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.

Witham Memorial Hospital (NPI 1083750293)

Witham Memorial Hospital is a family medicine physician provider located in Lebanon, Indiana. This profile covers 0 Medicare and 125 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	Witham Memorial Hospital
Address	2605 N Lebanon St
City	Lebanon
State	IN
ZIP	46052
Taxonomy	Family Medicine Physician
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

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

125 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	71,340	$50	$3.5M
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…	36,730	$70	$2.4M
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…	12,410	$80	$967.9K
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…	10,420	$80	$874.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,830	$80	$560K
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…	5,320	$70	$377.7K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	14,260	$20	$313.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	27,140	$10	$298.6K
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…	3,760	$80	$282.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,140	$80	$175.1K

Showing 1–10 of 125

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

Witham Memorial Hospital — 6 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

125 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…	74	2,120	870	$60	$450.6K
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…	41	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…	47	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…	17	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…	45	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…	19	290	770	$80	$250.8K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	36	60	150	$480	$221.3K
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…	248	530	740	$30	$210K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	268	360	430	$50	$177.4K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	44	150	440	$50	$157K

Showing 1–10 of 125

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Witham Memorial Hospital	IN	General Acute Care Hospital	$0	$5.6M
Zulfiqar Mirza	IN	Cardiovascular Disease Physician	$392.2K	$0
Ibrar Paracha	IN	Hospitalist Physician	$305K	$0
Michael Hornbecker	IN	Internal Medicine Physician	$260.8K	$0
Michael Fritsch	IN	Otology & Neurotology Physician	$138.8K	$440
Rhys Schmidt	IN	Surgical Oncology Physician	$120.3K	$0
Anne Ford	IN	Cardiovascular Disease Physician	$64.8K	$0
Mehul Patel	IN	Gastroenterology Physician	$56.3K	$0
Christopher Huffer	IN	Pulmonary Disease Physician	$53.4K	$0
Brandon Horn	IN	Orthopaedic Surgery Physician	$52.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Piece By Piece Autism Center	IN	Community/Behavioral Health Agency	$0	$47.8M
Lafayette Emergency Physicians, Inc	IN	Emergency Medicine Physician	$0	$9M
Integrative Wellness, LLC	IN	Psychiatry Physician	$0	$5.4M
Arc Rehab Services, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$2.6M
Conor Dwyer	IN	Orthopaedic Surgery Physician	$51.1K	$0
Paul Warrick	IN	Otolaryngology Physician	$44.2K	$0
Rebeca Maynard	IN	Sleep Medicine (Internal Medicine) Physician	$43.6K	$0
Adam Cieciuch	IN	Pulmonary Disease Physician	$16.5K	$0

Witham Memorial Hospital — Billing Profile & Reimbursement Data

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Witham Memorial Hospital — 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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