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.

Parkview Health System, Inc. (NPI 1447585153)

Parkview Health System, Inc. is a cardiovascular disease physician provider located in Fort Wayne, Indiana. This profile covers 0 Medicare and 37 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	Parkview Health System, Inc.
Address	11108 Parkview Circle Dr
City	Fort Wayne
State	IN
ZIP	46845
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	October 14, 2009

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

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

37 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…	27,370	$50	$1.2M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	23,270	$40	$814.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	58,540	$1	$234.2K
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…	2,050	$100	$194.4K
93295	In this service the provider evaluates from a remote location an implantable single, dual, or multiple lead defibrillator system. The service includes his interim analyses during a period of up to 90…	4,650	$20	$79K
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…	1,230	$60	$75.3K
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…	10,160	$10	$71.1K
93272	In this service, the provider monitors the patient’s heart rhythm while experiencing cardiac symptoms. He places electrocardiogram (ECG) leads of an event recorder on the patient's chest, which can…	3,500	$20	$56K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	790	$50	$42.7K
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…	1,600	$30	$40K

Showing 1–10 of 37

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

Parkview Health System, Inc. — 8 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	109	130	3,770	$60	$617.7K
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…	104	2,120	870	$60	$450.6K
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…	984	2,380	920	$50	$376.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	212	530	740	$30	$210K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	144	360	430	$50	$177.4K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	7	150	440	$50	$157K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	161	330	210	$80	$126.9K
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…	117	790	150	$90	$99.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	183	510	180	$90	$93.6K
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…	2	10	210	$80	$84.3K

Showing 1–10 of 37

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkview Hospital, Inc.	IN	General Acute Care Hospital	$0	$92.8M
Parkview Health System Inc	IN	Family Medicine Physician	$0	$88.7M
Parkview Health System, Inc.	IN	Internal Medicine Physician	$0	$22.5M
La Porte Clinic Company LLC	IN	Internal Medicine Physician	$0	$18.8M
Parkview Health System, Inc.	IN	Obstetrics & Gynecology Physician	$0	$7.3M
Steppin Up Physical Therapy, Inc.	IN	Physical Therapist	$0	$4.6M
Parkview Hospital, Inc.	IN	Air Ambulance	$0	$3.8M
Parkview Hospital Inc.	IN	Home Infusion Agency	$0	$2.6M
Jody Neer	IN	Neurology Physician	$741.1K	$0
Ryan Gonzales	IN	Hematology & Oncology Physician	$675.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fort Wayne Radiology Associates LLC	IN	Diagnostic Radiology Physician	$0	$8.8M
Adeel Khan	IN	Ophthalmology Physician	$6.6M	$0
Park Place Senior Living, LLC	IN	Assisted Living Facility	$0	$4.4M
Nephrology Associates Of Northern Indiana, Inc	IN	Nephrology Physician	$0	$3.3M
Allied Hospital Pathologists, P.C.	IN	Anatomic Pathology & Clinical Pathology Physician	$0	$2.9M
Gohar Salam	IN	Ophthalmology Physician	$2.5M	$0
Parkview Ortho Center, LLC	IN	Ambulatory Surgical Clinic/Center	$627.7K	$15.8K
Heather Roy	IN	Nurse Practitioner	$394.6K	$0
Robert Bednarek	IN	Dermatology Physician	$320K	$0
Christopher Carrel	IN	Diagnostic Radiology Physician	$304.9K	$0

Parkview Health System, Inc. — 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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