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.

James Fenstermacher (NPI 1295181154)

Field	Value
Entity Type	Individual
Organization	James Fenstermacher
Address	2100 N Main St Ste 304
City	Crown Point
State	IN
ZIP	46307
Taxonomy	Clinical Psychologist
NPI Enumerated	May 10, 2016

Payer Source	Total Paid
Medicare	$147K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,880	$60	$103.5K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	1,750	$10	$19.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	130	$130	$15.6K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	140	$70	$9.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

James Fenstermacher — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90832	12	150	120	$40	$20.1K
90785	6	50	560	$10	$6.8K
90791	14	270	30	$110	$4.9K
96116	3	30	40	$60	$3.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with James Fenstermacher, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neurology And Pain Management Associates PC	IN	Internal Medicine Physician	$0	$11.7M
Olaniyi Osuntokun	IN	Psychiatry Physician	$445.7K	$0
James Brown	IN	Psychiatric/Mental Health Nurse Practitioner	$285.1K	$0
Brianna Primrose	IN	Family Nurse Practitioner	$212.3K	$0
Kalyn Hoover	IN	Nurse Practitioner	$203.6K	$0
Stephanie Murphy	IN	Clinical Psychologist	$201.1K	$0
Angela Shaw	IN	Nurse Practitioner	$199.8K	$0
Alex Jolly	KY	Family Nurse Practitioner	$197.8K	$0
Janene Donarski	MI	Psychologist	$190.2K	$0
Denise Dekock	IN	Clinical Psychologist	$187.7K	$0

Nearby Providers

Other providers in the same ZIP code as James Fenstermacher, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Health Crown Point	IN	General Acute Care Hospital	$0	$11.4M
Elite Diagnostics LLC	IN	Clinical Medical Laboratory	$0	$9.6M
Lincare Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$6.7M
Infinity Counseling & Wellness Center LLC	IN	Professional Counselor	$0	$4.8M
Crown Counseling, LLC	IN	Community/Behavioral Health Agency	$0	$3.7M
Peter Tothy	IN	Hematology & Oncology Physician	$1.8M	$0
City Of Crown Point	IN	Land Ambulance	$442.8K	$733K
Apac Surgical Center Ii, LLC	IN	Ambulatory Surgical Clinic/Center	$917.5K	$52K
Novamed Surgery Center Of Merrillville, LLC	IN	Ambulatory Surgical Clinic/Center	$873.1K	$59.5K
Douglas Williams Md	IN	Ophthalmology Physician	$492.1K	$0

James Fenstermacher — Billing Profile & Reimbursement Data

Sign up for James Fenstermacher — Billing Profile & Reimbursement Data policy alerts

James Fenstermacher — Billing Profile & Reimbursement Data

Sign up for James Fenstermacher — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References