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.

Columbus Regional Health Physicians, LLC (NPI 1336510098)

Columbus Regional Health Physicians, LLC is a internal medicine physician provider located in Columbus, Indiana. This profile covers 0 Medicare and 181 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	Columbus Regional Health Physicians, LLC
Address	2400 17th St
City	Columbus
State	IN
ZIP	47201
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 7, 2015

Payer Source	Total Paid
Medicaid	$23.2M
Medicare	$0

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

181 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…	113,260	$70	$7.4M
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…	97,480	$50	$5.2M
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…	11,110	$70	$744.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,930	$80	$561.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	19,930	$30	$518.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,500	$90	$478.4K
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…	5,840	$80	$444.1K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	4,880	$90	$434.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,970	$80	$402.3K
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…	4,510	$90	$401.1K

Showing 1–10 of 181

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

Columbus Regional Health Physicians, LLC — 5 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

181 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	31	50	8,980	$30	$3.8M
J2315	Injection, naltrexone, depot form, 1 mg	3	10	350	$910	$775K
T1017	Targeted case management, each 15 minutes	2	10	18,080	$40	$741.5K
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	3	10	100	$180	$584.1K
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…	182	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…	22	2,120	870	$60	$450.6K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	15	70	1,520	$100	$429.2K
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…	222	690	1,070	$80	$422.3K
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.	17	140	430	$220	$413.2K
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…	27	2,380	920	$50	$376.8K

Showing 1–10 of 181

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amit Khaneja	NY	Clinical Neurophysiology Physician	$1.3M	$301K
Sayuri Cheruvu	IN	Medical Oncology Physician	$934.1K	$0
Edwin Herd	HI	Pediatrics Physician	$0	$640.5K
Samantha Sublette	FL	Clinical Cardiac Electrophysiology Physician	$432.2K	$0
Branko Huisa	CA	Neurology Physician	$300.4K	$0
Abdul Jabbar	IN	Gastroenterology Physician	$297K	$0
Christopher Iorio	IN	Internal Medicine Physician	$283K	$0
Alan Watanabe	IN	Internal Medicine Physician	$242.5K	$0
Zachary Siegel	IN	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	$169.1K	$0
Ilya Schwartzman	IN	Family Medicine Physician	$165.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Regional Hospital	IN	General Acute Care Hospital	$0	$35.3M
Adaptive Nursing And Healthcare Services, LLC	IN	Home Health Agency	$0	$8.6M
Emergency Physicians Inc Of Columbus	IN	Emergency Medicine Physician	$0	$7.5M
Interim Healthcare Of Se Indiana, Inc.	IN	Home Health Agency	$0	$7.5M
White River Dental LLC	IN	Dental Clinic/Center	$0	$6.9M
Columbus Dental Corp	IN	General Practice Dentistry	$0	$6.4M
Columbus Pediatric Dentistry, P.C.	IN	Pediatric Dentistry	$0	$5.3M
Lynne Eckerle	IN	Case Management Agency	$0	$4.3M
Steinmetz Pediatric Dentistry, P.C.	IN	Pediatric Dentistry	$0	$3.2M
Sitaram Dental LLC	IN	Dental Clinic/Center	$0	$2.6M

Columbus Regional Health Physicians, LLC — 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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