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.

The Health And Hospital Corporation Of Marion County (NPI 1689875320)

Field	Value
Entity Type	Organization
Organization	The Health And Hospital Corporation Of Marion County
Address	720 Eskenazi
City	Indianapolis
State	IN
ZIP	46202
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 30, 2007

Payer Source	Total Paid
Medicaid	$46.9M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and all documented federal fee-for-service activity is concentrated in Medicaid, with lifetime Medicaid revenue of $46.9M; the absence of Medicare billing makes the organization effectively a Medicaid-focused provider for payers analyzing its claims footprint. The NPI was enumerated on 2007-05-30 (≈19 years ago), indicating an established presence in the market that has accumulated a long-running Medicaid billing history.

Revenue is highly concentrated in a very small set of Medicaid service lines: the precomputed top three Medicaid codes account for 92.3% of this provider's total Medicaid revenue. The single largest code, H2014, accounts for $34.6M or 73.7% of Medicaid revenue, followed by T1016 at $6.9M (14.7%) and H0004 at $1.8M (3.9%), which together make this provider’s financial performance highly dependent on a few per-15-minute community mental health services.

The code mix (H2014 – skills training and development; T1016 – case management; H0004 – behavioral health counseling and therapy) indicates a service model focused on high-volume, community-based rehabilitation, case management, and time-based therapeutic contacts rather than physician-driven procedures. Very large claim volumes—342.5K claims for H2014 and 209.6K claims for T1016—underscore an operational model that bills many short, time-based units rather than infrequent high-dollar services.

Competitive standing for the dominant revenue code H2014 is modest within the state: H2014 generates $34.6M here and the provider ranks #14 of 48 in-state (72th percentile) and is described as "typical, unremarkable volume for this code," which suggests the provider is not a statewide leader on this code despite carrying most of its own revenue on it. For T1016 the provider ranks #11 of 52 (80th percentile) and is similarly labeled "typical, unremarkable volume for this code," indicating above-average but not dominant standing on case-management billing.

Certain secondary lines show stronger relative positioning: H0034 (medication training and support) generated $1.7M (3.7% of Medicaid revenue) and ranks #2 of 30 in-state (97th percentile) while still being characterized as "typical, unremarkable volume for this code," suggesting the provider is a notable regional performer on medication support services even though those dollars are a small share of the total. Other codes in the top 25 (for example H0004 at rank #14 of 72, 82th percentile, and H0031 at rank #11 of 40, 74th percentile) also sit in higher percentiles but are each relatively small contributors to total Medicaid revenue.

Average paid-per-claim levels point to low per-unit reimbursement and a volume-driven revenue model: H2014 shows an average paid/claim of $101 and T1016 averages $33 per claim, implying that sustaining revenue requires large numbers of short billing units. Payer negotiations or changes to per-15-minute reimbursement policies would therefore materially affect cash flow given this unit-price, high-volume structure.

From a risk and strategic perspective, the provider’s reliance on Medicaid (no Medicare revenue on file) combined with the concentration of 92.3% of Medicaid revenue in the top three codes creates exposure to policy, rate, or utilization changes affecting a small set of service codes. Any state-level rate adjustments, prior-authorization changes, or programmatic shifts that affect H2014/T1016/H0004 could disproportionately impact the provider’s financial position, because those three codes dominate the reported Medicaid revenue.

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
H2014	Skills training and development, per 15 minutes	342,530	$100	$34.6M
T1016	Case management, each 15 minutes	209,610	$30	$6.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	21,010	$90	$1.8M
H0034	Medication training and support, per 15 minutes	63,970	$30	$1.7M
H0031	Mental health assessment, by non-physician	13,730	$70	$892.6K
T2022	Case management, per month	880	$870	$770.8K
H2011	Crisis intervention service, per 15 minutes	2,040	$100	$205.5K
H0038	Self‑help/peer services, per 15 minutes	650	$20	$12.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	30	$10	$280
T2011	Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation	160	$0	$0

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

The Health And Hospital Corporation Of Marion County — 1 of 9 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
H2014	Skills training and development, per 15 minutes	14	50	75,600	$130	$34.8M
T1016	Case management, each 15 minutes	11	50	8,980	$30	$3.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	14	70	3,960	$130	$1.9M
T2022	Case management, per month	46	100	710	$180	$1.1M
H0031	Mental health assessment, by non-physician	11	40	6,070	$70	$724.3K
H0034	Medication training and support, per 15 minutes	2	30	7,890	$20	$529.8K
H0038	Self‑help/peer services, per 15 minutes	47	80	1,080	$60	$219.4K
H2011	Crisis intervention service, per 15 minutes	6	20	620	$100	$139.5K
H0005	Alcohol and/or drug services; group counseling by a clinician	12	10	1,230	$20	$110K
T2011	Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation	2	10	30	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Health And Hospital Corporation Of Marion County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Health And Hospital Corporation Of Marion County	IN	General Acute Care Hospital	$0	$231.6M
The Health And Hospital Corporation Of Marion County	IN	Nurse Practitioner	$0	$30.1M
Eskenazi Medical Group Inc	IN	Adult Medicine Physician	$0	$18.9M
The Health And Hospital Corporation Of Marion County	IN	Methadone Clinic	$138.9K	$17.3M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$16.6M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$15.6M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$8.9M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$8.5M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$6.9M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$6.8M

Nearby Providers

Other providers in the same ZIP code as The Health And Hospital Corporation Of Marion County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana University Health Care Associates, Inc	IN	General Practice Physician	$0	$125.4M
Indiana University Health Inc	IN	General Acute Care Hospital	$0	$111.5M
University Pediatric Associates, Inc.	IN	Pediatrics Physician	$0	$98.3M
Indiana University Health Inc	IN	Children's Hospital	$0	$75.6M
University Family Physicians, Inc.	IN	Family Medicine Physician	$0	$65.3M
Indiana University Radiology Associates, Inc.	IN	Diagnostic Radiology Physician	$0	$47.8M
Icem-wishard LLC	IN	Emergency Medicine Physician	$0	$34.6M
University Medical Diagnostic Associates, Inc.	IN	Internal Medicine Physician	$0	$28.3M
Indiana Clinic-neurology, LLC	IN	Neurology Physician	$0	$15.8M
University Obstetricians-gynecologists,inc	IN	Obstetrics & Gynecology Physician	$0	$14.3M

The Health And Hospital Corporation Of Marion County — Billing Profile & Reimbursement Data

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The Health And Hospital Corporation Of Marion County — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References