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.

Franciscan Health Dyer & Hammond (NPI 1306921911)

Franciscan Health Dyer & Hammond is a general acute care hospital provider located in Hammond, Indiana. This profile covers 0 Medicare and 59 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	Franciscan Health Dyer & Hammond
Address	5454 Hohman Ave
City	Hammond
State	IN
ZIP	46320
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	8,650	$130	$1.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	550	$1,450	$798.6K
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.	4,210	$110	$450.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	1,830	$150	$279.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	1,640	$160	$261.8K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	1,190	$50	$62.1K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	490	$110	$53.2K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	780	$60	$50.1K
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.	430	$90	$36.8K
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.	4,600	$10	$27.6K

Showing 1–10 of 59

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

Franciscan Health Dyer & Hammond — 0 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

59 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.	167	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.	135	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.	229	330	1,530	$100	$1.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	13	30	450	$1,270	$886.9K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	93	130	3,770	$60	$617.7K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	144	220	1,850	$30	$449.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	50	200	280	$130	$321.2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	66	90	1,150	$60	$289.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	109	120	3,340	$30	$283.4K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	21	70	750	$120	$276.6K

Showing 1–10 of 59

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Health Dyer & Hammond	IN	General Acute Care Hospital	$0	$4.5M
Amber Vogt	OR	Emergency Medicine Physician	$362.7K	$0
Mohammed Alo	OH	Cardiovascular Disease Physician	$256.6K	$27.2K
Binu Malhotra	MI	Hematology & Oncology Physician	$114.7K	$0
Sameer Sharma	IN	Gynecologic Oncology Physician	$93.1K	$620
Farhoud Khosravi	AK	Gastroenterology Physician	$59K	$0
Ebenezer Tayui	IN	Anesthesiology Physician	$28K	$0
Leticia Vazquez	IL	Anesthesiology Physician	$16.2K	$0
Anant Yadav	IN	Anesthesiology Physician	$15.7K	$0
Michele Bonneau	IN	Certified Registered Nurse Anesthetist	$4.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Express Care 4 LLC	IN	Urgent Care Clinic/Center	$0	$17.8M
Northshore Health Centers, Inc	IN	Federally Qualified Health Center (FQHC)	$0	$10.9M
Sohl Ave Rcf LP	IN	Assisted Living Facility	$0	$9.1M
Northwest Indiana Community Action Corporation	IN	Case Management Agency	$0	$8.9M
A&k Kouklakis Od. P.C.	IN	Optometrist	$0	$5.7M
City Of Hammond	IN	Land Ambulance	$345.3K	$2.8M
Kristoph Giricz	IN	Nephrology Physician	$308.8K	$0
Cortney Palencia	IN	Emergency Medicine Physician	$63.8K	$210.5K
Asim Chughtai	IN	Nephrology Physician	$259.8K	$1.1K
Peter Georgis	IN	Diagnostic Radiology Physician	$160K	$6.3K

Franciscan Health Dyer & Hammond — Billing Profile & Reimbursement Data

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Franciscan Health Dyer & Hammond — 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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