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.

Norton - Kings Daughters Health, Inc (NPI 1518916048)

Norton - Kings Daughters Health, Inc is a general acute care hospital provider located in Madison, Indiana. This profile covers 0 Medicare and 115 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	Norton - Kings Daughters Health, Inc
Address	1373 E Sr 62
City	Madison
State	IN
ZIP	47250
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 10, 2006

Payer Source	Total Paid
Medicaid	$8.9M
Medicare	$0

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

115 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.	23,980	$120	$2.8M
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.	13,640	$110	$1.5M
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.	6,740	$130	$903.3K
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…	6,690	$90	$568.7K
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…	8,840	$40	$362.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	3,530	$90	$331.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	38,230	$10	$191.2K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	3,990	$50	$179.7K
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.	2,610	$70	$177.1K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	290	$530	$155.5K

Showing 1–10 of 115

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

Norton - Kings Daughters Health, Inc — 0 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

115 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.	99	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.	65	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.	135	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	69	100	2,210	$70	$926K
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…	46	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.	74	150	440	$100	$545.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	348	390	3,600	$50	$511.6K
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…	66	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.	82	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.	78	190	800	$40	$344.7K

Showing 1–10 of 115

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norton - Kings Daughters Health Inc	IN	Family Medicine Physician	$0	$11.8M
Ryan Malone	IN	Urology Physician	$784.5K	$0
Charles Goodwin	IN	Urology Physician	$596.2K	$0
John Eifler	IN	Urology Physician	$427.6K	$0
Dennis Smith	IN	Urology Physician	$408.6K	$0
David Rosenbaum	IN	Urology Physician	$401.3K	$0
Richard Medley	IN	Urology Physician	$400.9K	$0
Trevor Soergel	IN	Urology Physician	$380.8K	$0
Daniel Kmetz	IN	Urology Physician	$375.9K	$0
Emmanuel Nidhiry	KY	Medical Oncology Physician	$347.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lincare Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$3.6M
Eduardo Rivera	IN	MOHS-Micrographic Surgery Physician	$896.9K	$0
George Alcorn	IN	Internal Medicine Physician	$254.8K	$0
William Porter	IN	Radiation Oncology Physician	$227.5K	$0
Nathan Polley	IN	Orthopaedic Surgery Physician	$215K	$0
Steven Vorhies	IN	Family Medicine Physician	$148.4K	$0
Abdelmessiah Guirguis	IN	Internal Medicine Physician	$148.1K	$0
Mark Totten	IN	Family Medicine Physician	$133.7K	$0
Jefferson County Auditor	IN	Public Health or Welfare Agency	$63.7K	$65.5K
Thomas Eckert	IN	Gastroenterology Physician	$128.4K	$0

Norton - Kings Daughters Health, Inc — 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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