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.

Nephrology Associates Of Northern Indiana, Inc (NPI 1578505814)

Nephrology Associates Of Northern Indiana, Inc is a nephrology physician provider located in Fort Wayne, Indiana. This profile covers 0 Medicare and 36 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	Nephrology Associates Of Northern Indiana, Inc
Address	11104 Parkview Circle Dr Ste 330
City	Fort Wayne
State	IN
ZIP	46845
Taxonomy	Nephrology Physician
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	43,310	$30	$1.1M
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	20,950	$50	$1M
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…	12,220	$40	$427.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	8,790	$40	$334.1K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	2,960	$50	$139.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1,760	$40	$61.7K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	2,810	$20	$47.8K
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	590	$80	$46.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	680	$50	$32.7K
90966	The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…	600	$50	$31.9K

Showing 1–10 of 36

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

Nephrology Associates Of Northern Indiana, 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	229	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…	1,136	2,380	920	$50	$376.8K
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	7	10	860	$210	$258.1K
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…	24	530	740	$30	$210K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	38	360	430	$50	$177.4K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	2	40	1,710	$50	$177K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	102	330	210	$80	$126.9K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	89	110	530	$90	$121.8K
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…	671	790	150	$90	$99.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	316	510	180	$90	$93.6K

Showing 1–10 of 36

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lutheran Medical Group LLC	IN	Cardiovascular Disease Physician	$0	$21.9M
Cnp Operating Co LLC	MD	Multi-Specialty Clinic/Center	$0	$7.3M
Emergency Medicine Of Indiana LLC	IN	Emergency Medicine Physician	$0	$6.5M
Steven Ko	IN	Rheumatology Physician	$1.2M	$0
Anton Cabellon	IN	Nephrology Physician	$1.1M	$0
Karen Ringwald	IN	Rheumatology Physician	$1.1M	$0
Anil Rao	IN	Rheumatology Physician	$812.9K	$0
Monica Reddy	IN	Rheumatology Physician	$764.6K	$0
Adediwura Jolaoso	MD	Psychiatric/Mental Health Nurse Practitioner	$490.1K	$0
Khurram Saleem	IL	Nephrology Physician	$456.1K	$6.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkview Hospital, Inc.	IN	General Acute Care Hospital	$0	$92.8M
Parkview Health System Inc	IN	Family Medicine Physician	$0	$88.7M
Parkview Health System, Inc.	IN	Internal Medicine Physician	$0	$22.5M
Fort Wayne Radiology Associates LLC	IN	Diagnostic Radiology Physician	$0	$8.8M
Parkview Health System, Inc.	IN	Obstetrics & Gynecology Physician	$0	$7.3M
Adeel Khan	IN	Ophthalmology Physician	$6.6M	$0
Park Place Senior Living, LLC	IN	Assisted Living Facility	$0	$4.4M
Parkview Health System, Inc.	IN	Cardiovascular Disease Physician	$0	$3M
Allied Hospital Pathologists, P.C.	IN	Anatomic Pathology & Clinical Pathology Physician	$0	$2.9M
Gohar Salam	IN	Ophthalmology Physician	$2.5M	$0

Nephrology Associates Of Northern Indiana, 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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