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.

Riverview Hospital (NPI 1700883717)

Riverview Hospital is a general acute care hospital provider located in Noblesville, Indiana. This profile covers 0 Medicare and 112 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	Riverview Hospital
Address	395 Westfield Rd
City	Noblesville
State	IN
ZIP	46060
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 5, 2005

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

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

112 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	16,730	$140	$2.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	15,700	$130	$2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8,480	$210	$1.8M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	2,200	$60	$136.6K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	2,460	$50	$130.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	21,310	$10	$127.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	30,910	$1	$123.7K
81513	The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and…	830	$110	$90.5K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	690	$130	$87K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	5,480	$10	$65.8K

Showing 1–10 of 112

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

Riverview Hospital — 0 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

112 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	94	380	2,470	$100	$1.5M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	95	360	3,490	$110	$1.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	269	330	1,530	$100	$1.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	29	100	2,210	$70	$926K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	75	130	3,770	$60	$617.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	131	150	440	$100	$545.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	139	220	1,850	$30	$449.4K
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…	1,815	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.	141	190	800	$40	$344.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	129	200	280	$130	$321.2K

Showing 1–10 of 112

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverview Hospital	IN	Family Medicine Physician	$0	$9.1M
Ruemu Birhiray	IN	Hematology & Oncology Physician	$957.5K	$0
Ashwin Vasudevamurthy	IN	Medical Oncology Physician	$587.7K	$0
Muhammad Sarfraz Nawaz	IN	Hematology & Oncology Physician	$420.1K	$0
Daniel Milton	IN	Hematology & Oncology Physician	$385.9K	$0
Deng Zhang	IN	Hematology & Oncology Physician	$339.6K	$0
Brian Mulherin	IN	Hematology & Oncology Physician	$289.8K	$0
Jenelle Miller	IN	Hematology & Oncology Physician	$226.1K	$0
Andrew Malin	IN	Orthopaedic Surgery Physician	$183.4K	$0
Thomas Miller	IN	Critical Care Medicine (Internal Medicine) Physician	$167.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspire Indiana Inc	IN	Case Manager/Care Coordinator	$0	$61.7M
Opportunities For Positive Growth, Inc	IN	Counselor	$0	$30.1M
Orthodynamics Company, Inc.	IN	Durable Medical Equipment & Medical Supplies	$5.1M	$8.1M
Cork Medical LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$4.6M
Rehab Medical, LLC	IN	Customized Equipment (DME)	$0	$4.4M
Pediatric Dentistry Of Noblesville	IN	Pediatric Dentistry	$0	$2.6M
City Of Noblesville	IN	Ambulance	$366.1K	$1.6M
Hamilton Surgery Center LLC	IN	Ambulatory Surgical Clinic/Center	$931.1K	$85.8K
Kathleen Thomas	IN	Rheumatology Physician	$933.8K	$0
David Patterson	IN	Allergy & Immunology Physician	$455.6K	$0

Riverview Hospital — Billing Profile & Reimbursement Data

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Riverview Hospital — 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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