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.

Racc Medical Associates LLC (NPI 1184976136)

Field	Value
Entity Type	Organization
Organization	Racc Medical Associates LLC
Address	1721 Magnavox Way
City	Fort Wayne
State	IN
ZIP	46804
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	October 15, 2012

Payer Source	Total Paid
Medicaid	$11.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

78 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	122,750	$50	$6M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	48,170	$30	$1.5M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	11,960	$110	$1.3M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	9,520	$40	$418.7K
99204	The provider sees a new 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 provider…	4,750	$60	$289.9K
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…	10,240	$20	$215K
99443	N/A	10,930	$20	$174.9K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	1,630	$100	$156.3K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	1,620	$70	$113.1K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	15,370	$10	$107.6K

Showing 1–10 of 78

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

Racc Medical Associates LLC — 8 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

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	5	20	1,610	$70	$841.6K
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…	16	2,120	870	$60	$450.6K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	4	30	400	$90	$443.4K
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…	351	2,380	920	$50	$376.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	7	190	800	$40	$344.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	97	120	3,340	$30	$283.4K
94761	The provider takes multiple measurements of the patient’s oxygen saturation using a sensor on the ear or finger.	10	20	270	$50	$187K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	70	80	340	$70	$139.8K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	38	40	260	$130	$132.5K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	3	30	140	$230	$100.9K

Showing 1–10 of 78

Related Providers

Other providers that share a Tax Identification Number (TIN) with Racc Medical Associates LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andrew Trobridge	IN	Pain Medicine (Anesthesiology) Physician	$212.9K	$0
Zachary Weaver	IN	Nurse Practitioner	$166.8K	$0
Joseph Edwards	IN	Family Nurse Practitioner	$158.7K	$0
Kara Hoover	IN	Family Nurse Practitioner	$156.4K	$0
Cortnie Patton	IN	Nurse Practitioner	$139.2K	$0
Jason Gaisford	IN	Physician Assistant	$135.3K	$0
Jared Coffman	IN	Interventional Pain Medicine Physician	$133K	$0
Thomas Straub	IN	Physician Assistant	$125.2K	$0
Breanna Haglund	IN	Physician Assistant	$124.3K	$0
Lacey Harvey	IN	Physician Assistant	$96.1K	$0

Nearby Providers

Other providers in the same ZIP code as Racc Medical Associates LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iom Health System LP	IN	General Acute Care Hospital	$0	$27.4M
Lutheran Medical Group LLC	IN	Cardiovascular Disease Physician	$0	$21.9M
Community Hca, Inc.	IN	Home Health Agency	$0	$19.4M
Booth & Company, Inc.	IN	Clinical Psychologist	$0	$16.5M
Emergency Professionals Of Indiana, P.C.	IN	Emergency Medicine Physician	$0	$15.3M
Summit Radiology P C	IN	Diagnostic Radiology Physician	$0	$11.6M
Jefferson Park Pediatrics P C	IN	Pediatrics Physician	$0	$9.1M
Emergency Medicine Of Indiana LLC	IN	Emergency Medicine Physician	$0	$6.5M
Allergy & Asthma Center, PC	IN	Allergy & Immunology Physician	$0	$4.7M
Inphynet Primary Care Physicians Midwest, S.c.	IN	Physician Assistant	$0	$4.3M

Racc Medical Associates LLC — Billing Profile & Reimbursement Data

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Racc Medical Associates LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References