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.

Physicians Medical Center LLC (NPI 1689857385)

Field	Value
Entity Type	Organization
Organization	Physicians Medical Center LLC
Address	4023 Reas Ln
City	New Albany
State	IN
ZIP	47150
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 17, 2007

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

128 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0483	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…	37,850	$160	$6.1M
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.	25,250	$40	$1.1M
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.	930	$600	$557.1K
G0482	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…	3,730	$120	$432.6K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	6,480	$40	$233.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	6,760	$30	$223K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	6,470	$30	$220.1K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	150	$1,410	$211.3K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	240	$760	$184.7K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	140	$1,220	$166.2K

Showing 1–10 of 128

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

Physicians Medical Center LLC — 3 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

128 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	44	100	2,210	$70	$926K
G0483	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…	3	20	1,610	$70	$841.6K
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…	15	30	400	$90	$443.4K
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	190	800	$40	$344.7K
G0482	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…	5	20	1,160	$50	$236.5K
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.	34	130	360	$280	$234.4K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	29	60	150	$480	$221.3K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	26	60	100	$590	$187.8K
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…	85	90	390	$40	$171.1K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	57	70	130	$500	$153.9K

Showing 1–10 of 128

Related Providers

Other providers that share a Tax Identification Number (TIN) with Physicians Medical Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Samuel	IN	Surgery Physician	$663.7K	$0
Lagenia Wright	KY	Family Nurse Practitioner	$42.1K	$4.7K
Troy Kaiser	KY	Nurse Practitioner	$25.2K	$0
Sarah Wilson	IN	Physician Assistant	$17.8K	$0

Nearby Providers

Other providers in the same ZIP code as Physicians Medical Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Healthcare System, Inc.	IN	General Acute Care Hospital	$0	$34.6M
Nassim And Associates, Psc	IN	Specialist	$0	$13.8M
Ohio Valley Medex Inc	IN	Home Health Agency	$0	$13.5M
Rauch Inc.	IN	Early Intervention Provider Agency	$0	$13.3M
Volunteers Of America Of Kentucky Inc	IN	Voluntary or Charitable Agency	$0	$11.6M
Lifespan Resources	IN	Case Management Agency	$0	$10.7M
Floyd Emergency Medicine Associates PC	IN	Emergency Medicine Physician	$0	$6.6M
Kids Dentistry-new Albany	IN	Dental Clinic/Center	$0	$4.6M
Adaptive Community Support Services Inc	IN	Developmentally Disabled Services Day Training Agency	$0	$4.1M
Associates In Counseling And Psychotherapy	IN	Clinical Psychologist	$0	$3.9M

Physicians Medical Center LLC — Billing Profile & Reimbursement Data

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Physicians Medical 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

Related Providers

Nearby Providers

Frequently Asked Questions

References