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.

Health Services Corporation Of Southeastern Indiana (NPI 1487618807)

Health Services Corporation Of Southeastern Indiana is a family medicine physician provider located in Lawrenceburg, Indiana. This profile covers 0 Medicare and 75 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	Health Services Corporation Of Southeastern Indiana
Address	600 Wilson Creek Road
City	Lawrenceburg
State	IN
ZIP	47025
Taxonomy	Family Medicine Physician
NPI Enumerated	April 13, 2006

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

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

75 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…	28,640	$50	$1.4M
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…	32,000	$40	$1.2M
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	5,600	$70	$386.1K
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…	1,810	$90	$159.5K
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…	2,100	$70	$138.7K
99392	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…	1,070	$90	$95.1K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	12,260	$10	$85.8K
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…	2,530	$30	$68.3K
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…	1,360	$50	$66.6K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	1,500	$40	$66.1K

Showing 1–10 of 75

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

Health Services Corporation Of Southeastern Indiana — 2 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

75 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	176	580	710	$60	$582.9K
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…	96	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…	118	2,380	920	$50	$376.8K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	39	160	1,390	$70	$294.8K
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…	100	280	880	$80	$267.2K
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…	85	190	1,680	$70	$264.2K
99392	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…	121	290	770	$80	$250.8K
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…	235	530	740	$30	$210K
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…	98	140	270	$130	$195.3K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	35	40	780	$100	$187.4K

Showing 1–10 of 75

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ira Younger	IN	Ophthalmology Physician	$256.1K	$0
Rachel Ziegler	IN	Family Nurse Practitioner	$224.3K	$0
Elisha Clouse	IN	Family Nurse Practitioner	$203.6K	$0
Randall Leduc	IN	Internal Medicine Physician	$148.1K	$0
Cathryn Jenkins	OH	Adult Health Nurse Practitioner	$131.8K	$0
Thom Bunnell	IN	Internal Medicine Physician	$127.3K	$0
Jack Freidel	IN	Family Medicine Physician	$121.8K	$0
David Dobbs	IN	Family Medicine Physician	$110.4K	$0
Steven Langdon	IN	Family Medicine Physician	$96.4K	$0
Daniel Barkdoll	IN	Family Medicine Physician	$89.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recover Together, LLC	IN	Adult Mental Health Clinic/Center	$0	$122.3M
Community Mental Health Center Inc	IN	Psychiatric Hospital	$0	$77.7M
East Indiana Treatment Center, LLC	IN	Methadone Clinic	$275K	$6.2M
St Elizabeth Medical Center, Inc	IN	General Acute Care Hospital	$0	$4.6M
Hospital Medicine Services Of Tennessee PC	IN	Hospitalist Physician	$0	$3.7M
Indiana Emergency Professionals PC	IN	Emergency Medicine Physician	$0	$2.8M
Stephen Eliason	IN	Anatomic Pathology & Clinical Pathology Physician	$272.1K	$0
Ronald Auer	IN	Orthopaedic Surgery Physician	$207.9K	$0
Ashok Penmetsa	IN	Cardiovascular Disease Physician	$170.8K	$0
Gary Leake	IN	Chiropractor	$132.4K	$0

Health Services Corporation Of Southeastern Indiana — Billing Profile & Reimbursement Data

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Health Services Corporation Of Southeastern Indiana — 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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