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 Health Centers, Inc. (NPI 1619087624)

Field	Value
Entity Type	Organization
Organization	Indiana Health Centers, Inc.
Address	3710 S Western Ave
City	Marion
State	IN
ZIP	46953
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	40,200	$50	$1.9M
T1015	Clinic visit/encounter, all-inclusive	33,780	$10	$304K
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…	3,270	$60	$196K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	6,650	$30	$173K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	4,370	$20	$100.6K
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…	900	$70	$60.6K
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…	230	$120	$28.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,070	$10	$18.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	5,410	$1	$16.2K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	430	$20	$8.6K

Showing 1–10 of 38

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 Health Centers, Inc. — 2 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	509	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…	582	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…	681	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…	90	2,380	920	$50	$376.8K
T1015	Clinic visit/encounter, all-inclusive	52	400	5,220	$20	$360.2K
99392	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…	251	290	770	$80	$250.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	412	520	240	$80	$165K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	240	320	310	$80	$133.9K
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…	320	790	150	$90	$99.4K
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…	192	890	160	$60	$76.8K

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with Indiana Health Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana Health Centers, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$8.6M
Indiana Health Centers, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$7.3M
Indiana Health Centers, Inc	IN	Federally Qualified Health Center (FQHC)	$0	$4.2M

Nearby Providers

Other providers in the same ZIP code as Indiana Health Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grant-blackford Mental Health, Inc.	IN	Community/Behavioral Health Agency	$0	$13.7M
Personal Care Concepts, Inc	IN	Home Health Agency	$0	$7.5M
Marion Pediatrics LLC	IN	Specialist	$0	$6M
Qca, Inc	IN	Ambulance	$584.9K	$3.8M
Lincare Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$3.7M
Kyle Shaffer	IN	Physical Therapist	$148.2K	$0
L'erin Garner	IN	Optometrist	$71.9K	$12.9K
Jamie Lang	IN	Adult Health Nurse Practitioner	$70.6K	$0
Mary Draper	IN	Clinical Social Worker	$62K	$0
Walter Scase	IN	Optometrist	$14.5K	$0

Indiana Health Centers, Inc. — Billing Profile & Reimbursement Data

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Indiana Health Centers, Inc. — 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