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.

Illinois Center For Pain Control LLC (NPI 1437556941)

Illinois Center For Pain Control LLC is a pain medicine (anesthesiology) physician provider located in Michigan City, Indiana. This profile covers 0 Medicare and 36 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	Illinois Center For Pain Control LLC
Address	10176 W 400 N
City	Michigan City
State	IN
ZIP	46360
Taxonomy	Pain Medicine (Anesthesiology) Physician
NPI Enumerated	November 26, 2014

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	18,920	$50	$1M
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.	15,820	$40	$601K
G0480	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…	9,210	$60	$515.9K
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…	1,070	$90	$98.5K
72265	In this procedure, the provider performs imaging supervision and interpretation for a myelogram of the lumbar and sacral spine, or the vertebrae in the lower back area. The provider performs an…	1,240	$40	$50.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,370	$30	$43.7K
80348	The lab analyst measures the amount of or detects the presence of buprenorphine in a patient specimen. Buprenorphine is a drug used to treat opioid addiction, to control acute pain in individuals who…	1,200	$30	$30K
80354	The lab analyst measures the amount of or detects the presence of fentanyl in the patient specimen.	1,200	$30	$29.9K
80365	The lab analyst measures the amount of or detects the presence of oxycodone, a synthetic opioid pain medication, in a patient specimen.	1,200	$30	$29.9K
80373	The lab analyst measures the amount of or detects the presence of tramadol, which is a centrally acting opioid pain medication, in the patient specimen.	1,200	$30	$29.9K

Showing 1–10 of 36

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

Illinois Center For Pain Control LLC — 0 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

36 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…	149	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…	14	30	400	$90	$443.4K
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…	1,417	2,380	920	$50	$376.8K
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.	25	190	800	$40	$344.7K
G0480	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…	12	90	390	$40	$171.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	223	490	1,080	$30	$162.7K
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…	131	790	150	$90	$99.4K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	113	210	640	$20	$74K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	16	60	190	$20	$62.8K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	50	70	90	$120	$62K

Showing 1–10 of 36

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Syed Quadri	IN	Pain Medicine (Anesthesiology) Physician	$208.8K	$460.6K
Josephine Chambers	IN	Family Nurse Practitioner	$159.4K	$0
Feraz Rahman	IL	Vascular & Interventional Radiology Physician	$90.4K	$43.5K
Sage Medical Prof LLC	SD	Vascular Surgery Physician	$0	$117.6K
Aubrey Handley	IN	Family Nurse Practitioner	$91.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michiana Resources, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$24.1M
Franciscan Health Michigan City	IN	General Acute Care Hospital	$0	$21.2M
Laporte County Comprehensive Mental Health Council	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.5M
Healthlinc, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$6.5M
Smart Physician Systems PC	IN	Internal Medicine Physician	$0	$6.3M
Lisa Leniski, Dds, Msd, LLC	IN	Pediatric Dentistry	$0	$3.4M
Alick's Home Medical Equipment, Inc	IN	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Ossama Zorub	IN	Hospitalist Physician	$191.5K	$2M
Axess Clinic And Diagnostics LLC	IN	Pain Medicine (Anesthesiology) Physician	$124.6K	$1.9M
Vassilios Dimitropoulos	IN	Dermatology Physician	$1.1M	$293.6K

Illinois Center For Pain Control LLC — Billing Profile & Reimbursement Data

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Illinois Center For Pain Control 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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