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.

Medical Group Of Indiana LLC D/b/a Rheumatology Of Central Indiana (NPI 1306334255)

Medical Group Of Indiana LLC D/b/a Rheumatology Of Central Indiana is a rheumatology physician provider located in Muncie, Indiana. This profile covers 0 Medicare and 32 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	Medical Group Of Indiana LLC D/b/a Rheumatology Of Central Indiana
Address	1107 S Tillotson Ave
City	Muncie
State	IN
ZIP	47304
Taxonomy	Rheumatology Physician
NPI Enumerated	April 26, 2018

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	1,930	$1,310	$2.5M
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…	14,570	$60	$903.3K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	450	$990	$446.7K
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…	3,340	$90	$303.8K
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…	3,300	$40	$125.5K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	1,140	$60	$72.7K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	1,810	$20	$27.1K
J1602	Injection, golimumab, 1 mg, for intravenous use	20	$1,170	$23.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,990	$10	$15.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	450	$20	$9.3K

Showing 1–10 of 32

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

Medical Group Of Indiana LLC D/b/a Rheumatology Of Central Indiana — 2 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	1	10	1,350	$1,260	$1.7M
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	3	10	450	$1,330	$816K
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…	198	2,120	870	$60	$450.6K
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…	684	2,380	920	$50	$376.8K
J1602	Injection, golimumab, 1 mg, for intravenous use	2	10	320	$510	$159.4K
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…	56	790	150	$90	$99.4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	170	210	5,200	$10	$83.7K
99203	The provider sees a new 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 provider…	620	890	160	$60	$76.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	173	290	3,410	$1	$71.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	356	880	250	$40	$59.2K

Showing 1–10 of 32

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cayla Mays	IN	Nurse Practitioner	$874K	$0
Tarek Kteleh	IN	Rheumatology Physician	$674.3K	$0
Sarah Perryman	IN	Rheumatology Physician	$490.4K	$0
Heather Roy	IN	Nurse Practitioner	$394.6K	$0
Lara Mote	IN	Family Nurse Practitioner	$384K	$0
Kyra Hughes	IN	Nurse Practitioner	$318.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meridian Services	IN	Community/Behavioral Health Agency	$0	$245.7M
Dentistry For Children Of Indiana, LLC	IN	Dentist	$0	$15.9M
Meridian Health Services Corp	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.5M
Meridian Health Services Corp	IN	Federally Qualified Health Center (FQHC)	$0	$11.1M
Behavior Associates Of Indiana LLC	IN	Behavior Analyst	$0	$10.8M
Muncie Treatment Center, LLC	IN	Methadone Clinic	$158.8K	$9.3M
Meridian Health Services Corp.	IN	Federally Qualified Health Center (FQHC)	$0	$5.4M
Central Indiana Orthopedics LLC	IN	Orthopaedic Surgery Physician	$0	$5.4M
Oral Surgery Of Indiana, LLC	IN	Oral and Maxillofacial Surgery (Dentist)	$0	$4.5M
Meridian Health Services Corp	IN	Federally Qualified Health Center (FQHC)	$0	$3.5M

Medical Group Of Indiana LLC D/b/a Rheumatology Of Central Indiana — 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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