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 Hemophilia & Thrombosis Center, Inc. (NPI 1659364800)

Field	Value
Entity Type	Organization
Organization	Indiana Hemophilia & Thrombosis Center, Inc.
Address	8326 Naab Rd
City	Indianapolis
State	IN
ZIP	46260
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	August 23, 2005

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7205	Injection, factor viii fc fusion protein (recombinant), per iu	1,370	$3,510	$4.8M
J7192	Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified	80	$7,420	$608.8K
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…	1,070	$50	$50.2K
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…	1,550	$20	$32.6K
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…	660	$40	$24.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,660	$1	$6.6K
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…	40	$140	$5.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	90	$10	$890
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	60	$10	$350
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	10	$1	$10

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 Hemophilia & Thrombosis Center, Inc. — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7205	Injection, factor viii fc fusion protein (recombinant), per iu	1	10	1,370	$3,510	$4.8M
J7192	Factor viii (antihemophilic factor, recombinant) per i.u., not otherwise specified	1	10	80	$7,420	$608.8K
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…	990	2,120	870	$60	$450.6K
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…	1,305	2,380	920	$50	$376.8K
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…	206	530	740	$30	$210K
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…	398	510	180	$90	$93.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	173	240	400	$20	$53.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	522	660	530	$10	$47.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	251	650	720	$1	$21.1K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	554	590	180	$1	$3.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Indiana Hemophilia & Thrombosis Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anne Greist	IN	Hematology & Oncology Physician	$423.3K	$0
Girum Lemma	MN	Hematology & Oncology Physician	$156K	$0
Anthony Betbadal	IN	Hematology & Oncology Physician	$24.7K	$0
Nicole Randall	IN	Hematology & Oncology Physician	$16.3K	$0

Nearby Providers

Other providers in the same ZIP code as Indiana Hemophilia & Thrombosis Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Vincent Hospital & Health Care Center, Inc.	IN	General Acute Care Hospital	$0	$58.9M
Cep America LLC	IN	Emergency Medicine Physician	$0	$28.6M
St Vincent Pediatric Subspecialties	IN	Pediatrics Physician	$0	$20.8M
St Vincent Physician Services Hospital And Health Care Center	IN	Family Medicine Physician	$0	$14M
Imaging Associates Of Indiana, PC	IN	Diagnostic Radiology Physician	$0	$9.7M
Rebecca Bolon	IN	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$9M
Shadeland Anesthesia & Pain Associates Inc.	IN	Interventional Pain Medicine Physician	$0	$7.1M
Singh Bullard Pediatric Dentistry, P.C.	IN	Pediatric Dentistry	$0	$7M
Alta Healthcare	IN	Home Health Agency	$0	$6.6M
St. Vincent Emergency Physicians, Inc.	IN	Emergency Medicine Physician	$0	$4.9M

Indiana Hemophilia & Thrombosis Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Indiana Hemophilia & Thrombosis Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Indiana Hemophilia & Thrombosis Center, 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