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.

Norton Clark Physician Practices, LLC (NPI 1083098651)

Norton Clark Physician Practices, LLC is a internal medicine physician provider located in Clarksville, Indiana. This profile covers 0 Medicare and 131 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	Norton Clark Physician Practices, LLC
Address	2205 Greentree N
City	Clarksville
State	IN
ZIP	47129
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 14, 2015

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

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

131 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	44,090	$60	$2.5M
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…	50,250	$40	$1.8M
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	6,360	$70	$432.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,160	$90	$274.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,070	$80	$257.8K
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…	2,920	$60	$187.1K
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…	3,570	$40	$135.6K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	2,270	$60	$133.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,230	$80	$103.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	9,390	$10	$103.2K

Showing 1–10 of 131

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

Norton Clark Physician Practices, 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

131 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	70	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…	64	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…	82	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.	112	140	430	$220	$413.2K
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…	71	2,380	920	$50	$376.8K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	31	160	1,390	$70	$294.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	75	280	880	$80	$267.2K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	82	190	1,680	$70	$264.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	73	290	770	$80	$250.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	117	530	740	$30	$210K

Showing 1–10 of 131

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Riverside Radiology And Interventional Associates Inc	OH	Diagnostic Radiology Physician	$0	$30.3M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Inder Singal	KY	Ophthalmology Physician	$4M	$151.3K
John Kitchens	KY	Retina Specialist (Ophthalmology) Physician	$3.5M	$514.7K
Todd Purkiss	KY	Retina Specialist (Ophthalmology) Physician	$3.9M	$4.8K
Blake Isernhagen	KY	Retina Specialist (Ophthalmology) Physician	$3.2M	$120.3K
Aaron Ricca	KY	Retina Specialist (Ophthalmology) Physician	$2.5M	$307.6K
Steven Bloom	KY	Ophthalmology Physician	$2.3M	$232K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Commitment House LLC	IN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$48.9M
Kentuckiana Detox And Rehab Center	IN	Substance Abuse Rehabilitation Facility	$0	$22.1M
Sunrise Recovery LLC	IN	Substance Abuse Rehabilitation Facility	$0	$20.8M
Healthtrackrx Of California, LLC	IN	Clinical Medical Laboratory	$0	$6.6M
Joseph A Fleck Dds Psc	IN	Pediatric Dentistry	$0	$3.4M
Gould's Discount Medical LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$2.6M
Patricia Isaacs	IN	Family Medicine Physician	$274.8K	$0
Joshua Houston	IN	Optometrist	$25.8K	$182.7K
Steven Goldstein	IN	Internal Medicine Physician	$162.1K	$0
Devin Shafer	IN	Family Nurse Practitioner	$155.7K	$0

Norton Clark Physician Practices, LLC — Billing Profile & Reimbursement Data

Sign up for Norton Clark Physician Practices, LLC — Billing Profile & Reimbursement Data policy alerts

Norton Clark Physician Practices, LLC — Billing Profile & Reimbursement Data

Sign up for Norton Clark Physician Practices, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References