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.

North Clark Medical Group LLC (NPI 1376095711)

North Clark Medical Group LLC is a general practice physician provider located in Jeffersonville, Indiana. This profile covers 0 Medicare and 136 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	North Clark Medical Group LLC
Address	1802 E 10th St
City	Jeffersonville
State	IN
ZIP	47130
Taxonomy	General Practice Physician
NPI Enumerated	November 2, 2016

Payer Source	Total Paid
Medicaid	$16.1M
Medicare	$0

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

136 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…	106,590	$50	$4.8M
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.	100,720	$40	$3.7M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	20,530	$100	$2.1M
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…	14,730	$60	$839.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	5,520	$80	$441.8K
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…	3,540	$120	$435.2K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	23,940	$20	$383K
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…	7,750	$30	$263.5K
T2023	Targeted case management; per month	910	$280	$254.9K
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…	3,470	$50	$187.2K

Showing 1–10 of 136

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

North Clark Medical Group LLC — 9 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

136 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	21	30	240,980	$20	$6.4M
G2067	Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…	24	20	24,350	$170	$4.1M
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…	6	20	1,610	$70	$841.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	260	580	710	$60	$582.9K
T2023	Targeted case management; per month	3	10	910	$420	$464.6K
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…	196	2,120	870	$60	$450.6K
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…	8	30	400	$90	$443.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	153	690	1,070	$80	$422.3K
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…	22	2,380	920	$50	$376.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	29	220	1,380	$20	$360.2K

Showing 1–10 of 136

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anand Gupta	KY	Gastroenterology Physician	$79.8K	$764.8K
Mark Howshar	WY	Body Imaging Physician	$478.7K	$0
Asad Ismail	KY	Addiction Medicine (Psychiatry & Neurology) Physician	$112K	$0
Zaka Rahman	IN	Cardiovascular Disease Physician	$97.6K	$0
Aamer Farooki	PA	Diagnostic Radiology Physician	$71.8K	$8K
Thomas Kurtz	KY	Clinical Social Worker	$63.2K	$0
Denise Wilburn	IN	Family Nurse Practitioner	$33.6K	$0
Shelby Romine	KY	Family Nurse Practitioner	$9.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Optum Pharmacy 702, LLC	IN	Community/Retail Pharmacy	$0	$55.1M
Lifespring, Inc	IN	Community/Behavioral Health Agency	$0	$53.5M
Maxim Healthcare Services, Inc.	IN	Home Health Agency	$0	$30.1M
Lifespring, Inc	IN	Community/Behavioral Health Agency	$0	$21.6M
Norton Clark Hospital, LLC	IN	General Acute Care Hospital	$0	$19.7M
Pediatric Plus Home Healthcare Services LLC	IN	Home Health Agency	$0	$8.3M
Pax Riverbend LLC	IN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8M
Utica Township Volunteer Fire Fighters Association	IN	Land Ambulance	$1.6M	$4.9M
Eye Associates Of Southern Indiana PC	IN	Ophthalmology Physician	$0	$6.4M
Kids Dentistry-jeffersonville, LLC	IN	Dental Clinic/Center	$0	$6.4M

North Clark Medical Group LLC — Billing Profile & Reimbursement Data

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North Clark Medical Group LLC — 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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