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.

Neurology And Pain Management Associates PC (NPI 1518900620)

Neurology And Pain Management Associates PC is a internal medicine physician provider located in Crown Point, Indiana. This profile covers 0 Medicare and 44 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	Neurology And Pain Management Associates PC
Address	2100 N Main St Ste 304
City	Crown Point
State	IN
ZIP	46307
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	269,080	$10	$3.8M
90832	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…	412,620	$10	$3.3M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	273,570	$10	$3M
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	218,390	$1	$436.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	17,040	$20	$306.7K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	8,270	$30	$247.9K
99335	N/A	11,920	$10	$143.1K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	4,350	$20	$100K
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…	8,900	$10	$80.1K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	5,900	$10	$76.7K

Showing 1–10 of 44

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

Neurology And Pain Management Associates PC — 10 of 22 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

44 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…	78	580	710	$60	$582.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	687	690	1,070	$80	$422.3K
90832	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…	1	430	630	$40	$243.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	187	200	540	$60	$167.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	19	520	240	$80	$165K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2	270	920	$10	$88.4K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	18	90	250	$30	$73.3K
99336	N/A	9	50	380	$30	$51.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1	330	650	$10	$38.5K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	3	70	140	$30	$31.9K

Showing 1–10 of 44

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Olaniyi Osuntokun	IN	Psychiatry Physician	$445.7K	$0
James Brown	IN	Psychiatric/Mental Health Nurse Practitioner	$285.1K	$0
Kalyn Hoover	IN	Nurse Practitioner	$203.6K	$0
Stephanie Murphy	IN	Clinical Psychologist	$201.1K	$0
Angela Shaw	IN	Nurse Practitioner	$199.8K	$0
Alex Jolly	KY	Family Nurse Practitioner	$197.8K	$0
Janene Donarski	MI	Psychologist	$190.2K	$0
Denise Dekock	IN	Clinical Psychologist	$187.7K	$0
Ashlee Riley	IN	Family Nurse Practitioner	$184.3K	$0
Pamela Lanfair	IN	Family Nurse Practitioner	$172.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Health Crown Point	IN	General Acute Care Hospital	$0	$11.4M
Elite Diagnostics LLC	IN	Clinical Medical Laboratory	$0	$9.6M
Lincare Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$6.7M
Infinity Counseling & Wellness Center LLC	IN	Professional Counselor	$0	$4.8M
Crown Counseling, LLC	IN	Community/Behavioral Health Agency	$0	$3.7M
Peter Tothy	IN	Hematology & Oncology Physician	$1.8M	$0
City Of Crown Point	IN	Land Ambulance	$442.8K	$733K
Apac Surgical Center Ii, LLC	IN	Ambulatory Surgical Clinic/Center	$917.5K	$52K
Novamed Surgery Center Of Merrillville, LLC	IN	Ambulatory Surgical Clinic/Center	$873.1K	$59.5K
Douglas Williams Md	IN	Ophthalmology Physician	$492.1K	$0

Neurology And Pain Management Associates PC — Billing Profile & Reimbursement Data

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Neurology And Pain Management Associates PC — 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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