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 Clinic-neurology, LLC (NPI 1578792271)

Field	Value
Entity Type	Organization
Organization	Indiana Clinic-neurology, LLC
Address	545 Barnhill Dr
City	Indianapolis
State	IN
ZIP	46202
Taxonomy	Neurology Physician
NPI Enumerated	July 2, 2009

Payer Source	Total Paid
Medicaid	$15.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	49,910	$90	$4.4M
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	13,530	$180	$2.4M
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…	13,770	$130	$1.7M
95951	N/A	6,290	$190	$1.2M
J0585	Injection, onabotulinumtoxina, 1 unit	3,610	$280	$1M
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…	16,140	$60	$936.3K
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…	15,450	$40	$664.3K
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…	4,870	$130	$608.1K
99205	The provider sees a new 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 provider…	3,640	$140	$516.6K
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…	3,570	$130	$452.8K

Showing 1–10 of 59

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 Clinic-neurology, LLC — 15 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

59 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.	305	380	2,470	$100	$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.	275	330	1,530	$100	$1.1M
J0585	Injection, onabotulinumtoxina, 1 unit	2	30	280	$820	$992.2K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	1	10	460	$170	$523.4K
64642	The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.	3	10	1,080	$470	$495.6K
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…	59	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…	251	2,380	920	$50	$376.8K
99218	N/A	8	50	180	$350	$327.2K
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…	53	530	740	$30	$210K
95951	N/A	1	10	240	$180	$196.7K

Showing 1–10 of 59

Related Providers

Other providers that share a Tax Identification Number (TIN) with Indiana Clinic-neurology, LLC, ranked by combined Medicare and Medicaid revenue.

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 Southern Indiana Physicians, LLC	IN	Multi-Specialty Clinic/Center	$0	$69.5M
University Medical Diagnostic Associates, Inc.	IN	Internal Medicine Physician	$0	$28.3M
Indiana University Health, Inc	IN	Cardiovascular Disease Physician	$0	$4.5M
Randall Reed	IN	Rheumatology Physician	$1.2M	$0
Heather Hosfield	IN	Adult Health Nurse Practitioner	$283.5K	$0
Pooja Singal	IN	Endocrinology, Diabetes & Metabolism Physician	$226.2K	$0
Omar Obeidat	IN	Interventional Cardiology Physician	$224.7K	$0

Nearby Providers

Other providers in the same ZIP code as Indiana Clinic-neurology, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Health And Hospital Corporation Of Marion County	IN	General Acute Care Hospital	$0	$231.6M
University Pediatric Associates, Inc.	IN	Pediatrics Physician	$0	$98.3M
University Family Physicians, Inc.	IN	Family Medicine Physician	$0	$65.3M
Indiana University Radiology Associates, Inc.	IN	Diagnostic Radiology Physician	$0	$47.8M
The Health And Hospital Corporation Of Marion County	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46.9M
Icem-wishard LLC	IN	Emergency Medicine Physician	$0	$34.6M
The Health And Hospital Corporation Of Marion County	IN	Nurse Practitioner	$0	$30.1M
Eskenazi Medical Group Inc	IN	Adult Medicine Physician	$0	$18.9M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$16.6M
University Obstetricians-gynecologists,inc	IN	Obstetrics & Gynecology Physician	$0	$14.3M

Indiana Clinic-neurology, LLC — Billing Profile & Reimbursement Data

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Indiana Clinic-neurology, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References