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.

Indiana University Health Inc (NPI 1144266024)

Field	Value
Entity Type	Organization
Organization	Indiana University Health Inc
Address	1701 N Senate Blvd
City	Indianapolis
State	IN
ZIP	46202
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicaid	$111.5M
Medicare	$0

Key Findings

This entity is effectively a single-payer Medicaid billing organization: there is no Medicare billing on file while lifetime Medicaid revenue is $111.5M. The absence of Medicare claims means analyses should treat Medicaid patterns here as representing the bulk of the provider's payer-facing activity rather than a dual-payer mix.

Revenue concentration is high: the precomputed top-three Medicaid codes account for 39.6% of the provider's total Medicaid revenue, indicating that a small set of services drive a large share of cash flow and should be prioritized for contract negotiations and utilization management.

The top revenue drivers point to an EMS-forward and high-volume emergency care operation. A0431 (rotary-wing ambulance transport) generates $15.4M (15.6% of Medicaid revenue) and A0436 (rotary wing mileage) contributes $6.9M (7.0%), while multiple ED E/M codes 99283–99285 together account for large individual shares ($12.9M, $10.7M, $8.4M respectively). This mix suggests substantial use of air and ground ambulance services paired with high emergency department throughput.

Competitive standing in-state is dominant for several high-revenue ambulance and emergency codes: the provider ranks #1 of 10 for A0431 and #1 of 8 for A0436 (both 100th percentile), and ranks #3 of 327 for A0425 (99th percentile). Those ranks and the dataset labels (e.g., extreme outlier, notably above typical) indicate this provider is a leading statewide provider of rotary-wing and high-mileage ambulance services.

Several procedure codes reflect exceptionally high volume compared with peers, underlining system-scale in routine diagnostics and ED throughput: 36415 (216.8K claims) and 85025 (162.6K claims) each rank among the top statewide performers (36415 is #3 of 646 at 100th percentile; 85025 is #5 of 289 at 99th percentile) and are described as extreme outliers in volume. These high counts indicate large-scale lab and phlebotomy throughput supporting the emergency and inpatient services.

Operationally, the provider also shows concentrated utilization of high-acuity ED evaluations: 99284 (78.2K claims, $10.7M) and 99285 (67.6K claims, $8.4M) both sit in the mid-to-high state percentiles (96th and 97th respectively), signaling a steady mix of moderate-to-high complexity emergency cases rather than only low-acuity visits. This has implications for staffing, case-mix adjustment, and resource planning.

There are multiple codes flagged as extreme outliers or notably above typical that span both transport and ancillary services, for example A0425 (ground mileage) at 98.3K claims and 99th percentile, 96374 (IV medication administration) at 51.9K claims and 99th percentile, and U0004 (COVID PCR) at 18K claims and 100th percentile. These labels suggest system-scale operational breadth from transport logistics through ED therapeutics and high-volume testing.

Tenure is long-standing: the NPI was enumerated on 2006-06-21 (~20 years ago), indicating the provider has been active in federal enrollment for roughly two decades, which supports the interpretation of sustained, high-volume service lines and established operational infrastructure within the state.

Medicaid: Complete Services Breakdown

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

334 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	6,630	$2,320	$15.4M
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.	90,270	$140	$12.9M
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.	78,160	$140	$10.7M
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.	67,580	$120	$8.4M
A0425	Ground mileage, per statute mile	98,260	$80	$8M
A0436	Rotary wing air mileage, per statute mile	6,630	$1,050	$6.9M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	22,990	$190	$4.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	56,950	$80	$4.3M
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…	67,660	$60	$4.1M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	19,690	$190	$3.6M

Showing 1–10 of 334

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

Indiana University Health Inc — 18 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

334 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	1	10	240	$2,220	$3.2M
A0436	Rotary wing air mileage, per statute mile	1	10	490	$910	$1.6M
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.	16	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.	10	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.	11	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	6	100	2,210	$70	$926K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	5	180	1,730	$180	$744.6K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	8	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…	3	130	3,770	$60	$617.7K
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.	45	150	440	$100	$545.6K

Showing 1–10 of 334

Related Providers

Other providers that share a Tax Identification Number (TIN) with Indiana University Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana University Health, Inc	IN	Home Infusion Therapy Pharmacy	$0	$178.1M
Indiana University Health Care Associates, Inc	IN	General Practice Physician	$0	$125.4M
Indiana University Health Inc	IN	Children's Hospital	$0	$75.6M
Indiana University Health Southern Indiana Physicians, LLC	IN	Multi-Specialty Clinic/Center	$0	$69.5M
University Medical Diagnostic Associates, Inc.	IN	Internal Medicine Physician	$0	$28.3M
Indiana University Health Arnett Inc	IN	General Acute Care Hospital	$0	$26M
Indiana University Health West Hospital Inc	IN	General Acute Care Hospital	$0	$16M
Indiana Clinic-neurology, LLC	IN	Neurology Physician	$0	$15.8M
Indiana University Health North Hospital Inc	IN	General Acute Care Hospital	$0	$6.9M
Indiana University Health, Inc	IN	Cardiovascular Disease Physician	$0	$4.5M

Nearby Providers

Other providers in the same ZIP code as Indiana University Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Health And Hospital Corporation Of Marion County	IN	General Acute Care Hospital	$0	$231.6M
University Pediatric Associates, Inc.	IN	Pediatrics Physician	$0	$98.3M
University Family Physicians, Inc.	IN	Family Medicine Physician	$0	$65.3M
Indiana University Radiology Associates, Inc.	IN	Diagnostic Radiology Physician	$0	$47.8M
The Health And Hospital Corporation Of Marion County	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46.9M
Icem-wishard LLC	IN	Emergency Medicine Physician	$0	$34.6M
The Health And Hospital Corporation Of Marion County	IN	Nurse Practitioner	$0	$30.1M
Eskenazi Medical Group Inc	IN	Adult Medicine Physician	$0	$18.9M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$16.6M
University Obstetricians-gynecologists,inc	IN	Obstetrics & Gynecology Physician	$0	$14.3M

Indiana University Health Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References