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.

Community Health Network, Inc (NPI 1336119478)

Key Findings

Field	Value
Entity Type	Organization
Organization	Community Health Network, Inc
Address	1500 N Ritter Ave
City	Indianapolis
State	IN
ZIP	46219
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 23, 2006

Payer Source	Total Paid
Medicaid	$161.7M
Medicare	$0

Payer mix is effectively single-payer: COMMUNITY HEALTH NETWORK, INC reports no Medicare billing on file and $161.7M in lifetime Medicaid revenue, so Medicaid dominates the provider’s payer footprint and will drive most reimbursement, utilization, and contracting discussions. This concentration means analyses of financial performance and patient mix should focus on Medicaid trends rather than Medicare benchmarks.

Revenue concentration is highly focused: the precomputed top-3 Medicaid codes account for 42.5% of the provider’s total Medicaid revenue, led by 99284 ($29.6M, 20.4%), 99283 ($18.1M, 12.5%), and 90834 ($14M, 9.6%). That degree of concentration signals that a small set of service lines (emergency E/M and psychotherapy) underpin a large share of Medicaid payments.

Service-line profile shows a heavy emergency department footprint: very large claim volumes and revenue for ED E/M codes (99284: 198.7K claims, $29.6M revenue; 99283: 120K claims, $18.1M revenue; 99285: 43.9K claims, $6M revenue) indicate the hospital operates a high-volume ED and that emergency care is a primary revenue driver under Medicaid. These ED volumes combined with high-ranking statewide positions suggest the site functions as a major acute access point for the Medicaid population.

Behavioral health and outpatient assessment are material components of activity: psychotherapy and psychiatric codes appear prominently (90834: 122.6K claims, $14M revenue; 90853: 70.7K claims, $3.5M; 90791: 13.5K claims, $1.5M) alongside a very large outpatient clinic category (G0463: 171.7K claims, $11.7M). 90834 ranks #13 of 584 providers in-state (98th percentile; notably above typical state volume) and G0463 ranks #1 of 99 providers (100th percentile; extreme outlier), pointing to sizable behavioral health and clinic-based assessment capacity.

Significant oncology/infusion capability is evident from top-ranked chemo and infusion codes: 96413 (chemotherapy) reports 33.8K claims and $4.9M revenue and ranks #1 of 65 providers in-state (100th percentile; extreme outlier), while J9271 (pembrolizumab) generates $3.8M and ranks #1 of 4 providers in-state. High volumes for administration codes (96374: 91.8K claims, $3.9M; 96361: 54.7K claims, $2.2M) further indicate extensive infusion and supportive oncology services on the Medicaid side.

The provider is a statewide outlier or dominant participant for multiple specific services: it ranks #1 in-state (100th percentile; extreme outlier) for G0463, 93005, 96413, 96374, 96361, and 36591, and it ranks at or near the top for other high-volume codes (e.g., 99284 ranks #5 of 382, 99283 ranks #7 of 364). These rank and percentile placements characterize COMMUNITY HEALTH NETWORK, INC as a major statewide provider for several discrete clinical services rather than a modest participant.

Diagnostic and imaging capacity is broad but mixed in relative standing: large volumes of imaging and diagnostic codes appear (71045: 50K claims, $7.1M; 74177: 12.8K claims, $4.8M; 70450: 14.1K claims, $1.6M), with many of these codes at typical or unremarkable state percentiles (e.g., 71045 at the 95th percentile is described as typical). This combination suggests substantial onsite radiology and CT capability supporting the ED and inpatient workflows without necessarily representing unique statewide dominance for routine imaging.

Tenure and scale support an established regional presence: the NPI was enumerated on 2006-01-23 (~20 years ago) and the organization has accrued $161.7M in Medicaid revenue with very large claim volumes across multiple codes. As a General Acute Care Hospital with longstanding enrollment and concentrated Medicaid exposure, the entity is likely a key network participant for statewide Medicaid access and specialized services such as emergency care, infusion/chemotherapy, and outpatient behavioral health.

Medicaid: Complete Services Breakdown

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

210 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	198,740	$150	$29.6M
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.	120,050	$150	$18.1M
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…	122,570	$110	$14M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	171,680	$70	$11.7M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	12,160	$620	$7.5M
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…	50,000	$140	$7.1M
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…	107,250	$60	$6.8M
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.	43,920	$140	$6M
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…	33,830	$150	$4.9M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	12,760	$380	$4.8M

Showing 1–10 of 210

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

Community Health Network, Inc — 20 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

210 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	1	10	540	$4,910	$2.2M
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.	5	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.	7	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.	16	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	1	100	2,210	$70	$926K
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	130	3,770	$60	$617.7K
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…	13	580	710	$60	$582.9K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	14	150	440	$100	$545.6K
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…	247	390	3,600	$50	$511.6K
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…	117	2,120	870	$60	$450.6K

Showing 1–10 of 210

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Physicians Of Indiana Inc	IN	Family Medicine Physician	$0	$185M
Community Health Network, Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$37.4M
Community Health Network, Inc	IN	General Acute Care Hospital	$0	$32.9M
Community Hospital Of Anderson & Madison County, Inc	IN	General Acute Care Hospital	$0	$32.3M
Community Hospital South, Inc.	IN	General Acute Care Hospital	$0	$27.3M
Community Howard Regional Health, Inc	IN	General Acute Care Hospital	$0	$25.5M
Community Home Health Services, Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$11M
Thedacare Medical Center - Waupaca, Inc.	WI	Critical Access Hospital	$0	$10.9M
Thedacare Medical Center - Berlin, Inc.	WI	Critical Access Hospital	$0	$9.4M
Ameripath Indianapolis PC	IN	Anatomic Pathology & Clinical Pathology Physician	$0	$9.1M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid America Clinical Laboratories, LLC	IN	Clinical Medical Laboratory	$0	$20.2M
Indy East Smiles Youth Dentistry LLC	IN	General Practice Dentistry	$0	$10.9M
Acorn Addiction Centers LLC Dba Journey Road Treatment Centers	IN	Addiction Medicine (Family Medicine) Physician	$0	$10.7M
Monumental Behavioral Health Inc	IN	Psychologist	$0	$4.7M
Ameripath Indianapolis PC	IN	Clinical Medical Laboratory	$1.8M	$1.7M
Touch Of Love Home Health Care Inc	IN	Home Health Agency	$0	$3.3M
M.s.d. Of Warren Township	IN	Local Education Agency (LEA)	$0	$3M
Jeromy Shoup	IN	Family Nurse Practitioner	$233.1K	$0
Modeson-samuel Ferrer	IN	Anatomic Pathology & Clinical Pathology Physician	$157.2K	$0
Jason Sprunger	IN	Urology Physician	$127.6K	$0

Community Health Network, Inc — Billing Profile & Reimbursement Data

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Community Health Network, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References