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.

Terre Haute Regional Hospital, L.P. (NPI 1073550133)

Terre Haute Regional Hospital, L.P. is a general acute care hospital provider located in Terre Haute, Indiana. This profile covers 0 Medicare and 105 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	Terre Haute Regional Hospital, L.P.
Address	3901 S 7th St
City	Terre Haute
State	IN
ZIP	47802
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$16.7M
Medicare	$0

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

105 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	32,840	$130	$4.2M
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.	32,290	$110	$3.5M
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.	3,980	$310	$1.3M
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…	13,260	$90	$1.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	21,210	$50	$1M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2,820	$360	$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.	5,340	$140	$753.1K
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…	13,490	$40	$566.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	3,610	$80	$292.7K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	5,340	$50	$272.1K

Showing 1–10 of 105

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

Terre Haute Regional Hospital, L.P. — 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

105 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.	51	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.	41	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.	206	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	57	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…	32	130	3,770	$60	$617.7K
43249	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.	3	10	210	$1,060	$576.8K
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.	32	150	440	$100	$545.6K
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…	38	220	1,850	$30	$449.4K
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.	77	140	430	$220	$413.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	43	190	800	$40	$344.7K

Showing 1–10 of 105

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Hospital Inc.	IN	General Acute Care Hospital	$0	$47.1M
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Union Hospital, Inc.	IN	Family Medicine Physician	$0	$6.9M
Union Hospital, Inc.	IN	Critical Access Hospital	$0	$4.1M
Ejaz Shamim	IL	Diagnostic Radiology Physician	$34.5K	$540.6K
Vuppala Reddy	IN	Internal Medicine Physician	$516.3K	$0
Millie Kooistra	IN	Family Nurse Practitioner	$414.4K	$0
Neil Kabous	IN	Cardiovascular Disease Physician	$326.6K	$0
Nawar Mercho	IN	Cardiovascular Disease Physician	$309.5K	$0
Shantilal Patel	IN	Cardiovascular Disease Physician	$303.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Summit Bhc Henryville, LLC	IN	Substance Abuse Rehabilitation Facility	$0	$90.6M
Ambulance Management Services Ltd	IN	Land Ambulance	$2.9M	$14.7M
Gibault, Inc.	IN	Psychiatric Residential Treatment Facility	$0	$13.5M
Mosaic	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.2M
Providence Medical Group LLC	IN	Multi-Specialty Clinic/Center	$0	$7.3M
City Optical Co., Inc.	IN	Optometrist	$0	$5.9M
Happiness Bag Players, Incorporated	IN	Developmentally Disabled Services Day Training Agency	$0	$5.8M
Wabash Valley Children's Dentistry	IN	Dentist	$0	$5.7M
City Of Terre Haute	IN	Land Ambulance	$669K	$4.4M
Terre Haute Pulmonary & Pediatric Clinic, LLC	IN	Critical Care Medicine (Internal Medicine) Physician	$0	$4.8M

Terre Haute Regional Hospital, L.P. — Billing Profile & Reimbursement Data

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Terre Haute Regional Hospital, L.P. — 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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