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.

Margaret Mary Community Hospital, Inc (NPI 1316118730)

Margaret Mary Community Hospital, Inc is a internal medicine physician provider located in Batesville, Indiana. This profile covers 0 Medicare and 107 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	Margaret Mary Community Hospital, Inc
Address	1155 State Road 229 North
City	Batesville
State	IN
ZIP	47006
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 13, 2008

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

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

107 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…	29,480	$50	$1.5M
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…	28,580	$40	$1.2M
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.	10,930	$40	$426.3K
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…	4,040	$80	$310.7K
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.	4,010	$60	$244.7K
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…	2,020	$80	$153.4K
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…	1,620	$80	$123.1K
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.	4,310	$30	$120.5K
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…	1,910	$40	$84.2K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	4,330	$20	$73.5K

Showing 1–10 of 107

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

Margaret Mary Community Hospital, Inc — 1 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

107 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.	169	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.	118	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.	193	330	1,530	$100	$1.1M
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…	245	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…	91	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…	261	690	1,070	$80	$422.3K
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…	132	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…	122	220	1,380	$20	$360.2K
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.	29	200	280	$130	$321.2K
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…	74	160	1,390	$70	$294.8K

Showing 1–10 of 107

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Margaret Mary Community Hospital Inc	IN	Critical Access Hospital	$0	$8M
Irfan Firdaus	OH	Medical Oncology Physician	$880K	$0
Brian Mannion	OH	Hematology & Oncology Physician	$341.1K	$0
Thomas Dugan	IN	Radiation Oncology Physician	$161K	$0
Stanley Givens	IN	Radiation Oncology Physician	$149.6K	$0
Robert Liebross	IN	Radiation Oncology Physician	$145.2K	$0
Michael Eaton	IN	Radiation Oncology Physician	$137K	$0
Jessica Durk	IN	Radiation Oncology Physician	$132.2K	$0
Rafiullah Khan	OH	Hematology & Oncology Physician	$118.6K	$0
Douglas Bruns	IN	Diagnostic Radiology Physician	$106.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Scripture	IN	Ophthalmology Physician	$1.4M	$0
Andrew Dubois	IN	Dermatology Physician	$330.2K	$0
Ira Younger	IN	Ophthalmology Physician	$256.1K	$0
Olivia Eckstein	IN	Medical Physician Assistant	$157.6K	$0
Sarah Ferrell	IN	Physician Assistant	$128K	$0
Kimberly Kick	IN	Family Medicine Physician	$94.7K	$0
Kroger Limited Partnership I	IN	Community/Retail Pharmacy	$92.4K	$0
James Browne	IN	Diagnostic Radiology Physician	$86.1K	$0
Edward Negovetich	IN	Physical Medicine & Rehabilitation Physician	$78.4K	$0
Odera Echeazu	IN	Hospitalist Physician	$63.2K	$0

Margaret Mary Community Hospital, Inc — Billing Profile & Reimbursement Data

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Margaret Mary Community Hospital, 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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