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.

Parkview Health System, Inc. (NPI 1720190002)

Field	Value
Entity Type	Organization
Organization	Parkview Health System, Inc.
Address	11123 Parkview Plaza Dr Ste 101
City	Fort Wayne
State	IN
ZIP	46845
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	39,460	$60	$2.2M
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	29,710	$60	$1.7M
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…	24,940	$60	$1.4M
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…	6,660	$70	$472.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	4,400	$60	$268.3K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	12,310	$20	$233.9K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	3,520	$60	$218.2K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,620	$60	$165.2K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	1,830	$60	$113.6K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	1,720	$50	$77.3K

Showing 1–10 of 50

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

Parkview Health System, Inc. — 7 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	365	2,120	870	$60	$450.6K
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…	163	2,380	920	$50	$376.8K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	6	10	250	$640	$349.8K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	3	160	1,390	$70	$294.8K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	2	190	1,680	$70	$264.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	327	530	740	$30	$210K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	17	130	410	$70	$133.5K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	7	70	70	$400	$104.6K
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…	377	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…	389	510	180	$90	$93.6K

Showing 1–10 of 50

Related Providers

Other providers that share a Tax Identification Number (TIN) with Parkview Health System, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkview Health System Inc	IN	Family Medicine Physician	$0	$88.7M
Parkview Health System, Inc.	IN	Internal Medicine Physician	$0	$22.5M
La Porte Clinic Company LLC	IN	Internal Medicine Physician	$0	$18.8M
Steppin Up Physical Therapy, Inc.	IN	Physical Therapist	$0	$4.6M
Parkview Health System, Inc.	IN	Cardiovascular Disease Physician	$0	$3M
Jody Neer	IN	Neurology Physician	$741.1K	$0
Ryan Gonzales	IN	Hematology & Oncology Physician	$675.2K	$0
Amritpal Anand	IL	Rheumatology Physician	$590.1K	$7K
Heather Roy	IN	Nurse Practitioner	$394.6K	$0
Sandra Herrington	OH	Radiation Oncology Physician	$392.7K	$0

Nearby Providers

Other providers in the same ZIP code as Parkview Health System, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkview Hospital, Inc.	IN	General Acute Care Hospital	$0	$92.8M
Fort Wayne Radiology Associates LLC	IN	Diagnostic Radiology Physician	$0	$8.8M
Adeel Khan	IN	Ophthalmology Physician	$6.6M	$0
Park Place Senior Living, LLC	IN	Assisted Living Facility	$0	$4.4M
Nephrology Associates Of Northern Indiana, Inc	IN	Nephrology Physician	$0	$3.3M
Allied Hospital Pathologists, P.C.	IN	Anatomic Pathology & Clinical Pathology Physician	$0	$2.9M
Gohar Salam	IN	Ophthalmology Physician	$2.5M	$0
Parkview Ortho Center, LLC	IN	Ambulatory Surgical Clinic/Center	$627.7K	$15.8K
Robert Bednarek	IN	Dermatology Physician	$320K	$0
Christopher Carrel	IN	Diagnostic Radiology Physician	$304.9K	$0

Parkview Health System, Inc. — Billing Profile & Reimbursement Data

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Parkview Health System, Inc. — 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