 | 130 | 3,770 | $60 | $617.7K |
| 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… | 213 | 580 | 710 | $60 | $582.9K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 18 | 150 | 440 | $100 | $545.6K |
| 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… | 492 | 2,120 | 870 | $60 | $450.6K |
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 17 | 220 | 1,850 | $30 | $449.4K |
Showing 1–10 of 298
Other providers in the same ZIP code as Deaconess Hospital, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Evansville Treatment Center, LLC | IN | Methadone Clinic | $155.5K | $13.5M |
| Evansville Radiology PC | IN | Diagnostic Radiology Physician | $0 | $8.5M |
| Southwestern Ind Reg Council On Aging | IN | Case Management Agency | $0 | $5.9M |
| Deaconess Clinic, Inc | IN | Family Medicine Physician | $0 | $3.1M |
| Terrence Chambers | IN | Diagnostic Radiology Physician | $152.4K | $700.7K |
| Air Evac Ems Inc | IN | Air Ambulance | $381.3K | $194.9K |
| Omar Dukar | IN | Ophthalmology Physician | $371.6K | $0 |
| Abbie Steiner | IN | Family Nurse Practitioner | $348.7K | $0 |
| James Carson | IN | Diagnostic Radiology Physician | $342.3K | $1.7K |
| Michael Daugherty | IN | Diagnostic Radiology Physician | $317.9K | $0 |
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