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.

Indiana University Health, Inc (NPI 1518032622)

Key Findings

Field	Value
Entity Type	Organization
Organization	Indiana University Health, Inc
Address	950 N Meridian St Ste 700
City	Indianapolis
State	IN
ZIP	46204
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicaid	$178.1M
Medicare	$0

INDIANA UNIVERSITY HEALTH, INC is enumerated as a Home Infusion Therapy Pharmacy and its Medicaid billing profile is dominated by enteral and parenteral nutrition products and related supplies, indicating core operations are centered on home-based enteral feeding, nutrition compounding, and durable infusion equipment rather than traditional outpatient procedures. The prominence of nutrition codes across the top revenue lines aligns with the provider's taxonomy and suggests a service model built around long-term supply and pump-based home therapies.

Revenue is highly concentrated in a small number of Medicaid codes: the precomputed top 3 Medicaid codes account for 63.8% of this provider's total Medicaid revenue, led by B4161 ($65.1M, 38.9%), B4160 ($22.2M, 13.3%), and B4035 ($19.3M, 11.6%). This concentration indicates the business is heavily dependent on a few high-revenue product lines tied to pediatric enteral formulas and pump-fed supply kits.

This provider effectively operates as a single-payer Medicaid billing entity for the dataset shown: there is no Medicare billing on file and lifetime Medicaid revenue is $178.1M, so financial exposure and growth dynamics will be driven predominantly by state Medicaid policy and reimbursement for enteral/parenteral supplies and pumps. Analysts should treat Medicare-related competitive or reimbursement factors as non-contributory for this NPI.

INDIANA UNIVERSITY HEALTH, INC is a clear statewide market leader for many of its top codes: B4161, B4160, and B4035 each rank #1 in-state and are described as extreme outliers or notably above typical state volumes, placing the provider at or near the 100th percentile for multiple enteral nutrition and supply codes. This pattern indicates dominant share in Indiana’s home nutrition supply market rather than a modest participation level.

Several high-revenue items have no meaningful state peer comparison or are sole reporters, which limits benchmarking: B4189 (parenteral premix) and J1569 (immune globulin) are each listed as rank #1 of 1 providers with no state peer volume comparison available, so these lines represent specialized, low-competition services within the state and warrant qualitative review for contract and sourcing implications.

The provider’s portfolio includes significant device and supply revenue alongside formulas: B9002 (enteral nutrition infusion pump, $2.9M) ranks #1 of 13 as an extreme outlier, A4222 (infusion supplies, $2.1M) ranks #1 of 9, and A7030 (full face mask, $1.5M) ranks #2 of 94 at the 99th percentile. This mix shows the operation supplies both consumable nutrition products and durable/replaceable devices, supporting an integrated home infusion and respiratory equipment business line.

Operational scale is large by claim volume for key codes, consistent with the revenue profile: B4161 has 83.4K claims, B4160 has 101.5K claims, and B4035 has 97.2K claims, reflecting sustained, high-frequency dispensing and supply activity rather than one-off or episodic billing. These volumes imply established logistics, dispensing capacity, and likely long-term patient relationships supporting continuous supply.

The NPI tenure (enumerated 2006-11-22, ~20 years ago) indicates this provider has long-standing presence in the market, which plausibly supports the high-volume, high-concentration Medicaid patterns observed; longevity combined with repeated #1 in-state rankings suggests entrenched operations and market positioning in Indiana’s home infusion and enteral nutrition space.

Medicaid: Complete Services Breakdown

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

90 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	83,440	$780	$65.1M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	101,500	$220	$22.2M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	97,220	$200	$19.3M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	30,490	$320	$9.7M
B4189	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix	8,120	$900	$7.3M
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	58,790	$110	$6.4M
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	8,980	$500	$4.4M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	270	$14,670	$4M
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	6,400	$480	$3M
B9002	Enteral nutrition infusion pump, any type	38,810	$70	$2.9M

Showing 1–10 of 90

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

Indiana University Health, Inc — 20 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

90 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4189	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix	1	10	8,120	$900	$7.3M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	1	10	2,190	$710	$6.2M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	1	10	270	$14,670	$4M
E2402	Negative pressure wound therapy electrical pump, stationary or portable	4	10	4,010	$160	$3.3M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	1	10	3,250	$210	$2.5M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1	20	2,850	$160	$1.5M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	1	10	520	$310	$1.5M
E1399	Durable medical equipment, miscellaneous	7	20	660	$450	$1.2M
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	1	10	660	$460	$1.2M
B4162	Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an…	1	10	2,710	$420	$1.1M

Showing 1–10 of 90

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana University Health Care Associates, Inc	IN	General Practice Physician	$0	$125.4M
Indiana University Health Inc	IN	General Acute Care Hospital	$0	$111.5M
Indiana University Health Inc	IN	Children's Hospital	$0	$75.6M
Indiana University Health Arnett Inc	IN	General Acute Care Hospital	$0	$26M
Indiana University Health West Hospital Inc	IN	General Acute Care Hospital	$0	$16M
Indiana University Health North Hospital Inc	IN	General Acute Care Hospital	$0	$6.9M
Indiana University Health, Inc	IN	Cardiovascular Disease Physician	$0	$4.5M
Christopher Wu	IN	Rheumatology Physician	$1.3M	$0
Paul Desrosiers	IL	Radiation Oncology Physician	$982.1K	$0
Shane Rose	IN	Diagnostic Radiology Physician	$654.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Indiana Auditor Of The State	IN	Early Intervention Provider Agency	$0	$109.7M
Volunteers Of America Of Indiana, Inc	IN	Substance Abuse Rehabilitation Facility	$0	$34.7M
Heartland Residential Services, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$21.1M
The Health And Hospital Corporation Of Marion County	IN	Methadone Clinic	$138.9K	$17.3M
Indianapolis Public School	IN	Local Education Agency (LEA)	$0	$7.5M
State Of Indiana, Auditor Of State	IN	Public Health or Welfare Agency	$76.1K	$6.2M
Geoffrey Kline	IN	Podiatrist	$157.4K	$0
Ami Rice	IN	Obstetrics & Gynecology Physician	$127.5K	$0
Richard Paulsen	IN	Diagnostic Radiology Physician	$80.6K	$0
Toni Lin	IN	Orthopaedic Hand Surgery Physician	$79.6K	$0

Indiana University Health, 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