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.

Parkview Hospital, Inc. (NPI 1366407603)

Key Findings

Field	Value
Entity Type	Organization
Organization	Parkview Hospital, Inc.
Address	11109 Parkview Plaza Dr
City	Fort Wayne
State	IN
ZIP	46845
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 19, 2006

Payer Source	Total Paid
Medicaid	$92.8M
Medicare	$0

This entity is effectively single‑payer at the federal level: there is no Medicare billing on file while Medicaid revenue totals $92.8M, so Medicaid accounts for the entirety of reported federal program billing. Analysts should treat Medicaid as the primary revenue driver when modeling payer mix or access to state-contracted services for this provider.

Revenue is heavily concentrated in a very small set of codes: the top three Medicaid codes account for 59.3% of the provider's total Medicaid revenue. In particular, 99283 alone represents $30.1M (37.1% of Medicaid revenue), with 99284 contributing $13.9M (17.1%) and 93005 contributing $4.2M (5.1%), indicating a narrow set of services drives most Medicaid dollars.

The code mix signals a high-volume emergency department operation. Emergency E/M codes 99283 (174.2K claims, $173 avg, $30.1M) and 99284 (89.5K claims, $155 avg, $13.9M) are the two largest revenue contributors, and 99282 also appears among top codes, which together show the hospital manages very large ED patient throughput across low-to-moderate acuity levels. High counts for ED visits imply operational emphasis on acute, unscheduled care and downstream use of imaging and labs to support that throughput.

Imaging and point-of-care diagnostics are major ancillary drivers for Medicaid revenue and ED operations: 93005 (60.5K claims, $69 avg, $4.2M) and chest radiographs 71045/71046 (29.1K and 16.5K claims) are prominent. Lab testing volumes are also notable — 85025 (180.3K claims, $4 avg, $721.3K) and 80048 (135.7K claims, $5 avg, $678.7K) — and 80048 ranks #1 in-state (100th percentile), indicating a significant on-site lab throughput that supports high ED and outpatient visit volumes.

The provider is a statewide volume leader on multiple codes: 99283 ranks #2 of 364 providers and is characterized as an extreme outlier (100th percentile, far above typical state volume), 99284 ranks #12 (97th percentile, notably above typical state volume), and 93005 ranks #4 (98th percentile, extreme outlier). Additional lab and test codes show similar dominance — 87502 ranks #1 of 159 (100th percentile, extreme outlier) and 80048 ranks #1 of 154 (100th percentile, extreme outlier) — together these ranks position the hospital as a dominant Medicaid provider for ED, testing, and imaging in-state.

Beyond high-frequency ED services, the hospital bills for a mix of procedural and specialty services that suggest broader inpatient/outpatient capability: 43239 (endoscopic biopsy, $2.9M), 96413 (chemotherapy administration, $1.1M), and advanced imaging such as 74177 (CT abdomen/pelvis with contrast, $1.6M) appear on the top list, indicating the site is not purely an ED clinic but also provides operative, oncology, and diagnostic imaging services. These line items support a multi‑service hospital profile under Medicaid.

The concentration of Medicaid revenue in a few high-volume ED and diagnostics codes implies both strength and exposure: the provider’s Medicaid dollars are anchored to ED throughput and associated testing, so shifts in state policy, ED utilization, or reimbursement for those codes could materially affect revenue. Given the stated 59.3% share from the top three codes, analysts should test scenario sensitivity around ED visit volumes and payment rates when forecasting.

The provider has an established presence: its NPI was enumerated on 2006-04-19 (approximately 20 years ago), consistent with the scale and range of services reported. That tenure, combined with the hospital’s statewide leadership on multiple Medicaid codes, supports the interpretation that this is a long-standing acute care facility with substantial Medicaid-facing capacity and market presence.

Medicaid: Complete Services Breakdown

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

276 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.	174,220	$170	$30.1M
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.	89,500	$160	$13.9M
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…	60,520	$70	$4.2M
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…	29,150	$140	$4.1M
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.	20,490	$170	$3.4M
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	14,000	$210	$3M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	2,910	$990	$2.9M
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…	16,510	$130	$2.1M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	5,050	$390	$2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	21,440	$90	$2M

Showing 1–10 of 276

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

Parkview Hospital, Inc. — 8 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

276 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	19	20	5,840	$200	$2.1M
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.	12	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.	2	360	3,490	$110	$1.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	14	100	2,210	$70	$926K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	15	30	450	$1,270	$886.9K
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…	4	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.	29	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…	231	390	3,600	$50	$511.6K
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…	1,008	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…	21	220	1,850	$30	$449.4K

Showing 1–10 of 276

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkview Health System Inc	IN	Family Medicine Physician	$0	$88.7M
Park Center, Inc.	IN	Community/Behavioral Health Agency	$0	$49.9M
Park Center Inc	IN	Psychiatric Hospital	$0	$26.7M
Park Center Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.6M
Parkview Health System, Inc.	IN	Internal Medicine Physician	$0	$22.5M
Neighborhood Health Clinics, Inc	IN	Clinic/Center	$0	$12.1M
Parkview Hospital, Inc.	IN	Air Ambulance	$0	$3.8M
Parkview Health System, Inc.	IN	Cardiovascular Disease Physician	$0	$3M
Parkview Hospital Inc.	IN	Home Infusion Agency	$0	$2.6M
Derek Paris	IN	Clinical Psychologist	$46.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fort Wayne Radiology Associates LLC	IN	Diagnostic Radiology Physician	$0	$8.8M
Parkview Health System, Inc.	IN	Obstetrics & Gynecology Physician	$0	$7.3M
Adeel Khan	IN	Ophthalmology Physician	$6.6M	$0
Park Place Senior Living, LLC	IN	Assisted Living Facility	$0	$4.4M
Nephrology Associates Of Northern Indiana, Inc	IN	Nephrology Physician	$0	$3.3M
Allied Hospital Pathologists, P.C.	IN	Anatomic Pathology & Clinical Pathology Physician	$0	$2.9M
Gohar Salam	IN	Ophthalmology Physician	$2.5M	$0
Parkview Ortho Center, LLC	IN	Ambulatory Surgical Clinic/Center	$627.7K	$15.8K
Heather Roy	IN	Nurse Practitioner	$394.6K	$0
Robert Bednarek	IN	Dermatology Physician	$320K	$0

Parkview Hospital, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References