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.

Orthopaedics Northeast PC (NPI 1740268796)

Orthopaedics Northeast PC is a orthopaedic surgery physician provider located in Fort Wayne, Indiana. This profile covers 0 Medicare and 80 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	Orthopaedics Northeast PC
Address	5050 N Clinton St
City	Fort Wayne
State	IN
ZIP	46825
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	January 9, 2006

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

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

80 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	69,390	$40	$2.7M
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…	24,670	$50	$1.3M
99203	The provider sees a new 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 provider…	16,690	$60	$967.8K
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…	5,260	$90	$478.4K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	3,060	$90	$287.4K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	6,040	$20	$108.7K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	4,050	$30	$101.3K
72110	In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.	3,530	$30	$95.4K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	410	$230	$93.4K
72100	The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…	2,720	$20	$49K

Showing 1–10 of 80

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

Orthopaedics Northeast PC — 8 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

80 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.	339	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.	322	360	3,490	$110	$1.5M
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…	115	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…	44	2,380	920	$50	$376.8K
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…	36	790	150	$90	$99.4K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	2	50	310	$140	$94.7K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	8	20	180	$150	$91.8K
99203	The provider sees a new 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 provider…	13	890	160	$60	$76.8K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	38	70	90	$120	$62K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	141	880	250	$40	$59.2K

Showing 1–10 of 80

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A.i.d. Residential Services, LLC	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.4M
Familia Dental Fort Wayne PLLC	IN	Dental Clinic/Center	$0	$8.7M
Lakewood Family Dental Inc	IN	Dentist	$0	$8.7M
Associated Surgeons And Physicians, LLC	IN	Obstetrics & Gynecology Physician	$0	$8.5M
Hand In Hand Comprehensive Therapy Specialists Inc	IN	Occupational Therapist	$0	$6.4M
Kids.healthcare PC	IN	Pediatrics Physician	$0	$4.8M
Steppin Up Physical Therapy, Inc.	IN	Physical Therapist	$0	$4.6M
Mobile Medical Maintenance, LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$4.3M
Dupont Hospital LLC	IN	General Acute Care Hospital	$0	$3.8M
Ear, Nose & Throat Associates, PC	IN	Otolaryngology Physician	$0	$3.4M

Orthopaedics Northeast PC — Billing Profile & Reimbursement Data

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Orthopaedics Northeast PC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Klaassen	IN	Orthopaedic Surgery Physician	$199.7K	$0
Micah Smith	IN	Orthopaedic Surgery Physician	$171.3K	$0
Alan Mcgee	IN	Orthopaedic Surgery Physician	$163.2K	$0
Ward Hamlet	IN	Orthopaedic Hand Surgery Physician	$132.4K	$0
Stephen Wright	IN	Sports Medicine (Orthopaedic Surgery) Physician	$130.9K	$0
Jon Karl	IN	Pain Medicine Physician	$120.9K	$0
Shantanu Kulkarni	IN	Physical Medicine & Rehabilitation Physician	$116K	$0
David Conner	IN	Orthopaedic Surgery Physician	$106.2K	$0
Christopher Johnson	IN	Orthopaedic Surgery Physician	$105.9K	$0
John Williams	IN	Orthopaedic Surgery Physician	$102K	$0