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.

Community Care Network Inc (NPI 1457610487)

Key Findings

Field	Value
Entity Type	Organization
Organization	Community Care Network Inc
Address	9660 Wicker Ave
City	St John
State	IN
ZIP	46373
Taxonomy	Family Medicine Physician
NPI Enumerated	May 11, 2012

Payer Source	Total Paid
Medicaid	$33.9M
Medicare	$0

COMMUNITY CARE NETWORK INC is effectively a Medicaid-focused provider with no Medicare billing on file; its total Medicaid revenue is $33.9M and the absence of any Medicare revenue indicates a single-payer footprint concentrated in Medicaid rather than a mixed payer practice. The NPI was enumerated on 2012-05-11 (~14 years ago), indicating over a decade of active enrollment and continuity on record.

Revenue concentration is high: the top three Medicaid codes account for 58.2% of the provider's Medicaid revenue, signaling that a small set of E/M and inpatient follow-up services drive the majority of its Medicaid receipts. Specifically, 99214 alone represents $10.7M (34.0% of Medicaid revenue), with 99213 contributing $5.3M (16.9%) and 99233 contributing $2.3M (7.3%).

The service mix is dominated by office and inpatient E/M care. High-volume outpatient established-patient visits (99214 and 99213) and subsequent hospital inpatient visits (99233 and 99232/99223 present further down the list) suggest the organization operates both ambulatory primary care and significant inpatient follow-up or hospitalist-style activity rather than a single narrow specialty. Preventive codes (99391/99392/99395) and vaccine administration codes (90471/90472) further indicate a broad primary care scope including well visits and immunizations.

Competitive standing in-state is strong for multiple codes: the provider ranks in the 99th–100th percentile for several high-volume codes (99214 rank #8 of 2122, 99213 rank #17 of 2377, 93010 rank #5 of 285). These rankings and the report labels (e.g., "extreme outlier, far above typical state volume for this code") indicate the provider is a major statewide volume leader for core outpatient E/M and ECG interpretation services. This positioning suggests a dominant footprint in Medicaid ambulatory E/M within Indiana.

Several codes are flagged as extreme outliers or notably above typical state volume, reinforcing atypically high utilization relative to peers. Examples include 99214 and 99213 (both described as extreme outliers), 99233 (extreme outlier), and 93010 (extreme outlier). These labels imply materially higher-than-typical billing volumes for those services compared with other in-state providers and should be considered when assessing operational scale or referral patterns.

The presence of substantial inpatient-related codes (99233, 99232, 99223, 99222, 99239) alongside high outpatient E/M volumes suggests the provider may have integrated care pathways that bridge hospital and clinic settings, with revenue from both subsequent inpatient care and discharge management contributing meaningfully to the Medicaid mix. This pattern is consistent with an organization that manages longitudinal care across ambulatory and inpatient encounters.

Procedure and ancillary service volumes are notable but secondary to E/M: high counts for 93010 ECG interpretation (123.6K claims, $494.4K revenue) and diagnostic imaging/echo code 93306 (21.5K claims, $580.7K revenue) indicate substantial throughput of routine diagnostics that support primary care and inpatient management workflows. These ancillary services complement the core E/M revenue rather than representing distinct high-revenue lines.

Medicaid: Complete Services Breakdown

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

224 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…	205,200	$50	$10.7M
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…	129,460	$40	$5.3M
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…	59,060	$40	$2.3M
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…	80,560	$20	$1.9M
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…	18,610	$80	$1.4M
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…	16,210	$90	$1.4M
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	14,240	$70	$996.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,380	$70	$693.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	5,570	$110	$628.8K
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…	8,560	$70	$599.1K

Showing 1–10 of 224

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

Community Care Network Inc — 17 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

224 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.	253	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.	278	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.	302	330	1,530	$100	$1.1M
J0585	Injection, onabotulinumtoxina, 1 unit	7	30	280	$820	$992.2K
J7323	Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	2	10	490	$1,070	$524.5K
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…	8	2,120	870	$60	$450.6K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	40	140	430	$220	$413.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	246	400	1,100	$40	$382.2K
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…	17	2,380	920	$50	$376.8K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	28	30	60	$840	$335.8K

Showing 1–10 of 224

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohamad Kassar	IN	Hematology & Oncology Physician	$4.7M	$0
Ramon Lee	IL	Retina Specialist (Ophthalmology) Physician	$4M	$8.5K
Sohail Hasan	IL	Retina Specialist (Ophthalmology) Physician	$3.4M	$34.2K
Neel Shah	IN	Hematology & Oncology Physician	$3.2M	$0
Raja Devanathan	IN	Pulmonary Disease Physician	$3M	$0
Michael Tallarico	IN	Medical Oncology Physician	$2.7M	$0
Kourous Rezaei	IL	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Ghassan Jano	IN	Hematology & Oncology Physician	$2.1M	$0
Peter Tothy	IN	Hematology & Oncology Physician	$1.8M	$0
Asrar Sheikh	IN	Internal Medicine Physician	$54.8K	$1.8M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Shore Smiles LLC	IN	General Practice Dentistry	$0	$3.8M
Keith Pitchford	IN	Orthopaedic Surgery Physician	$438K	$0
Town Of St. John	IN	Land Ambulance	$225.7K	$43.3K
Mark Feldner	IN	Family Medicine Physician	$239.8K	$0
Joanne Weisz	IN	Family Nurse Practitioner	$222.6K	$0
Robert Chen	IN	Internal Medicine Physician	$208.4K	$0
Walgreen Co	IN	Pharmacy	$180.9K	$0
Kenneth Ramsey	IN	Cardiovascular Disease Physician	$165.8K	$0
Irene Dmitruk	IN	Emergency Medicine Physician	$115.1K	$0
Bina Parekh	IN	Family Medicine Physician	$72K	$0

Community Care Network Inc — Billing Profile & Reimbursement Data

Sign up for Community Care Network Inc — Billing Profile & Reimbursement Data policy alerts

Community Care Network Inc — Billing Profile & Reimbursement Data

Sign up for Community Care Network Inc — Billing Profile & Reimbursement Data policy alerts

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