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 Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio 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. Ohio (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.

Kettering Independent Medical Group Inc (NPI 1629387865)

Kettering Independent Medical Group Inc is a orthopaedic surgery physician provider located in Miamisburg, Ohio. This profile covers 0 Medicare and 117 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	Kettering Independent Medical Group Inc
Address	1 Prestige Pl
City	Miamisburg
State	OH
ZIP	45342
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	October 6, 2010

Payer Source	Total Paid
Medicaid	$8.4M
Medicare	$0

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

117 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…	48,430	$40	$2.1M
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…	43,150	$40	$1.8M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	19,920	$20	$418.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	8,630	$40	$336.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	7,490	$40	$292.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,950	$60	$253K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	5,710	$40	$251.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	7,930	$30	$229.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	5,740	$30	$195.3K
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,…	4,350	$40	$178.2K

Showing 1–10 of 117

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

Claims Volume vs. Ohio Distribution

Kettering Independent Medical Group Inc — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

117 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,729	2,640	620	$90	$408.2K
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…	96	4,510	500	$60	$377.8K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	19	30	1,060	$120	$372K
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…	160	5,080	560	$40	$323.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	109	280	570	$250	$276.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	23	190	430	$70	$258.6K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	31	90	770	$100	$250.1K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	31	330	630	$80	$231.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	141	170	240	$360	$217K
58662	The provider destroys or excises lesions, tumors, or cysts found on the ovary, around the bladder, uterus, rectum, or on the peritoneum through a laparoscope.	3	10	110	$1,270	$209.6K

Showing 1–10 of 117

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vidant Medical Group LLC	NC	Multi-Specialty Clinic/Center	$0	$78M
University Of Cincinnati Physicians Company, LLC	OH	Family Medicine Physician	$0	$65.2M
East Carolina University	NC	Internal Medicine Physician	$0	$53.7M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
East Carolina University	NC	Pediatrics Physician	$0	$22.8M
Kettering Medical Center	OH	General Acute Care Hospital	$0	$20M
West Chester Hospital LLC	OH	General Acute Care Hospital	$0	$19.5M
Eastern Radiologists Inc	NC	Diagnostic Radiology Physician	$0	$14.3M
East Carolina University	NC	Obstetrics & Gynecology Physician	$0	$12.3M
East Carolina University	NC	Family Medicine Physician	$0	$9.5M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Medical Equipment, LLC	OH	Customized Equipment (DME)	$0	$58.4M
Maxim Healthcare Services, Inc.	OH	Home Health Agency	$0	$18.4M
Stateline Medical Equipment, Inc	OH	Durable Medical Equipment & Medical Supplies	$0	$7.9M
Chacko Alappatt	OH	Rheumatology Physician	$3.3M	$6.4K
Miami Valley Fire District	OH	Ambulance	$401.1K	$1.4M
Isis Medical, Incorporated	OH	Physiological Laboratory	$712.6K	$220.3K
Paul Obeng-okyere	OH	Cardiovascular Disease Physician	$371.8K	$0
Rachel Boggus	OH	Pain Medicine (Anesthesiology) Physician	$272.6K	$0
Michael Welker	OH	Orthopaedic Surgery Physician	$184.4K	$0
Gurpal Ahluwalia	OH	Orthopaedic Surgery Physician	$126K	$0

Kettering Independent Medical Group Inc — Billing Profile & Reimbursement Data

Sign up for Kettering Independent Medical Group Inc — Billing Profile & Reimbursement Data policy alerts

Kettering Independent Medical Group Inc — Billing Profile & Reimbursement Data

Sign up for Kettering Independent Medical Group Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References