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 Emergency Professionals PC (NPI 1598068017)

Field	Value
Entity Type	Organization
Organization	Indiana Emergency Professionals PC
Address	600 Wilson Creek Rd
City	Lawrenceburg
State	IN
ZIP	47025
Taxonomy	Emergency Medicine Physician
NPI Enumerated	December 7, 2010

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	19,460	$60	$1.2M
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.	19,640	$60	$1.1M
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.	15,250	$30	$488.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	4,160	$1	$8.3K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	340	$10	$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…	110	$1	$110
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.	20	$1	$50
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	30	$1	$30
99053	The provider renders overnight services at a 24 hour facility.	5,840	$0	$0

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 Emergency Professionals PC — 0 of 8 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

9 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.	80	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.	97	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.	46	330	1,530	$100	$1.1M
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…	189	220	1,850	$30	$449.4K
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.	188	200	280	$130	$321.2K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	241	270	470	$30	$171.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	72	290	630	$1	$45.5K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	45	160	100	$10	$3.3K
99053	The provider renders overnight services at a 24 hour facility.	6	40	250	$1	$10

Nearby Providers

Other providers in the same ZIP code as Indiana Emergency Professionals PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recover Together, LLC	IN	Adult Mental Health Clinic/Center	$0	$122.3M
Community Mental Health Center Inc	IN	Psychiatric Hospital	$0	$77.7M
East Indiana Treatment Center, LLC	IN	Methadone Clinic	$275K	$6.2M
St Elizabeth Medical Center, Inc	IN	General Acute Care Hospital	$0	$4.6M
Health Services Corporation Of Southeastern Indiana	IN	Family Medicine Physician	$0	$4.2M
Hospital Medicine Services Of Tennessee PC	IN	Hospitalist Physician	$0	$3.7M
Stephen Eliason	IN	Anatomic Pathology & Clinical Pathology Physician	$272.1K	$0
Ronald Auer	IN	Orthopaedic Surgery Physician	$207.9K	$0
Elisha Clouse	IN	Family Nurse Practitioner	$203.6K	$0
Ashok Penmetsa	IN	Cardiovascular Disease Physician	$170.8K	$0

Indiana Emergency Professionals PC — Billing Profile & Reimbursement Data

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Indiana Emergency Professionals PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References