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.

Baptist Healthcare System, Inc. (NPI 1497798847)

Key Findings

Field	Value
Entity Type	Organization
Organization	Baptist Healthcare System, Inc.
Address	1850 State Street
City	New Albany
State	IN
ZIP	47150
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicaid	$34.6M
Medicare	$0

This facility is effectively single-payer in the available dataset: it has no Medicare billing on file and reports $34.6M in lifetime Medicaid revenue, indicating Medicaid is the dominant revenue source captured here. Its NPI was enumerated 2006-06-14 (~20 years ago), so the provider has a long tenure as a General Acute Care Hospital in New Albany, IN.

Revenue is highly concentrated in a small set of outpatient and emergency visit codes: the precomputed top three Medicaid codes (99283, G0463, 99284) account for 59.4% of the provider's total Medicaid revenue. Individually those codes generate $9.9M (99283), $4.6M (G0463), and $4.5M (99284), which together define the provider’s primary revenue drivers.

The code mix signals a heavily ED- and outpatient-oriented operation: 99283 has 67.1K claims ($147 avg paid/claim, $9.9M revenue), 99284 has 33.7K claims ($135 avg paid/claim, $4.5M revenue), and related ED codes 99285 and 99282 also appear in the top lines. In parallel, G0463 (44.7K claims, $102 avg paid/claim, $4.6M revenue) shows substantial hospital outpatient clinic assessment and management activity, consistent with high ED throughput and same-day outpatient care.

Imaging and diagnostic services are important secondary revenue streams: 71045 ($2.1M), 74177 ($1.2M), and 70450 ($560K) appear in the top codes, and CT and x-ray average paid/claim levels (for example, 74177 at $402 avg paid/claim) indicate meaningful imaging utilization. Laboratory testing is very high-volume but lower-revenue per claim: 80053 has 69.3K claims and $346.4K revenue ($5 avg paid/claim) and 85025 has 74.1K claims and $296.2K revenue ($4 avg paid/claim), showing many low-dollar lab claims that still contribute nontrivial aggregate revenue.

Several codes place the provider well above typical in-state volumes for those services, signaling local market strength rather than isolated outliers: 99283 ranks #13 of 364 (97th percentile) and is described as notably above typical state volume; 87636 (SARS–CoV–2/influenza multiplex) ranks #5 of 50 (92nd percentile) and is noted as notably above typical state volume; Q9967, 80053, 85025, 96374, and 96375 are also flagged as notably above typical state volume. These labels indicate the provider is a major regional source for ED visits, certain lab testing, contrast material use, and IV medication administration.

Competitive standing by rank is mixed but leans toward being a high-volume in-state provider for ED and outpatient clinic services: G0463 ranks #7 of 99 (94th percentile) and 99284 ranks #50 of 382 (87th percentile), which together portray a facility with strong statewide outpatient and emergency presence but not uniformly dominant across every service line. For some imaging and specialty procedures the provider sits in more middle percentiles (for example, 74177 at the 76th percentile and 99285 at the 74th percentile), suggesting competitive but not exclusive positioning for higher-acuity services.

Operational and reimbursement implications are clear from the payer economics: ED and outpatient E/M codes carry moderate avg paid/claim amounts (e.g., 99283 $147, 99284 $135, G0463 $102) and drive large volumes, while many lab panels and routine tests pay only a few dollars per claim yet occur tens of thousands of times (80053 $5 avg paid/claim, 85025 $4 avg paid/claim). This mix implies margin and capacity pressures tied to throughput—sustaining revenue requires high visit and test volumes rather than reliance on high-paying procedures.

Service-line specifics suggest staffing and equipment priorities: high counts of ED E/M visits and frequent IV administrations (96374: 27.4K claims, $27 avg paid/claim, $740.2K revenue; 96375: 18.6K claims, $9 avg paid/claim, $167.1K revenue) point to ongoing needs for ED clinicians, nursing for infusion/med administration, and robust lab and imaging operations to support that volume. The combined pattern of ED visits, outpatient clinic visits, imaging, and high-volume lab testing describes a hospital operating with substantial acute care and ambulatory throughput anchored in Medicaid reimbursement.

Medicaid: Complete Services Breakdown

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

178 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	67,150	$150	$9.9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	44,720	$100	$4.6M
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.	33,660	$140	$4.5M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	17,760	$120	$2.1M
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…	23,620	$60	$1.4M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,970	$400	$1.2M
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.	7,450	$130	$945.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	6,670	$130	$873.6K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	7,120	$120	$825.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	27,420	$30	$740.2K

Showing 1–10 of 178

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

Baptist Healthcare System, Inc. — 4 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

178 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.	50	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.	13	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.	85	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7	100	2,210	$70	$926K
G0483	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…	13	20	1,610	$70	$841.6K
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…	18	130	3,770	$60	$617.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	36	150	440	$100	$545.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	27	220	1,850	$30	$449.4K
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.	93	140	430	$220	$413.2K
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.	53	190	800	$40	$344.7K

Showing 1–10 of 178

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$121.5M
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$98.1M
Baptist Healthcare System Inc	KY	General Acute Care Hospital	$0	$95.7M
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$72.6M
Baptist Healthcare System Inc.	KY	General Acute Care Hospital	$0	$62.4M
Baptist Healthcare System, Inc.	KY	General Acute Care Hospital	$0	$58.5M
Hardin Memorial Hospital	KY	General Acute Care Hospital	$0	$37.2M
Baptist Healthcare System, Inc.	KY	General Acute Care Hospital	$0	$16.1M
Baptist Healthcare System, Inc.	KY	Ambulatory Surgical Clinic/Center	$1.2M	$183.5K
Baptist Healthcare System Inc	KY	Land Ambulance	$424.7K	$47.4K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nassim And Associates, Psc	IN	Specialist	$0	$13.8M
Ohio Valley Medex Inc	IN	Home Health Agency	$0	$13.5M
Rauch Inc.	IN	Early Intervention Provider Agency	$0	$13.3M
Volunteers Of America Of Kentucky Inc	IN	Voluntary or Charitable Agency	$0	$11.6M
Physicians Medical Center LLC	IN	General Acute Care Hospital	$0	$11.4M
Lifespan Resources	IN	Case Management Agency	$0	$10.7M
Floyd Emergency Medicine Associates PC	IN	Emergency Medicine Physician	$0	$6.6M
Kids Dentistry-new Albany	IN	Dental Clinic/Center	$0	$4.6M
Adaptive Community Support Services Inc	IN	Developmentally Disabled Services Day Training Agency	$0	$4.1M
Associates In Counseling And Psychotherapy	IN	Clinical Psychologist	$0	$3.9M

Baptist Healthcare System, Inc. — Billing Profile & Reimbursement Data

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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