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.

Icem-wishard LLC (NPI 1629304134)

Field	Value
Entity Type	Organization
Organization	Icem-wishard LLC
Address	1001 W 10th St
City	Indianapolis
State	IN
ZIP	46202
Taxonomy	Emergency Medicine Physician
NPI Enumerated	October 19, 2009

Payer Source	Total Paid
Medicaid	$34.6M
Medicare	$0

Key Findings

ICEM-WISHARD LLC’s Medicaid activity is overwhelmingly emergency-department focused: the three ED E/M codes 99285, 99284, and 99283 together account for the vast majority of its Medicaid billing and are the top revenue drivers (99285: 117.1K claims, $123 avg paid/claim, $14.4M revenue, 41.6%; 99284: 139.1K claims, $96 avg paid/claim, $13.3M revenue, 38.6%; 99283: 119.2K claims, $57 avg paid/claim, $6.8M revenue, 19.6%). Precomputed totals show the top three Medicaid codes account for 99.9% of this provider’s Medicaid revenue, which indicates the practice operates primarily as an emergency medicine service line rather than a diversified outpatient or procedural clinic.

Revenue concentration on Medicaid is extreme: Total Medicaid revenue is $34.6M and the precomputed top-3 share is 99.9%, meaning nearly all Medicaid dollars come from a very narrow set of ED evaluation-and-management services. This level of concentration signals that payers assessing risk or network value should treat ICEM-WISHARD LLC as a primarily ED-revenue entity rather than a multi-specialty revenue source.

Payer mix is effectively single-payer at scale: there is no Medicare billing on file while Medicaid revenue totals $34.6M, so the provider’s public-payer activity is dominated by Medicaid. Analysts should therefore interpret performance, utilization, and competitive positioning through the Medicaid lens rather than comparing Medicare-driven benchmarks.

Statewide competitive standing is strong and atypical for ED visits: ICEM-WISHARD ranks at the very top of in-state peers for high-acuity ED codes (99285 ranks #5 of 325, 99th percentile, labeled an "extreme outlier"; 99284 ranks #7 of 382, 98th percentile, "extreme outlier"; 99283 ranks #8 of 364, 98th percentile, "extreme outlier"). Those ranks indicate the practice is a major Medicaid ED provider in Indiana with volumes far above typical state providers for the same codes.

Critical care and lower-acuity ED codes are a small fraction of revenue: 99291 (critical care) shows only 166 claims and $26.9K revenue (0.1% of Medicaid revenue) and 99282 contributes roughly $18K (0.1%). This pattern—very large volumes of standard ED E/Ms and minimal critical-care billing—suggests operations are oriented to high-throughput emergency evaluation rather than prolonged critical-care encounters billing at scale.

Large-volume quality/measure-style codes show zero-dollar payments and unusual claim counts: G9744 has 18.6K claims with $0 avg paid/claim and ranks #1 of 37 providers in-state (100th percentile, "extreme outlier"), and other BP-related G-codes (G8952, G8950, G8783) have thousands of $0-paid claims and high state ranks. These data imply extensive use of encounter-level reporting or administrative codes linked to blood-pressure/quality documentation that generate many claims without direct Medicaid payment.

The provider’s NPI tenure indicates long-standing presence: NPI enumerated on 2009-10-19 (~17 years ago), which aligns with large cumulative Medicaid volumes and suggests established referral and operational pathways within the state emergency-care network. Tenure combined with dominant ED volumes supports interpreting current patterns as stable service-line behavior rather than a transient billing spike.

Procedural and ancillary services generate negligible Medicaid revenue relative to ED visits: examples such as 93308 (14 claims, $364 revenue), 31500 (56 claims, $56 revenue), and 12001 (27 claims, $0 revenue) are present but immaterial to total revenue. This confirms the provider’s financial dependence on ED evaluation-and-management codes rather than on in-ED procedures or ancillary technical services.

Medicaid: Complete Services Breakdown

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

13 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.	117,070	$120	$14.4M
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.	139,050	$100	$13.3M
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.	119,240	$60	$6.8M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	170	$160	$26.9K
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.	1,000	$20	$18K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	10	$30	$360
31500	The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.	60	$1	$60
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	30	$0	$0
G8783	Normal blood pressure reading documented, follow-up not required	7,720	$0	$0
G8785	Blood pressure reading not documented, reason not given	1,340	$0	$0

Showing 1–10 of 13

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

Icem-wishard LLC — 3 of 7 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

13 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.	7	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.	8	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.	5	330	1,530	$100	$1.1M
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.	69	200	280	$130	$321.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	80	140	270	$130	$195.3K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	9	10	30	$50	$18.4K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	11	10	110	$10	$1.3K
31500	The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.	2	10	40	$10	$430
G8783	Normal blood pressure reading documented, follow-up not required	2	40	310	$0	$0
G8785	Blood pressure reading not documented, reason not given	4	10	50	$0	$0

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Icem-wishard LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Health And Hospital Corporation Of Marion County	IN	General Acute Care Hospital	$0	$231.6M
Indiana University Health Care Associates, Inc	IN	General Practice Physician	$0	$125.4M
Indiana University Health Inc	IN	General Acute Care Hospital	$0	$111.5M
University Pediatric Associates, Inc.	IN	Pediatrics Physician	$0	$98.3M
Indiana University Health Inc	IN	Children's Hospital	$0	$75.6M
University Family Physicians, Inc.	IN	Family Medicine Physician	$0	$65.3M
Indiana University Radiology Associates, Inc.	IN	Diagnostic Radiology Physician	$0	$47.8M
The Health And Hospital Corporation Of Marion County	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46.9M
The Health And Hospital Corporation Of Marion County	IN	Nurse Practitioner	$0	$30.1M
University Medical Diagnostic Associates, Inc.	IN	Internal Medicine Physician	$0	$28.3M

Icem-wishard LLC — Billing Profile & Reimbursement Data

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Icem-wishard LLC — 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

Nearby Providers

Frequently Asked Questions

References