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.

Community Health Network, Inc (NPI 1619163854)

Key Findings

Field	Value
Entity Type	Organization
Organization	Community Health Network, Inc
Address	7150 Clearvista Dr
City	Indianapolis
State	IN
ZIP	46256
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 21, 2007

Payer Source	Total Paid
Medicaid	$32.9M
Medicare	$0

This provider is effectively single-payer in the Medicare/Medicaid mix: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $32.9M, indicating the entire billed footprint in the dataset is Medicaid-dominated. Analysts should treat comparisons and network leverage as Medicaid-centric rather than blended payer behavior.

Revenue is highly concentrated in a small set of emergency-related codes: the top three Medicaid codes — 99284 ($13.9M, 43.5%), 99283 ($7.1M, 22.1%), and 93005 ($2M, 6.1%) — together account for 71.8% of this provider's total Medicaid revenue. This concentration implies that a small number of high-frequency ED evaluation and diagnostic codes drive the majority of the hospital’s Medicaid receipts.

The code mix and volumes point to a high-throughput emergency department and on-site diagnostic services consistent with its General Acute Care Hospital taxonomy: primary drivers are ED E/M codes 99284 and 99283, large volumes of ECG reporting under 93005, and supporting imaging and lab work such as 71045 and 74177. These patterns suggest the operation centers on episodic acute care and diagnostics rather than elective specialty or long-term ambulatory services.

On competitive standing for ED services, the provider is a strong statewide performer for moderate-complexity ED visits: 99284 ranks #10 of 382 providers in-state (98th percentile; notably above typical state volume for this code), while 99283 ranks #23 of 364 providers in-state (94th percentile; typical, unremarkable volume for this code). This combination indicates market strength in handling substantial ED patient flow at moderate acuity levels but more typical positioning for the slightly lower-acuity ED visits.

Infusion- and IV-related services are another area of relative strength: 96374 (rapid IV medication) reports 36.7K claims and $1.5M revenue and ranks #3 of 116 providers in-state (98th percentile; notably above typical state volume for this code), and 96361 (IV fluids) reports 16.9K claims and $592K revenue and ranks #7 of 107 providers in-state (94th percentile; notably above typical state volume for this code). These ranks and volumes indicate consistent use of on-site IV therapies, reinforcing the ED/acute care profile and suggesting operational capacity for high-volume medication administration.

Laboratory and basic imaging throughput is elevated relative to peers: 85025 (CBC) shows 79K claims and $316.1K revenue (ranks #14 of 289 providers in-state, 95th percentile; notably above typical state volume), 80048 (BMP) shows 46.8K claims and $234.1K revenue (ranks #8 of 154 providers in-state, 95th percentile; notably above typical state volume), and 36415 (blood draw) shows 50.7K claims and $152.1K revenue (ranks #27 of 646 providers in-state, 96th percentile; typical, unremarkable volume). Together these data points indicate a robust in-house lab service supporting the high emergency and outpatient diagnostic workload.

Despite the ED and diagnostics tilt, outpatient clinic services and therapy appear less central to revenue: G0463 (hospital outpatient clinic visit) accounts for $335.6K (1.1% of Medicaid revenue) and ranks midpack (#50 of 99, 50th percentile; typical, unremarkable volume), while therapy/rehab codes such as 97110 and 97165 contribute modestly to revenue and do not show dominant statewide ranks. This supports the interpretation that the provider’s Medicaid business is driven more by acute episodic care than by clinic-based or rehabilitative service lines.

The NPI enumeration date of 2007-09-21 (~19 years ago) shows the provider has an established presence in the market; combined with the high percentiles across core ED, infusion, and lab codes, this tenure and volume profile suggest a sustained role as a regional acute-care ED hub for Medicaid patients. Analysts evaluating network impact or capacity should treat this entity as a longstanding Medicaid-heavy acute care resource rather than a new entrant or specialty outpatient center.

Medicaid: Complete Services Breakdown

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

102 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	97,870	$140	$13.9M
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.	49,090	$140	$7.1M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	30,680	$60	$2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	36,740	$40	$1.5M
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…	9,320	$150	$1.4M
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.	6,320	$150	$929.6K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,540	$390	$601.7K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	360	$1,630	$593K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	16,920	$40	$592K
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…	4,190	$80	$339.4K

Showing 1–10 of 102

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

Community Health Network, Inc — 6 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

102 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.	10	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.	23	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.	93	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	50	100	2,210	$70	$926K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	11	130	3,770	$60	$617.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	52	150	440	$100	$545.6K
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…	49	220	1,850	$30	$449.4K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	102	140	430	$220	$413.2K
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.	172	190	800	$40	$344.7K
99218	N/A	24	50	180	$350	$327.2K

Showing 1–10 of 102

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Physicians Of Indiana Inc	IN	Family Medicine Physician	$0	$185M
Community Health Network, Inc	IN	General Acute Care Hospital	$0	$161.7M
Community Health Network, Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$37.4M
Community Hospital Of Anderson & Madison County, Inc	IN	General Acute Care Hospital	$0	$32.3M
Community Hospital South, Inc.	IN	General Acute Care Hospital	$0	$27.3M
Community Howard Regional Health, Inc	IN	General Acute Care Hospital	$0	$25.5M
Community Home Health Services, Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$11M
Thedacare Medical Center - Waupaca, Inc.	WI	Critical Access Hospital	$0	$10.9M
Thedacare Medical Center - Berlin, Inc.	WI	Critical Access Hospital	$0	$9.4M
Community Howard Regional Health Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.7M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aba Programming Inc.	IN	Medical Specialty Clinic/Center	$0	$54.7M
Medical Associates	IN	Emergency Medicine Physician	$0	$50M
Radiology Of Indiana P C	IN	Diagnostic Radiology Physician	$0	$22.3M
Fairbanks Hospital, Inc.	IN	Psychiatric Hospital	$0	$18.5M
Virag	IN	Clinic/Center	$7.7M	$610
North Campus Surgery Center LLC	IN	Ambulatory Surgical Clinic/Center	$1.3M	$0
Darrel Ross	IN	Radiation Oncology Physician	$870.5K	$0
Kristi George	IN	Neurology Physician	$688.9K	$0
Lorraine Calvert	IN	Adult Health Nurse Practitioner	$484.2K	$0
Ernest Asamoah	IN	Endocrinology, Diabetes & Metabolism Physician	$401.3K	$0

Community Health Network, Inc — Billing Profile & Reimbursement Data

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Community Health Network, 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