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 Exceptional Medical Care (NPI 1669708756)

Indiana Exceptional Medical Care is a internal medicine physician provider located in Evansville, Indiana. This profile covers 0 Medicare and 90 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 Exceptional Medical Care
Address	4972 Lincoln Ave
City	Evansville
State	IN
ZIP	47715
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 23, 2009

Payer Source	Total Paid
Medicaid	$20.5M
Medicare	$0

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

90 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…	136,320	$90	$12.4M
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	43,060	$20	$990.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	8,220	$90	$747.7K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	7,080	$90	$665.7K
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…	11,100	$60	$643.9K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	14,610	$40	$642.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	13,100	$50	$628.6K
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…	5,100	$120	$617.1K
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.	10,790	$50	$496.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,700	$100	$380.9K

Showing 1–10 of 90

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 Exceptional Medical Care — 13 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

90 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	195	580	710	$60	$582.9K
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…	14	2,120	870	$60	$450.6K
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…	267	690	1,070	$80	$422.3K
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…	328	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.	29	190	800	$40	$344.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	38	430	630	$40	$243.8K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	39	40	160	$80	$173.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	57	520	240	$80	$165K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	23	40	260	$130	$132.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	34	220	190	$90	$112.1K

Showing 1–10 of 90

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Karie Beasley	IN	Gerontology Nurse Practitioner	$433.9K	$0
Abbie Steiner	IN	Family Nurse Practitioner	$348.7K	$0
Christian Ball	KY	Primary Podiatric Medicine Podiatrist	$330.1K	$13.3K
Desiree Craig	IN	Family Nurse Practitioner	$233.4K	$0
Howard Cameron	IN	Optometrist	$214.6K	$0
Wayne Mccullough	IL	Podiatrist	$213.6K	$0
Richard Skrip	KY	Podiatrist	$201K	$0
Muhammad Sharif	PA	Primary Podiatric Medicine Podiatrist	$193.9K	$0
Jeff Richardson	KY	Foot Surgery Podiatrist	$176.4K	$0
Kaley Chatham	KY	Optometrist	$152.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Familia Dental Evansville LLC	IN	Dental Clinic/Center	$0	$9.8M
Affordable Dentures & Implants - Evansville, P.C.	IN	Dentist	$0	$7.3M
Drew Sommerville	IN	Ophthalmology Physician	$6.6M	$10.6K
Ginger Whitler, Inc.	IN	Pediatric Occupational Therapist	$0	$6.4M
Talley Medical-surgical Eye Care Associates PC	IN	Ophthalmology Physician	$0	$5.6M
Andrew Strand	IN	Ophthalmology Physician	$4.3M	$72.1K
Physician Management Services Of Western Indiana, LLC	IN	Family Medicine Physician	$0	$3.8M
Deaconess Hospital, Inc	IN	Psychiatry Physician	$0	$3.3M
Tri-state Orthopaedic Surgeons, Inc.	IN	Orthopaedic Surgery Physician	$0	$2.7M
Evansville Primary Care LLC	IN	Family Medicine Physician	$0	$2.6M

Indiana Exceptional Medical Care — Billing Profile & Reimbursement Data

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Indiana Exceptional Medical Care — 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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