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.

Riverview Hospital (NPI 1609074921)

Riverview Hospital is a family medicine physician provider located in Noblesville, Indiana. This profile covers 0 Medicare and 81 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	Riverview Hospital
Address	395 Westfield Rd
City	Noblesville
State	IN
ZIP	46060
Taxonomy	Family Medicine Physician
NPI Enumerated	July 8, 2007

Payer Source	Total Paid
Medicaid	$9.1M
Medicare	$0

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

81 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…	54,170	$60	$3.4M
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…	53,610	$50	$2.5M
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.	11,190	$70	$738.3K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	7,380	$50	$383.7K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	5,660	$70	$379.4K
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.	6,810	$40	$285.9K
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…	1,550	$90	$143K
99203	The provider sees a new 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 provider…	2,740	$50	$142.2K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	2,230	$60	$140.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,620	$70	$111.8K

Showing 1–10 of 81

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

Riverview Hospital — 3 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

81 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.	107	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.	150	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.	208	330	1,530	$100	$1.1M
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…	343	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…	55	2,120	870	$60	$450.6K
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…	295	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…	67	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…	201	220	1,380	$20	$360.2K
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.	106	200	280	$130	$321.2K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	38	160	1,390	$70	$294.8K

Showing 1–10 of 81

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverview Hospital	IN	General Acute Care Hospital	$0	$7.9M
Ruemu Birhiray	IN	Hematology & Oncology Physician	$957.5K	$0
Ashwin Vasudevamurthy	IN	Medical Oncology Physician	$587.7K	$0
Muhammad Sarfraz Nawaz	IN	Hematology & Oncology Physician	$420.1K	$0
Daniel Milton	IN	Hematology & Oncology Physician	$385.9K	$0
Deng Zhang	IN	Hematology & Oncology Physician	$339.6K	$0
Brian Mulherin	IN	Hematology & Oncology Physician	$289.8K	$0
Jenelle Miller	IN	Hematology & Oncology Physician	$226.1K	$0
Andrew Malin	IN	Orthopaedic Surgery Physician	$183.4K	$0
Thomas Miller	IN	Critical Care Medicine (Internal Medicine) Physician	$167.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspire Indiana Inc	IN	Case Manager/Care Coordinator	$0	$61.7M
Opportunities For Positive Growth, Inc	IN	Counselor	$0	$30.1M
Orthodynamics Company, Inc.	IN	Durable Medical Equipment & Medical Supplies	$5.1M	$8.1M
Cork Medical LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$4.6M
Rehab Medical, LLC	IN	Customized Equipment (DME)	$0	$4.4M
Pediatric Dentistry Of Noblesville	IN	Pediatric Dentistry	$0	$2.6M
City Of Noblesville	IN	Ambulance	$366.1K	$1.6M
Hamilton Surgery Center LLC	IN	Ambulatory Surgical Clinic/Center	$931.1K	$85.8K
Kathleen Thomas	IN	Rheumatology Physician	$933.8K	$0
David Patterson	IN	Allergy & Immunology Physician	$455.6K	$0

Riverview Hospital — Billing Profile & Reimbursement Data

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Riverview Hospital — 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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