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.

Indianapolis Recovery LLC (NPI 1164064242)

Field	Value
Entity Type	Organization
Organization	Indianapolis Recovery LLC
Address	2926 N Capitol Ave
City	Indianapolis
State	IN
ZIP	46208
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	October 10, 2019

Payer Source	Total Paid
Medicaid	$32.9M
Medicare	$0

Key Findings

INDIANAPOLIS RECOVERY LLC’s billing pattern is dominated by substance-abuse treatment services aligned with its taxonomy as a Substance Abuse Rehabilitation Facility; the top codes reported (H0010 and H0015) correspond to residential sub-acute detoxification and intensive outpatient programming, indicating the organization operates a high-volume inpatient detox program alongside a smaller outpatient arm. The code mix suggests the facility’s operational focus is on acute residential detox care rather than a broad menu of behavioral-health services.

Medicaid revenue is concentrated almost entirely in a single service line: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with H0010 alone representing $32.5M (98.7% of this provider's total Medicaid revenue) from 95.8K claims at $339 avg paid/claim. H0015 contributes $427.9K (1.3% of this provider's total Medicaid revenue) from 9.7K claims at $44 avg paid/claim, underscoring extreme revenue concentration in H0010.

Payer mix is effectively single-payer Medicaid: the profile shows no Medicare billing on file while total Medicaid revenue is $32.9M, so all recorded federal program revenue flows through Medicaid. This makes Medicaid reimbursement policy and state-level managed-care arrangements the primary drivers of the provider’s reported revenue.

On competitive standing for the facility’s principal service, H0010 ranks #4 of 57 providers in-state and sits at the 95th percentile with a plain-English characterization of being notably above typical state volume for this code; that ranking positions the provider as one of the larger in-state residential detox operators by Medicaid volume. By contrast, H0015 ranks #8 of 69 providers in-state (90th percentile) but is described as typical and unremarkable for that code, indicating the provider is not a clear market leader for intensive outpatient services.

Operational scale is high for the inpatient detox line: 95.8K H0010 claims represent substantial throughput, and the $339 avg paid/claim versus $44 for H0015 reflects a materially higher payment and likely resource intensity per H0010 encounter. The disparity in claim counts and average payments between H0010 and H0015 signals the business is structured around frequent, higher-cost residential encounters rather than lower-intensity outpatient visits.

The provider has an active NPI enumerated on 2019-10-10 (~7 years ago), indicating several years of billing history under this identifier; the combination of multi-year enumeration and concentrated Medicaid volume suggests an established operational model focused on detox services. Continued monitoring of state Medicaid policy and reimbursement for H0010 will be important given the provider’s short list of high-revenue codes.

The extreme concentration of Medicaid dollars in a single code (H0010 at 98.7% of Medicaid revenue) represents a strategic vulnerability: any changes to coverage, supervision, or payment for residential sub-acute detoxification would disproportionately affect overall revenue. From an analytic perspective, this profile flags the provider as high-dependency on one service line rather than a diversified behavioral-health billing entity.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	95,800	$340	$32.5M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	9,730	$40	$427.9K

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

Indianapolis Recovery LLC — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	4	60	23,940	$380	$12.8M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	8	70	1,520	$100	$429.2K

Nearby Providers

Other providers in the same ZIP code as Indianapolis Recovery LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James A. Weddell Dds,msd,pc	IN	Pediatric Dentistry	$0	$9.7M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$3.3M
Michael Gilpatrick	IN	General Practice Physician	$616.9K	$0
Robert Mehl	IN	Diagnostic Radiology Physician	$249.8K	$110
Bertram Graves	IN	Cardiovascular Disease Physician	$28.1K	$0
Meridian Correctional Services LLC	IN	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$13.4K	$2.1K
Erin Burns	IN	Family Medicine Physician	$12.2K	$0

Indianapolis Recovery LLC — Billing Profile & Reimbursement Data

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Indianapolis Recovery LLC — 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