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.

The Hope Source Inc. (NPI 1265736615)

The Hope Source Inc. is a multi-specialty clinic/center provider located in Indianapolis, Indiana. This profile covers 0 Medicare and 10 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	The Hope Source Inc.
Address	8350 Craig St
City	Indianapolis
State	IN
ZIP	46250
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	December 28, 2010

Payer Source	Total Paid
Medicaid	$17.4M
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	66,760	$230	$15.1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	24,000	$70	$1.7M
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	5,130	$60	$312.7K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	1,470	$50	$79.4K
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	5,530	$10	$60.8K
96152	N/A	460	$100	$46.6K
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…	280	$60	$16.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	430	$30	$10.7K
97157	The provider discusses multiple patients’ adaptive behavior treatment face–to–face with a group of guardians or caregivers, without the respective patients being present. Report this code for each 15…	40	$190	$6.8K
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…	170	$30	$5.5K

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

The Hope Source Inc. — 1 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	6	100	3,740	$430	$7.7M
96152	N/A	26	40	720	$200	$1.1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	7	80	1,360	$150	$1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	332	390	3,600	$50	$511.6K
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…	499	690	1,070	$80	$422.3K
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…	309	430	630	$40	$243.8K
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	5	10	3,370	$40	$219.4K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	1	30	520	$140	$135.1K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	7	40	210	$70	$57.8K
97157	The provider discusses multiple patients’ adaptive behavior treatment face–to–face with a group of guardians or caregivers, without the respective patients being present. Report this code for each 15…	1	10	40	$190	$6.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Hospital Of In, Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$90.4M
Community Health Network, Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$37.4M
Caregiver Homes Of South Dakota Inc	IN	Case Management Agency	$0	$18.5M
Meds To You LLC	IN	Long Term Care Pharmacy	$16.8M	$80
Josephson-wallack-munshower Neurology PC	IN	Neurology Physician	$0	$9.7M
Indiana Neurology And Pain Center LLC	IN	Pain Medicine (Psychiatry & Neurology) Physician	$0	$6.1M
Choices Coordinated Care Solutions, Inc.	IN	Case Management Agency	$0	$5.9M
Nova Home Care, Inc.	IN	In Home Supportive Care Agency	$0	$4.2M
Emergency Dentist,llc	IN	General Practice Dentistry	$0	$3.3M
Rehabilitation Associates Of In PC	IN	Physical Medicine & Rehabilitation Physician	$0	$3M

The Hope Source Inc. — Billing Profile & Reimbursement Data

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The Hope Source 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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References