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 Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Ivy Creek Of Elmore, LLC (NPI 1588795942)

Ivy Creek Of Elmore, LLC is a general acute care hospital provider located in Wetumpka, Alabama. This profile covers 0 Medicare and 61 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	Ivy Creek Of Elmore, LLC
Address	500 Hospital Dr
City	Wetumpka
State	AL
ZIP	36092
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 8, 2007

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

61 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.	10,650	$40	$383.4K
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.	4,650	$60	$274.5K
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.	250	$220	$53.9K
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.	4,460	$10	$49K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	1,740	$30	$48.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	4,830	$10	$43.5K
87276	The lab analyst performs a test to detect influenza A virus antigens using methods such as an immunofluorescent antibody stain and fluorescence microscopy.	2,650	$20	$39.8K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	2,490	$20	$37.3K
87275	The lab analyst performs a test to detect influenza B virus antigens using methods such as an immunofluorescent antibody stain and fluorescence microscopy.	2,940	$10	$35.3K
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.	710	$40	$31.3K

Showing 1–10 of 61

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Ivy Creek Of Elmore, LLC — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

61 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.	122	240	4,820	$60	$807.6K
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.	145	190	1,480	$100	$730.7K
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.	77	230	5,160	$40	$474.1K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	55	80	300	$10	$159.1K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	36	130	260	$10	$124.7K
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.	61	130	420	$40	$106K
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.	74	200	2,000	$10	$105.9K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	93	110	340	$30	$90.9K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	59	160	400	$10	$88.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	133	300	210	$40	$77.9K

Showing 1–10 of 61

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ivy Creek Of Elmore LLC	AL	Rural Health Clinic/Center	$0	$8M
Ivy Creek Of Elmore, LLC	AL	Rural Health Clinic/Center	$0	$1.2M
Jonathan Marshall	NY	Diagnostic Radiology Physician	$761.9K	$4.4K
Louba Laurie	IL	Diagnostic Radiology Physician	$184.7K	$453.6K
Andrew Hutchens	TN	Diagnostic Radiology Physician	$424.1K	$0
Vineet Sharma	TN	Diagnostic Radiology Physician	$286.1K	$63.3K
Sreechandra Donepudi	AZ	Diagnostic Radiology Physician	$273.4K	$52.6K
Satyam Veean	TX	Vascular & Interventional Radiology Physician	$281.1K	$0
Lowell Ellerbrook	TX	Diagnostic Radiology Physician	$257.2K	$0
Mina Tadros	TN	Diagnostic Radiology Physician	$243.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Haynes Ambulance Of Elmore County, L.L.C.	AL	Land Ambulance	$730.3K	$2.2M
Haynes Life Flight LLC	AL	Air Ambulance	$745.6K	$1.1M
Elmore County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.1M
Spencer Coleman	AL	Family Medicine Physician	$127.8K	$0
Joseph Vinson	AL	Physical Therapist	$94.5K	$0
Jason Weaver	AL	Physical Therapist	$78.5K	$0
Melissa Myer	AL	Physical Therapist	$70.5K	$0
Tommy Garnett	AL	Public Medicine Podiatrist	$38.7K	$0
Alexandra Gross	AL	Family Nurse Practitioner	$35K	$0
James Mracek	AL	Internal Medicine Physician	$27.6K	$0

Ivy Creek Of Elmore, LLC — Billing Profile & Reimbursement Data

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Ivy Creek Of Elmore, 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

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