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.

Johnson Memorial Hospital (NPI 1346248986)

Field	Value
Entity Type	Organization
Organization	Johnson Memorial Hospital
Address	1125 W Jefferson St
City	Franklin
State	IN
ZIP	46131
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 8, 2005

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

120 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.	25,120	$90	$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.	18,120	$110	$1.9M
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.	7,110	$120	$838.9K
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.	940	$660	$618.2K
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…	4,300	$130	$550.4K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	6,670	$80	$527.2K
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…	6,030	$60	$355.5K
0241U	N/A	2,600	$100	$252.4K
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.	2,500	$80	$187.6K
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.	410	$370	$151.2K

Showing 1–10 of 120

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

Johnson Memorial Hospital — 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

120 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.	88	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.	58	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.	87	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	34	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…	81	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.	60	150	440	$100	$545.6K
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…	745	2,120	870	$60	$450.6K
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…	81	220	1,850	$30	$449.4K
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.	73	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…	506	2,380	920	$50	$376.8K

Showing 1–10 of 120

Related Providers

Other providers that share a Tax Identification Number (TIN) with Johnson Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shaun Gonda	WY	Diagnostic Radiology Physician	$176.2K	$0
Timothy Williams	IN	Adult Reconstructive Orthopaedic Surgery Physician	$159.7K	$0
William Taylor	WY	Diagnostic Radiology Physician	$154.9K	$0
Nathan Lambert	IN	Cardiovascular Disease Physician	$137.4K	$0
Johnson County Memorial Hospital	WY	Home Health Agency	$0	$119K
Timothy Olson	CO	Internal Medicine Physician	$112.1K	$0
Kathleen Smith	IN	Family Medicine Physician	$101.5K	$0
Sujoy Phookan	IN	Cardiovascular Disease Physician	$96.5K	$0
Mohammad Thawabi	IN	Interventional Cardiology Physician	$95K	$0
Jason Christie	IN	Vascular Surgery Physician	$92.3K	$0

Nearby Providers

Other providers in the same ZIP code as Johnson Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tara Treatment Center Inc	IN	Substance Abuse Rehabilitation Facility	$0	$16M
Windrose Health Network, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$4.3M
Johnson Memorial Health Physician Network, LLC	IN	Family Medicine Physician	$0	$4.1M
Affordable Dentures-franklin, P.C.	IN	Dentist	$0	$3M
Daniel Salvas	IN	Urology Physician	$256.4K	$0
Michael Ray	IN	Optometrist	$184.8K	$0
George Cornett	IN	Internal Medicine Physician	$118.5K	$0
Brian Murphy	IN	Orthopaedic Surgery Physician	$101K	$0
Christine Bhinder	IN	Podiatrist	$94.1K	$0
Michael Welsh	IN	Family Medicine Physician	$89K	$0

Johnson Memorial Hospital — Billing Profile & Reimbursement Data

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Johnson Memorial Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References