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.

Columbus Regional Hospital (NPI 1104998624)

Field	Value
Entity Type	Organization
Organization	Columbus Regional Hospital
Address	2400 17th St
City	Columbus
State	IN
ZIP	47201
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 14, 2006

Payer Source	Total Paid
Medicaid	$35.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and total Medicaid revenue is $35.3M, so Medicaid comprises the entirety of reported government fee‑for‑service activity. The NPI was enumerated 2006-11-14 (~20 years ago), indicating an established hospital footprint in the market.

Medicaid revenue is highly concentrated in emergency department E/M codes: 99284 ($5.5M, 17.3%), 99282 ($4.9M, 15.4%), and 99283 ($4.6M, 14.5%) together account for 47.2% of this provider's total Medicaid revenue. That concentration signals that nearly half of Medicaid dollars flow through ED evaluation-and-management encounters rather than elective inpatient or ambulatory specialty procedures.

The code mix points to an ED-and-acute-care operational profile: top revenue drivers are 99284/99282/99283 (ED E/M) alongside surgical debridement 11042 ($2.6M, 8.3%) and pathology 88305 ($1.5M, 4.9%). High volumes of ED visits plus meaningful procedural and pathology revenue suggest a general acute care hospital with substantial emergency services, on-site surgical wound care, and in-house lab/pathology capabilities.

Ambulance and transport codes confirm integrated emergency throughput: A0429 ($1.6M, 5.0%), A0427 ($1.3M, 4.0%), and A0425 ($667.9K, 2.1%) are all among top contributors. These entries, together with the ED‑heavy E/M mix, imply significant EMS referrals or hospital-associated transport activity feeding the ED.

Several Medicaid codes are statistical outliers or notably above typical state volume: 99282 is an extreme outlier (rank #3 of 197, 99th percentile), and U0002 is an extreme outlier (rank #2 of 54, 98th percentile). C9803 is notably above typical (rank #4 of 75, 96th percentile) and 87502 is also notably above typical (rank #9 of 159, 95th percentile), indicating unusually high volume for certain COVID and specimen‑collection related services compared with in‑state peers.

While 99282 and U0002 are extreme outliers, many other high-revenue codes sit at typical in‑state volumes: 99284 ranks #41 of 382 (90th percentile; typical, unremarkable volume), 99283 ranks #46 of 364 (88th percentile; typical, unremarkable volume), and G0463 ranks #13 of 99 (88th percentile; typical, unremarkable volume). This pattern suggests the hospital is above average for certain discrete services but otherwise competes as a broadly typical provider across many common outpatient and ED services.

The dependency on a small set of ED codes creates concentration risk in Medicaid reimbursement: because 99284/99282/99283 together make up 47.2% of Medicaid revenue, shifts in ED case mix, changes to E/M valuation, or payer contract adjustments for ED services could disproportionately affect total revenue. Analysts should treat ED reimbursement and EMS/transport contracting as core financial levers for this provider.

Laboratory and diagnostic testing are meaningful secondary revenue streams: C9803 ($983.3K, 3.1%), U0003 ($379.4K, 1.2%), U0002 ($296.3K, 0.9%), 87502 ($422.7K, 1.3%), and 85025 ($283.7K, 0.9%) together show high testing throughput and a substantial role for infectious disease and routine lab work in overall Medicaid billing. Those volumes, plus 88305 pathology activity ($1.5M, 4.9%), reinforce that the hospital operates significant on-site lab and diagnostic services supporting both ED and outpatient care.

Medicaid: Complete Services Breakdown

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

221 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.	37,340	$150	$5.5M
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.	33,010	$150	$4.9M
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.	31,860	$140	$4.6M
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.	5,250	$500	$2.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	24,550	$90	$2.1M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	12,910	$120	$1.6M
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…	4,190	$370	$1.5M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	8,520	$150	$1.3M
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	14,250	$70	$983.3K
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…	14,650	$60	$878.8K

Showing 1–10 of 221

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

Columbus Regional Hospital — 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

221 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.	41	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.	46	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.	220	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	13	100	2,210	$70	$926K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	16	30	450	$1,270	$886.9K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	20	180	1,730	$180	$744.6K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	15	200	1,130	$160	$730.5K
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…	30	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…	572	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.	55	150	440	$100	$545.6K

Showing 1–10 of 221

Nearby Providers

Other providers in the same ZIP code as Columbus Regional Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Regional Health Physicians, LLC	IN	Internal Medicine Physician	$0	$23.2M
Adaptive Nursing And Healthcare Services, LLC	IN	Home Health Agency	$0	$8.6M
Emergency Physicians Inc Of Columbus	IN	Emergency Medicine Physician	$0	$7.5M
Interim Healthcare Of Se Indiana, Inc.	IN	Home Health Agency	$0	$7.5M
White River Dental LLC	IN	Dental Clinic/Center	$0	$6.9M
Columbus Dental Corp	IN	General Practice Dentistry	$0	$6.4M
Columbus Pediatric Dentistry, P.C.	IN	Pediatric Dentistry	$0	$5.3M
Lynne Eckerle	IN	Case Management Agency	$0	$4.3M
Steinmetz Pediatric Dentistry, P.C.	IN	Pediatric Dentistry	$0	$3.2M
Sitaram Dental LLC	IN	Dental Clinic/Center	$0	$2.6M

Columbus Regional Hospital — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References