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.

Franciscan Physician Network (NPI 1366879009)

Franciscan Physician Network is a urgent care clinic/center provider located in Mishawaka, Indiana. This profile covers 0 Medicare and 55 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	Franciscan Physician Network
Address	1515 W Dragoon Trl
City	Mishawaka
State	IN
ZIP	46544
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	September 26, 2013

Payer Source	Total Paid
Medicaid	$16.2M
Medicare	$0

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

55 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	139,810	$60	$8.1M
99203	The provider sees a new 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 provider…	37,470	$70	$2.5M
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…	41,650	$60	$2.5M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	26,900	$40	$1.2M
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	15,690	$30	$423.6K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	4,730	$80	$364.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	7,700	$40	$315.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	17,440	$10	$244.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	4,920	$40	$177.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	14,270	$10	$156.9K

Showing 1–10 of 55

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

Franciscan Physician Network — 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

55 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	67	2,120	870	$60	$450.6K
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…	16	2,380	920	$50	$376.8K
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…	51	90	1,150	$60	$289.6K
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…	76	270	470	$30	$171.9K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	99	110	530	$90	$121.8K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	17	160	740	$60	$119.1K
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…	359	790	150	$90	$99.4K
99203	The provider sees a new 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 provider…	2	890	160	$60	$76.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	365	390	990	$20	$74.5K
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.	25	290	130	$40	$69.8K

Showing 1–10 of 55

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Physician Network	IN	Family Medicine Physician	$0	$105.4M
Mark Mitchell	FL	Emergency Medicine Physician	$1.9M	$38.2K
Adam Duhl	NJ	Maternal & Fetal Medicine Physician	$128.8K	$1.5M
Shah Alam	IL	Hospitalist Physician	$96.7K	$1M
Dominic Tolitano	IL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$1.1M	$0
Shahnaz Azad	IL	Infectious Disease Physician	$366.3K	$657.8K
Costantine Albany	IN	Medical Oncology Physician	$1M	$0
Sulman Hussain	IN	Cardiovascular Disease Physician	$846.9K	$107.7K
Michael Wilczynski	IL	Diagnostic Radiology Physician	$91.1K	$657.3K
Bassel Ericsoussi	IN	Critical Care Medicine (Internal Medicine) Physician	$270K	$284.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Landmark Recovery Of Carmel LLC	IN	Substance Abuse Rehabilitation Facility	$0	$16.3M
Journeys Behavior Learning Center LLC	IN	Developmental Disabilities Clinic/Center	$0	$12.4M
Saint Joseph Regional Medical Center, Inc.	IN	Family Medicine Physician	$0	$10.7M
Healthlinc, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$8.2M
The Dental Center Of Mishawaka PC	IN	General Practice Dentistry	$0	$4.7M
City Of Mishawaka	IN	Ambulance	$543.3K	$2.6M
Vinicius Teixeira	IN	Psychiatry Physician	$452.9K	$0
Abhishek Das	IN	Pain Medicine Physician	$164.9K	$0
Michael Mitcheff	IN	Clinical Neuropsychologist	$114.5K	$0
Philip Kurochkin	IN	Ophthalmology Physician	$59.9K	$20.1K

Franciscan Physician Network — Billing Profile & Reimbursement Data

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Franciscan Physician Network — 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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