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 Crown Point (NPI 1336205798)

Franciscan Health Crown Point is a general acute care hospital provider located in Crown Point, Indiana. This profile covers 0 Medicare and 93 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 Crown Point
Address	12750 Saint Francis Dr
City	Crown Point
State	IN
ZIP	46307
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 29, 2006

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

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

93 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.	21,520	$140	$3.1M
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.	18,950	$150	$2.7M
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…	9,770	$70	$654.6K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	9,240	$70	$646.5K
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…	4,620	$130	$577.1K
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.	4,270	$130	$534K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	3,240	$140	$463.5K
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…	4,270	$70	$316.3K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	3,410	$80	$259.2K
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.	1,500	$170	$252.3K

Showing 1–10 of 93

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 Crown Point — 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

93 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.	84	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.	74	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.	112	330	1,530	$100	$1.1M
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…	42	130	3,770	$60	$617.7K
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.	87	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…	244	390	3,600	$50	$511.6K
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…	79	220	1,850	$30	$449.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	391	400	1,100	$40	$382.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	119	190	800	$40	$344.7K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	72	110	1,050	$60	$342.7K

Showing 1–10 of 93

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohamad Kassar	IN	Hematology & Oncology Physician	$4.7M	$0
Neel Shah	IN	Hematology & Oncology Physician	$3.2M	$0
Raja Devanathan	IN	Pulmonary Disease Physician	$3M	$0
Michael Tallarico	IN	Medical Oncology Physician	$2.7M	$0
James Eadie	IN	Ophthalmology Physician	$2.2M	$251.1K
Ruchita Amin	IN	Ophthalmology Physician	$2.1M	$71K
Sahana Vyas	IN	Ophthalmology Physician	$1.6M	$399.4K
Peter Tothy	IN	Hematology & Oncology Physician	$1.8M	$0
Eduardo Braun	IN	Medical Oncology Physician	$1.8M	$0
Renato Goreshi	IN	MOHS-Micrographic Surgery Physician	$1.6M	$870

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neurology And Pain Management Associates PC	IN	Internal Medicine Physician	$0	$11.7M
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
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
Tahir Khokher	IN	Cardiovascular Disease Physician	$262.8K	$206.9K

Franciscan Health Crown Point — Billing Profile & Reimbursement Data

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Franciscan Health Crown Point — 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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