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.

Henry County Memorial Hospital (NPI 1356428429)

Henry County Memorial Hospital is a general acute care hospital provider located in New Castle, Indiana. This profile covers 0 Medicare and 135 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	Henry County Memorial Hospital
Address	1000 N 16th St
City	New Castle
State	IN
ZIP	47362
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

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

135 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.	22,730	$140	$3.1M
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.	23,790	$130	$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.	12,130	$110	$1.4M
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…	12,310	$50	$603.4K
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…	5,470	$110	$574.1K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	1,750	$250	$432.3K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	6,930	$30	$187K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	32,610	$10	$163.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	72,990	$1	$146K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	39,510	$1	$118.5K

Showing 1–10 of 135

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

Henry County Memorial Hospital — 1 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

135 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.	70	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.	67	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.	66	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	75	100	2,210	$70	$926K
G0483	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…	18	20	1,610	$70	$841.6K
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…	35	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.	97	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…	2,063	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…	74	220	1,850	$30	$449.4K
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…	18	30	400	$90	$443.4K

Showing 1–10 of 135

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry County Memorial Hospital	IN	Rural Health Clinic/Center	$0	$10.4M
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Muhammad Khan	MI	Vascular & Interventional Radiology Physician	$455.8K	$0
Richard Sibley	IN	Diagnostic Radiology Physician	$406.2K	$0
Edward Shmukler	FL	Cardiovascular Disease Physician	$319.3K	$0
Hassan Semaan	OH	Diagnostic Radiology Physician	$232.7K	$0
Soo Chon Kim	FL	Diagnostic Radiology Physician	$224.8K	$0
Lindsey Rolston	IN	Orthopaedic Surgery Physician	$177.9K	$0
Eric Heatwole	IN	Diagnostic Radiology Physician	$164.8K	$0
Jonathan Staser	IN	Diagnostic Radiology Physician	$164.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bethany Cares Inc	IN	Home Health Agency	$0	$5.6M
City Of New Castle	IN	Land Ambulance	$615K	$2.5M
Victory Lane Childrens Rehab, LLC	IN	Pediatric Physical Therapist	$0	$2.9M
Meridian Health Services Corp	IN	Federally Qualified Health Center (FQHC)	$0	$2.5M
Patricia Vanderpool	IN	Family Nurse Practitioner	$63.5K	$391.7K
Kyle Siewert	IN	Orthopaedic Surgery Physician	$110.3K	$0
Andrew Davisson	IN	Physical Medicine & Rehabilitation Physician	$88.4K	$0
Scott Taylor	IN	Physical Medicine & Rehabilitation Physician	$82.6K	$0
Todd Wright	IN	Diagnostic Radiology Physician	$82.5K	$0
Najmeh Rohani	IN	Diagnostic Radiology Physician	$77.9K	$0

Henry County Memorial Hospital — Billing Profile & Reimbursement Data

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Henry County 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

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