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.

Pediatrix Medical Group Of Indiana, PC (NPI 1437256146)

Field	Value
Entity Type	Organization
Organization	Pediatrix Medical Group Of Indiana, PC
Address	615 N Michigan St
City	South Bend
State	IN
ZIP	46601
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	September 17, 2006

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	13,420	$80	$1M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	3,100	$230	$701.3K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	7,360	$60	$449K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	4,740	$50	$222.6K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	1,440	$80	$119.3K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	1,230	$60	$76K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	240	$60	$14.7K
99463	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center, through the time of discharge, or release, from the…	190	$70	$13.3K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	450	$30	$12.9K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	230	$20	$4.2K

Showing 1–10 of 11

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

Pediatrix Medical Group Of Indiana, PC — 3 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	3	10	340	$320	$899.7K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	6	20	250	$100	$344.7K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	2	20	250	$100	$308.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	89	190	190	$50	$90.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	83	110	250	$60	$73.5K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	3	90	110	$70	$59.2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	137	240	400	$20	$53.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	18	280	160	$40	$52.2K
54150	The provider performs a circumcision, a surgical procedure that removes the foreskin of the penis, using a clamp or other device and regional anesthesia consisting of a dorsal penile or ring block.	3	30	50	$90	$31.1K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	12	50	140	$30	$23.1K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pediatrix Medical Group Of Indiana, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatrix Medical Group Of The Mid-atlantic PC	MD	Maternal & Fetal Medicine Physician	$0	$28.4M
La Porte Clinic Company LLC	IN	Internal Medicine Physician	$0	$18.8M
Pediatrix Medical Group Of New Mexico, P.C.	NM	Neonatal-Perinatal Medicine Physician	$0	$11.9M
Pediatrix Medical Group PC	VA	Neonatal-Perinatal Medicine Physician	$0	$10.8M
Pediatrix Medical Group PC	WV	Neonatal-Perinatal Medicine Physician	$0	$3.7M
Curtiss Cook	AZ	Endocrinology, Diabetes & Metabolism Physician	$264.4K	$0
Scott Boyd	IN	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$49.8K	$0

Nearby Providers

Other providers in the same ZIP code as Pediatrix Medical Group Of Indiana, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hospital Of South Bend	IN	General Acute Care Hospital	$0	$33.3M
South Bend Emergency Physicians, Inc	IN	Emergency Medicine Physician	$0	$11.8M
City Of South Bend	IN	Land Ambulance	$874.9K	$8.5M
Healthlinc, Inc	IN	Federally Qualified Health Center (FQHC)	$0	$5.5M
Beacon Medical Group, Inc.	IN	Pediatrics Physician	$0	$4.7M
Beacon Medical Group, Inc.	IN	Family Medicine Physician	$0	$4.7M
Beacon Medical Group, Inc.	IN	Psychiatry Physician	$0	$4.4M
Labcorp Indiana Inc	IN	Clinical Medical Laboratory	$0	$4M
South Bend Community School Corporation	IN	Local Education Agency (LEA)	$0	$3.9M
Lincoln Counseling, PC	IN	Social Worker	$0	$3.4M

Pediatrix Medical Group Of Indiana, PC — Billing Profile & Reimbursement Data

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Pediatrix Medical Group Of Indiana, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References