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 Neurology And Pain Center LLC (NPI 1659890218)

Indiana Neurology And Pain Center LLC is a pain medicine (psychiatry & neurology) physician provider located in Indianapolis, Indiana. This profile covers 0 Medicare and 62 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	Indiana Neurology And Pain Center LLC
Address	7301 N Shadeland Ave Ste 1a
City	Indianapolis
State	IN
ZIP	46250
Taxonomy	Pain Medicine (Psychiatry & Neurology) Physician
NPI Enumerated	September 14, 2017

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

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

62 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…	31,210	$50	$1.4M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	8,930	$90	$777.1K
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.	18,530	$30	$574.6K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	3,590	$130	$474.3K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	2,290	$180	$415K
64636	In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	2,380	$140	$321.4K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	3,900	$80	$320.1K
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…	10,210	$30	$316.5K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	2,850	$90	$265.1K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	2,290	$100	$224.5K

Showing 1–10 of 62

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 Neurology And Pain Center LLC — 11 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…	3	10	200	$580	$480.8K
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…	86	2,120	870	$60	$450.6K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	6	30	400	$90	$443.4K
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…	352	2,380	920	$50	$376.8K
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.	23	190	800	$40	$344.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	83	90	390	$40	$171.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	198	490	1,080	$30	$162.7K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	2	30	140	$230	$100.9K
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…	81	790	150	$90	$99.4K
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…	298	510	180	$90	$93.6K

Showing 1–10 of 62

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andrew Trobridge	IN	Pain Medicine (Anesthesiology) Physician	$212.9K	$0
Samiullah Kundi	IN	Pain Medicine Physician	$202.9K	$0
Stacey Roberts	IN	Family Nurse Practitioner	$184.7K	$0
Kathleen Swilik	IN	Physician Assistant	$59.1K	$0
Souheil Haddad	IN	Specialist	$47K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Hospital Of In, Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$90.4M
Community Health Network, Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$37.4M
Caregiver Homes Of South Dakota Inc	IN	Case Management Agency	$0	$18.5M
The Hope Source Inc.	IN	Multi-Specialty Clinic/Center	$0	$17.4M
Meds To You LLC	IN	Long Term Care Pharmacy	$16.8M	$80
Josephson-wallack-munshower Neurology PC	IN	Neurology Physician	$0	$9.7M
Choices Coordinated Care Solutions, Inc.	IN	Case Management Agency	$0	$5.9M
Nova Home Care, Inc.	IN	In Home Supportive Care Agency	$0	$4.2M
Emergency Dentist,llc	IN	General Practice Dentistry	$0	$3.3M
Rehabilitation Associates Of In PC	IN	Physical Medicine & Rehabilitation Physician	$0	$3M

Indiana Neurology And Pain Center LLC — Billing Profile & Reimbursement Data

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Indiana Neurology And Pain Center LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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