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.

Extended Care Specialists, Inc (NPI 1134146079)

Extended Care Specialists, Inc is a adult medicine physician provider located in Merrillville, Indiana. This profile covers 0 Medicare and 68 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	Extended Care Specialists, Inc
Address	8398 Mississippi St Fl 2
City	Merrillville
State	IN
ZIP	46410
Taxonomy	Adult Medicine Physician
NPI Enumerated	July 16, 2006

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

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

68 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	338,510	$10	$3.4M
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	31,130	$30	$871.6K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	109,270	$10	$546.3K
90832	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…	44,310	$10	$354.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	9,570	$30	$258.4K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	38,910	$1	$116.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	6,620	$20	$112.5K
99336	N/A	5,130	$10	$66.7K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	2,330	$20	$55.9K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	3,250	$20	$52K

Showing 1–10 of 68

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

Extended Care Specialists, Inc — 11 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

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	201	580	710	$60	$582.9K
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…	986	2,120	870	$60	$450.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	381	690	1,070	$80	$422.3K
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.	83	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…	1,624	2,380	920	$50	$376.8K
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	5	10	270	$350	$251.6K
90832	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…	12	430	630	$40	$243.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	36	520	240	$80	$165K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	4	220	190	$90	$112.1K
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…	456	510	180	$90	$93.6K

Showing 1–10 of 68

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crystal Wiles	IN	Family Nurse Practitioner	$991.7K	$0
Saif Choudhury	IN	Internal Medicine Physician	$492.3K	$0
Vinicius Teixeira	IN	Psychiatry Physician	$452.9K	$0
Kelly Butler	NC	Psychiatry Physician	$448.9K	$2.9K
Elisha Payne	OH	Family Nurse Practitioner	$361.1K	$0
Pragneshkumar Radadiya	IN	Family Medicine Physician	$318.4K	$0
Kevin Neese	IN	Internal Medicine Physician	$311.8K	$0
Keisha Todd	KY	Medical Physician Assistant	$295.2K	$0
Jared Caudill	IN	Family Nurse Practitioner	$293.2K	$0
Thomas Van Den Driessche	IN	Family Medicine Physician	$181.8K	$100.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Help At Home, LLC	IN	Home Health Agency	$0	$207.5M
Pinnacle Treatment Centers In-1, LLC D/b/a Recovery Works Merrillville	IN	Substance Abuse Rehabilitation Facility	$0	$43.1M
Southlake Community Mental Health Center Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$29.2M
Southlake Community Mental Health Center Inc.	IN	Psychiatric Hospital	$0	$22.6M
Innovations In Learning, PC	IN	Behavior Analyst	$0	$15.1M
Southlake Community Mental Health Center Inc.	IN	Clinic/Center	$0	$14M
Robert W Moses O.d. Professional Corporation	IN	Optometrist	$0	$13.4M
All Family Dental & Braces, LLC.	IN	General Practice Dentistry	$0	$12.1M
Northshore Health Centers, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$10.9M
Belvedere Slf LLC	IN	Assisted Living Facility	$0	$10.1M

Extended Care Specialists, Inc — Billing Profile & Reimbursement Data

Sign up for Extended Care Specialists, Inc — Billing Profile & Reimbursement Data policy alerts

Extended Care Specialists, Inc — Billing Profile & Reimbursement Data

Sign up for Extended Care Specialists, Inc — 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