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.

Volunteers Of America Of Indiana, Inc (NPI 1598005274)

Key Findings

Field	Value
Entity Type	Organization
Organization	Volunteers Of America Of Indiana, Inc
Address	927 N Pennsylvania St
City	Indianapolis
State	IN
ZIP	46204
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	February 18, 2013

Payer Source	Total Paid
Medicaid	$34.7M
Medicare	$0

This provider is effectively a Medicaid-focused facility: there is no Medicare billing on file and the provider reports $34.7M in lifetime Medicaid revenue, indicating Medicaid is the dominant — effectively sole — public payer represented in the claims data. The NPI was enumerated on 2013-02-18 (~13 years ago), showing a stable presence in the Medicaid billing ecosystem over multiple years.

Medicaid revenue is highly concentrated: the precomputed top-three Medicaid codes account for 96.8% of the provider's total Medicaid revenue, creating a revenue profile that is dominated by a very small set of services. H0010 alone represents $32.3M (93.2% of Medicaid revenue), so changes to reimbursement or utilization for that code would have outsized impact on total revenue.

H0010 (sub-acute detoxification, residential addiction inpatient) drives the operation: the provider submitted 82.9K claims for H0010 with a $390 avg paid/claim, generating $32.3M in revenue (93.2% of Medicaid revenue). This code mix identifies the organization primarily as a residential detox/substance abuse rehabilitation facility with the bulk of clinical and billing activity concentrated in inpatient addiction treatment.

The provider also bills substantial outpatient evaluation-and-management visits alongside the dominant residential detox line: 99214 has 10.1K claims ($83 avg paid/claim) for $842.1K (2.4% of Medicaid revenue) and 99213 has 7.5K claims ($52 avg paid/claim) for $390.5K (1.1% of Medicaid revenue). These volumes indicate an active outpatient engagement component, but the E/M lines remain a small fraction of total revenue compared with H0010.

Competitive standing is mixed by service line: for its core H0010 activity the provider ranks #7 of 57 in-state (89th percentile; typical, unremarkable volume for this code), indicating relatively high residential detox volume within the in-state peer group. By contrast, outpatient E/M codes show broad but not dominant participation in-state (99214 ranks #273 of 2122, 87th percentile; 99213 ranks #432 of 2377, 82th percentile), characterized in the data as typical, unremarkable volumes relative to large pools of peers.

Beyond the top three codes the provider offers other behavioral health services at modest revenue levels, suggesting some breadth of clinical capability beyond residential detox. Examples include 90791 (3.3K claims, $97 avg paid/claim, $318.5K, 0.9% of Medicaid revenue), H0015 (3.8K claims, $70 avg paid/claim, $268.8K, 0.8%), and 90837 (2.2K claims, $83 avg paid/claim, $183.6K, 0.5%), each described in the source as typical, unremarkable volume for those codes.

The extreme concentration in one service line implies operational and reimbursement risk: with H0010 constituting $32.3M of $34.7M in Medicaid revenue and the top-three codes making up 96.8% of Medicaid revenue, the provider's financial profile is sensitive to policy, utilization shifts, or rate changes that affect residential detox or closely related billing rules. Monitoring H0010 utilization trends and state Medicaid policy changes affecting residential addiction treatment should be prioritized when evaluating this entity.

The overall picture is of a long-tenured, Medicaid-centric substance abuse rehabilitation facility whose billing footprint is overwhelmingly residential detox (H0010) supplemented by routine outpatient evaluation/management and behavioral health services. The provider is a significant in-state participant for its core inpatient detox code but is not broadly dominant across the wider set of outpatient or psychiatric service codes, where measured volumes are described as typical relative to peers.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	82,910	$390	$32.3M
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…	10,150	$80	$842.1K
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…	7,510	$50	$390.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,280	$100	$318.5K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	3,840	$70	$268.8K
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…	2,210	$80	$183.6K
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…	1,540	$100	$155.6K
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…	690	$130	$87.7K
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…	1,050	$50	$47.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	250	$120	$28.4K

Showing 1–10 of 19

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

Volunteers Of America Of Indiana, Inc — 0 of 18 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	7	60	23,940	$380	$12.8M
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…	264	580	710	$60	$582.9K
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…	273	2,120	870	$60	$450.6K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	20	70	1,520	$100	$429.2K
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…	251	690	1,070	$80	$422.3K
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…	432	2,380	920	$50	$376.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	127	220	1,380	$20	$360.2K
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.	167	190	800	$40	$344.7K
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…	316	430	630	$40	$243.8K
H0038	Self‑help/peer services, per 15 minutes	63	80	1,080	$60	$219.4K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Melissa Patterson-wright	IN	Clinical Social Worker	$121.5K	$0
Mumtaz Suleman	TX	Psychiatry Physician	$15.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana University Health, Inc	IN	Home Infusion Therapy Pharmacy	$0	$178.1M
State Of Indiana Auditor Of The State	IN	Early Intervention Provider Agency	$0	$109.7M
Heartland Residential Services, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$21.1M
The Health And Hospital Corporation Of Marion County	IN	Methadone Clinic	$138.9K	$17.3M
Indianapolis Public School	IN	Local Education Agency (LEA)	$0	$7.5M
State Of Indiana, Auditor Of State	IN	Public Health or Welfare Agency	$76.1K	$6.2M
Geoffrey Kline	IN	Podiatrist	$157.4K	$0
Ami Rice	IN	Obstetrics & Gynecology Physician	$127.5K	$0
Richard Paulsen	IN	Diagnostic Radiology Physician	$80.6K	$0
Toni Lin	IN	Orthopaedic Hand Surgery Physician	$79.6K	$0

Volunteers Of America Of Indiana, Inc — Billing Profile & Reimbursement Data

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Volunteers Of America Of Indiana, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References