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.

Central Indiana Orthopedics LLC (NPI 1063422137)

Central Indiana Orthopedics LLC is a orthopaedic surgery physician provider located in Muncie, Indiana. This profile covers 0 Medicare and 57 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	Central Indiana Orthopedics LLC
Address	3600 W Bethel Ave
City	Muncie
State	IN
ZIP	47304
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	August 9, 2006

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

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

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99204	The provider sees a new 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 provider…	13,850	$90	$1.3M
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…	17,880	$60	$1M
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…	16,410	$60	$935.6K
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…	21,100	$40	$886.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	15,180	$30	$485.8K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	2,500	$70	$162.5K
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…	2,910	$20	$67K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	650	$90	$60.6K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	2,810	$20	$47.8K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	2,450	$20	$44K

Showing 1–10 of 57

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

Central Indiana Orthopedics LLC — 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

57 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…	161	2,120	870	$60	$450.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	165	400	1,100	$40	$382.2K
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…	191	2,380	920	$50	$376.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	34	490	1,080	$30	$162.7K
99204	The provider sees a new 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 provider…	13	790	150	$90	$99.4K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	35	50	310	$140	$94.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	260	510	180	$90	$93.6K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	5	20	180	$150	$91.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	220	280	210	$70	$83.4K
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…	14	890	160	$60	$76.8K

Showing 1–10 of 57

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meridian Services	IN	Community/Behavioral Health Agency	$0	$245.7M
Dentistry For Children Of Indiana, LLC	IN	Dentist	$0	$15.9M
Meridian Health Services Corp	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.5M
Meridian Health Services Corp	IN	Federally Qualified Health Center (FQHC)	$0	$11.1M
Behavior Associates Of Indiana LLC	IN	Behavior Analyst	$0	$10.8M
Muncie Treatment Center, LLC	IN	Methadone Clinic	$158.8K	$9.3M
Meridian Health Services Corp.	IN	Federally Qualified Health Center (FQHC)	$0	$5.4M
Medical Group Of Indiana LLC D/b/a Rheumatology Of Central Indiana	IN	Rheumatology Physician	$0	$4.5M
Oral Surgery Of Indiana, LLC	IN	Oral and Maxillofacial Surgery (Dentist)	$0	$4.5M
Meridian Health Services Corp	IN	Federally Qualified Health Center (FQHC)	$0	$3.5M

Central Indiana Orthopedics LLC — Billing Profile & Reimbursement Data

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Central Indiana Orthopedics LLC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Indiana Orthopedic Surgery Center, LLC	IN	Ambulatory Surgical Clinic/Center	$414.4K	$44K
Jeffrey Yergler	IN	Orthopaedic Surgery Physician	$405K	$0
Jonathan Eash	IN	Anesthesiology Physician	$305.8K	$0
Adam Cien	IN	Orthopaedic Surgery Physician	$253.1K	$0
Brent Damer	IN	Orthopaedic Surgery Physician	$246.4K	$0
Michael Berend	IN	Orthopaedic Surgery Physician	$212.6K	$0
Joshua Carter	IN	Orthopaedic Surgery Physician	$204.2K	$0
Brian Badman	IN	Orthopaedic Surgery Physician	$197.1K	$0
Ryan Cieply	IN	Orthopaedic Surgery Physician	$182.9K	$0
Wesley Lackey	IN	Orthopaedic Surgery Physician	$172.9K	$0