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 Health Indianapolis & Mooresville (NPI 1386749893)

Key Findings

Field	Value
Entity Type	Organization
Organization	Franciscan Health Indianapolis & Mooresville
Address	8111 S Emerson Ave
City	Indianapolis
State	IN
ZIP	46237
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 13, 2006

Payer Source	Total Paid
Medicaid	$41.3M
Medicare	$0

This provider is effectively single‑payer at the federal level: there is no Medicare billing on file and all reported federal claims revenue shown is Medicaid only, with total Medicaid revenue of $41.3M. That payer mix means the facility’s publicly reported activity and scale in these datasets are driven entirely by Medicaid volumes rather than by Medicare reimbursed services.

Revenue is highly concentrated in a small set of emergency department E/M codes: the precomputed top 3 Medicaid codes by revenue account for 57.2% of total Medicaid revenue, driven by 99284 ($10.5M, 28.6%), 99283 ($7.8M, 21.3%), and 99285 ($2.7M, 7.3%). This concentration signals that emergency care encounters dominate the hospital’s Medicaid revenue base.

The claim counts and unit-level payments reinforce an emergency‑department–centered operating profile: 99284 has 69.3K claims and 99283 has 55.9K claims, with 99285 at 22K claims. Those high claim volumes, combined with the relative revenue shares, indicate sustained, high throughput in moderate‑ and low‑complexity ED encounters rather than a revenue mix dominated by inpatient or elective procedural work.

Diagnostic and rapid‑turnaround services commonly used by EDs appear as secondary revenue streams supporting acute care: 71045 (single‑view chest x‑ray, $2.6M), 93005 (12‑lead ECG technical only, $2.3M), and 74177 (CT abdomen/pelvis with contrast, $1.3M) together show meaningful imaging and monitoring capacity aligned with emergency and urgent diagnostic workflows. These service lines are consistent with an acute care hospital that routes substantial symptomatic and trauma presentations through its ED.

On statewide competitive standing, the provider ranks at or near the top for several ED and high‑frequency codes: 99284 ranks #20 of 382 providers in the state (95th percentile) and 99283 ranks #18 of 364 (95th percentile), positioning the hospital as a major Medicaid ED volume player regionally. By contrast, 99285 ranks #43 of 325 (87th percentile) and is characterized in the data as a typical, unremarkable volume for that code, indicating the facility’s relative strength is in high throughput moderate/low complexity ED visits rather than the highest‑acuity ED cases.

Specialty and longitudinal care activities are also present: 93296 (remote device monitoring technical component, $1.1M, ranks #4 of 31, 90th percentile) and 96413 (chemotherapy infusion, $387.3K) plus infusion/IV administration codes like 96374 ($1.0M) and 96361 ($748.1K, 97th percentile) indicate ongoing cardiology device follow‑up and infusion/oncology or observation services within the outpatient or observation areas. These codes suggest ancillary service lines that complement emergency throughput and support post‑acute or chronic condition management.

The provider shows substantial outpatient clinic and rehabilitation throughput in Medicaid: clinic specimen collection C9803 ($764.9K), therapeutic exercise 97110 ($473.8K), physical‑function code 97530 ($380.6K), and sleep study 95806 ($375.6K) reflect a diversified outpatient mix beyond ED imaging and monitoring. This pattern is indicative of a general acute care hospital that operates both high‑volume ED services and a broad outpatient clinic/therapy footprint billed to Medicaid.

Operational tenure supports stability: the NPI was enumerated on 2006-09-13 (~20 years ago), indicating the provider has been active in national provider registries for roughly two decades, which is consistent with the scale of Medicaid activity documented here. Given the heavy reliance on Medicaid dollars and high percentiles on core ED codes, payers and contract analysts should treat this facility as a long‑standing, Medicaid‑oriented acute care hospital with concentrated ED revenue exposure.

Medicaid: Complete Services Breakdown

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

177 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.	69,340	$150	$10.5M
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.	55,940	$140	$7.8M
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.	21,990	$120	$2.7M
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…	19,040	$140	$2.6M
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…	36,150	$70	$2.3M
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.	3,250	$400	$1.3M
93296	The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the…	8,760	$120	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	32,940	$30	$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.	5,960	$140	$851.9K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	11,090	$70	$764.9K

Showing 1–10 of 177

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 Health Indianapolis & Mooresville — 6 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

177 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.	20	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.	18	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.	43	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	38	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.	25	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…	7	130	3,770	$60	$617.7K
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…	285	580	710	$60	$582.9K
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.	34	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…	143	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…	948	2,120	870	$60	$450.6K

Showing 1–10 of 177

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apria Healthcare LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$176.1M
Franciscan Physician Network	IN	Family Medicine Physician	$0	$105.4M
Emergency Physicians Of Indianapolis, PC	IN	Emergency Medicine Physician	$0	$15.2M
Annette T. Farthing Dds, PC	IN	Pediatric Dentistry	$0	$5.5M
Apria Healthcare LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$4.5M
Global Smiles Dental	IN	Dentist	$0	$4.1M
Kidz Dental Partners, LLC	IN	Pediatric Dentistry	$0	$2.6M
Franciscan Surgery Center, LLC	IN	Ambulatory Surgical Clinic/Center	$1.2M	$356K
The Endoscopy Center At St. Francis, LLC	IN	Endoscopy Clinic/Center	$755K	$247.2K
Crystal Wiles	IN	Family Nurse Practitioner	$991.7K	$0

Franciscan Health Indianapolis & Mooresville — Billing Profile & Reimbursement Data

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Franciscan Health Indianapolis & Mooresville — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Health Indianapolis & Mooresville	IN	General Acute Care Hospital	$0	$12.3M
St. Francis Medical Group, LLC	IN	Internal Medicine Physician	$0	$9.9M
Franciscan Health Indianapolis & Mooresville	IN	Family Medicine Physician	$0	$6.8M