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.

Proactive Clinical Partners (NPI 1366934242)

Proactive Clinical Partners is a gerontology nurse practitioner provider located in Indianapolis, Indiana. This profile covers 0 Medicare and 19 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	Proactive Clinical Partners
Address	8455 Keystone Xing Ste 300
City	Indianapolis
State	IN
ZIP	46240
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	June 5, 2018
NPI Deactivated	October 10, 2025

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	132,800	$10	$1.5M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	113,970	$10	$911.8K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	39,110	$20	$625.8K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	4,250	$20	$93.5K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	2,100	$20	$31.5K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	2,660	$10	$18.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	5,370	$1	$5.4K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	110	$20	$2.6K
99334	N/A	250	$10	$2.5K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	70	$30	$2K

Showing 1–10 of 19

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

Proactive Clinical Partners — 6 of 14 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	3	270	920	$10	$88.4K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	56	90	250	$30	$73.3K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	2	330	650	$10	$38.5K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	29	30	430	$30	$26K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1	80	200	$20	$23.9K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	27	40	140	$30	$22.9K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	4	100	100	$30	$15.2K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	17	180	320	$10	$7.3K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	3	120	100	$20	$7.1K
99334	N/A	8	20	250	$10	$5.3K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shelly Earlywine	IN	Family Nurse Practitioner	$405.2K	$0
Syed Hashmi	MO	Internal Medicine Physician	$306.9K	$0
Ibrar Paracha	IN	Hospitalist Physician	$305K	$0
Courtney Bumbalough	IN	Family Nurse Practitioner	$284K	$0
Karalyn Jacobs	IN	Family Nurse Practitioner	$270.1K	$0
Amanda Larson	IN	Family Nurse Practitioner	$262.8K	$0
Heather Abbott	IN	Primary Care Nurse Practitioner	$258.1K	$0
Saad Hafidh	IN	Internal Medicine Physician	$241.9K	$0
Sarah Farmer	IN	Family Nurse Practitioner	$217K	$0
Durell Collins	IN	Acute Care Nurse Practitioner	$216.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana Mentor	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$62.5M
Stepping Stones Behavioral Solutions LLC	IN	Behavior Analyst	$0	$46.5M
Nora Urgent Care LLC	IN	Urgent Care Clinic/Center	$0	$11.4M
Home Care Network, Inc.	IN	Home Health Agency	$0	$6.8M
Rhm Services, LLC	IN	In Home Supportive Care Agency	$0	$5.3M
Applaud Autism Services In LLC	IN	Behavior Analyst	$0	$4M
M.s.d. Of Washington Township	IN	Local Education Agency (LEA)	$0	$2.8M
Blue Aba Indiana LLC	IN	Community/Behavioral Health Agency	$0	$2.6M
Neurotech, LLC	IN	Physiological Laboratory	$105.8K	$1.5M
Sonya Johnson	IN	Dermatology Physician	$164.4K	$0

Proactive Clinical Partners — Billing Profile & Reimbursement Data

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Proactive Clinical Partners — 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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