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.

Epmg Of Indiana, PC (NPI 1750317350)

Field	Value
Entity Type	Organization
Organization	Epmg Of Indiana, PC
Address	1500 S Lake Park Ave
City	Hobart
State	IN
ZIP	46342
Taxonomy	Emergency Medical Services (Emergency Medicine) Physician
NPI Enumerated	June 24, 2006

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	27,910	$60	$1.5M
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.	28,150	$40	$1.2M
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.	16,680	$20	$383.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	220	$10	$2.5K
99217	N/A	80	$30	$2.2K
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.	250	$10	$1.3K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	140	$1	$410
99281	The provider sees a patient for the lowest level emergency department visit.	140	$1	$270
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	50	$10	$240
12002	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.6 to 7.5 cm in…	30	$1	$60

Showing 1–10 of 11

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

Epmg Of Indiana, PC — 0 of 10 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

11 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.	59	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.	90	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.	35	330	1,530	$100	$1.1M
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.	102	200	280	$130	$321.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	74	140	270	$130	$195.3K
99281	The provider sees a patient for the lowest level emergency department visit.	24	50	100	$130	$48.5K
99217	N/A	60	90	190	$60	$30.1K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	36	40	60	$20	$29.2K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	5	10	80	$60	$15K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	10	10	110	$10	$1.3K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Epmg Of Indiana, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Decker	IL	Emergency Medicine Physician	$114.6K	$582.8K
Daniel De Feo	NJ	Family Medicine Physician	$44.5K	$0

Nearby Providers

Other providers in the same ZIP code as Epmg Of Indiana, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Mary Medical Center Inc	IN	General Acute Care Hospital	$0	$23.5M
Raja Devanathan	IN	Pulmonary Disease Physician	$3M	$0
Cep America LLC	IN	Emergency Medicine Physician	$0	$2.8M
City Of Hobart	IN	Ambulance	$266.5K	$1.2M
Guneesh Saluja	IN	Emergency Medicine Physician	$119K	$494.6K
Zlatan Stepanovic	IN	Cardiovascular Disease Physician	$365.3K	$0
William Frey	IN	Optometrist	$13.3K	$330.3K
Anne Meier	IN	Hematology & Oncology Physician	$326.1K	$0
Amer Sidani	IN	Hematology & Oncology Physician	$318.2K	$0
Eduardo Fletes	IN	Internal Medicine Physician	$315.1K	$0

Epmg Of Indiana, PC — Billing Profile & Reimbursement Data

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Epmg Of Indiana, 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