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 Ball Memorial Physicians, Inc. (NPI 1235455544)

Indiana University Health Ball Memorial Physicians, Inc. is a family medicine physician provider located in Muncie, Indiana. This profile covers 0 Medicare and 184 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	Indiana University Health Ball Memorial Physicians, Inc.
Address	2401 W University Ave
City	Muncie
State	IN
ZIP	47303
Taxonomy	Family Medicine Physician
NPI Enumerated	April 12, 2010

Payer Source	Total Paid
Medicaid	$26M
Medicare	$0

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

184 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…	100,640	$60	$6.3M
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…	105,820	$50	$5.4M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	66,840	$30	$2.1M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20,520	$50	$1M
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…	10,450	$90	$982.5K
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…	10,060	$90	$925.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6,690	$90	$622.4K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	7,320	$80	$563.6K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	6,290	$80	$515.9K
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.	8,880	$60	$497.2K

Showing 1–10 of 184

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 Ball Memorial Physicians, Inc. — 7 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

184 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.	182	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.	187	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.	154	330	1,530	$100	$1.1M
J0585	Injection, onabotulinumtoxina, 1 unit	8	30	280	$820	$992.2K
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…	88	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…	24	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…	356	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.	9	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…	23	2,380	920	$50	$376.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	179	220	1,380	$20	$360.2K

Showing 1–10 of 184

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana University Health Southern Indiana Physicians, LLC	IN	Multi-Specialty Clinic/Center	$0	$69.5M
Gordon Hughes	IN	Rheumatology Physician	$2M	$0
Andrew Offerle	IN	Emergency Medicine Physician	$310.3K	$0
Emily Rose	IN	Clinical Cardiac Electrophysiology Physician	$282.2K	$0
Alison Heidt	IN	Surgery Physician	$277.4K	$0
Patrick Mann	IN	Physician Assistant	$256.4K	$0
Pradeep Thodima	IN	Nephrology Physician	$247.6K	$0
Joan Crawford	IN	Cardiovascular Disease Physician	$222.6K	$0
Boris Vitvitskiy	IN	Physical Medicine & Rehabilitation Physician	$219.8K	$0
Fred Wu	IN	Radiation Oncology Physician	$219.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana University Health Ball Memorial Hospital, Inc.	IN	General Acute Care Hospital	$0	$44.5M
Hillcroft Services, Inc	IN	Social Worker	$0	$26.1M
Meridian Health Services Corp	IN	Psychiatric Hospital	$0	$3.4M
Open Door Health Services, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$3M
Ball Outpatient Surgery Center, LLC	IN	Ambulatory Surgical Clinic/Center	$1.2M	$1.7M
Henry Lee	IN	Radiation Oncology Physician	$868.5K	$0
Drew Anderson	IN	Dermatology Physician	$788.5K	$0
Brett Austin	IN	Dermatology Physician	$676.5K	$0
Muhammad Sarfraz Nawaz	IN	Hematology & Oncology Physician	$420.1K	$0
Elizabeth Peacock	IN	Dermatology Physician	$289.6K	$0

Indiana University Health Ball Memorial Physicians, Inc. — Billing Profile & Reimbursement Data

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Indiana University Health Ball Memorial Physicians, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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