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.

Pike Medical Consultants PC (NPI 1770689242)

Field	Value
Entity Type	Organization
Organization	Pike Medical Consultants PC
Address	7911 Michigan Rd
City	Indianapolis
State	IN
ZIP	46268
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	September 15, 2006

Payer Source	Total Paid
Medicaid	$10.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	30,620	$70	$2.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	12,900	$90	$1.2M
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	25,520	$50	$1.2M
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	59,210	$20	$1.1M
99336	N/A	17,240	$60	$1.1M
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	7,930	$80	$650.3K
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…	7,450	$80	$603.1K
99335	N/A	12,760	$40	$536.1K
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…	10,080	$50	$463.5K
99326	N/A	5,330	$70	$367.7K

Showing 1–10 of 52

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

Pike Medical Consultants PC — 12 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

52 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…	276	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…	1,203	2,380	920	$50	$376.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	27	520	240	$80	$165K
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…	21	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…	266	510	180	$90	$93.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	9	270	920	$10	$88.4K
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…	136	890	160	$60	$76.8K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	2	90	250	$30	$73.3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	18	210	360	$20	$70.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	18	290	130	$40	$69.8K

Showing 1–10 of 52

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pike Medical Consultants PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Derek Jones	KY	Family Medicine Physician	$109K	$1.8K
Carmin Stevenson	IN	Family Nurse Practitioner	$98.1K	$0

Nearby Providers

Other providers in the same ZIP code as Pike Medical Consultants PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lel Home Services, LLC	IN	In Home Supportive Care Agency	$0	$62.2M
Northwest Radiology Network P C	IN	Diagnostic Radiology Physician	$0	$9.5M
The Indiana Institute For Behavior Analysis, Inc	IN	Community/Behavioral Health Agency	$0	$9.1M
Am-pm Homes Health Services LLC	IN	Home Health Agency	$0	$9M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$8.9M
United Seating And Mobility LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$7.9M
Transcend Orthotics & Prosthetics, LLC	IN	Prosthetic/Orthotic Supplier	$0	$6.5M
Cornerstone Associates, LLC	IN	Developmentally Disabled Services Day Training Agency	$0	$6.2M
Lincare Inc	IN	Durable Medical Equipment & Medical Supplies	$0	$6M
At Home Health Equipment, LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$5.5M

Pike Medical Consultants PC — Billing Profile & Reimbursement Data

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Pike Medical Consultants 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