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 Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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.

Indiana Regional Medical Center (NPI 1356334510)

Field	Value
Entity Type	Organization
Organization	Indiana Regional Medical Center
Address	835 Hospital Rd
City	Indiana
State	PA
ZIP	15701
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	August 23, 2005

Payer Source	Total Paid
Medicaid	$10.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

278 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.	17,580	$100	$1.7M
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.	11,140	$140	$1.5M
T1015	Clinic visit/encounter, all-inclusive	20,160	$70	$1.3M
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.	2,950	$190	$560.9K
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…	6,450	$80	$528.5K
G0378	Hospital observation service, per hour	1,030	$460	$477.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	5,100	$70	$331.2K
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.	5,350	$60	$326.2K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	6,910	$50	$317.9K
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.	6,290	$50	$283.1K

Showing 1–10 of 278

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

Claims Volume vs. Pennsylvania Distribution

Indiana Regional Medical Center — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

278 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	12	20	710	$80	$1.7M
G0378	Hospital observation service, per hour	54	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	142	1,690	760	$170	$1.2M
93271	In this service, the provider monitors the patient’s heart rhythm while the patient is experiencing cardiac symptoms. He places electrocardiogram leads of an event recorder on the patient's chest,…	5	10	330	$70	$1.1M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	22	130	310	$60	$769.3K
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.	25	210	730	$40	$689.7K
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	12	10	1,000	$80	$575.1K
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…	35	200	990	$70	$517.5K
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	7	10	2,580	$120	$490.3K
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.	112	1,600	270	$120	$409.7K

Showing 1–10 of 278

Related Providers

Other providers that share a Tax Identification Number (TIN) with Indiana Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Straight Line Arla	TX	Psychiatry Physician	$242.4K	$1M
Delphos Price	DE	Certified Registered Nurse Anesthetist	$15.3K	$1.2K

Nearby Providers

Other providers in the same ZIP code as Indiana Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Guidance Center	PA	Community/Behavioral Health Agency	$0	$10.8M
Firetree, Ltd.	PA	Substance Abuse Rehabilitation Facility	$0	$7.9M
Citizens' Ambulance Service Inc	PA	Land Ambulance	$644.5K	$2.9M
Indiana Ambulatory Surgical Associates, Inc	PA	Ambulatory Surgical Clinic/Center	$142.7K	$494.9K
Steven Wilson	PA	Anatomic Pathology & Clinical Pathology Physician	$60.9K	$197.6K
David Bizousky	PA	Sports Medicine (Orthopaedic Surgery) Physician	$127K	$42.4K
David Azar	PA	Anatomic Pathology & Clinical Pathology Physician	$60.3K	$80K
Nihar Ghate	PA	Foot & Ankle Surgery Podiatrist	$70K	$67.5K
Ronald Trale	PA	Orthopaedic Surgery Physician	$97K	$25.3K
Andrew Cash	PA	Internal Medicine Physician	$108.6K	$0

Indiana Regional Medical Center — Billing Profile & Reimbursement Data

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Indiana Regional Medical Center — 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