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.

Centers For Pain Control, Inc (NPI 1790920452)

Centers For Pain Control, Inc is a pain medicine physician provider located in La Porte, Indiana. This profile covers 0 Medicare and 60 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	Centers For Pain Control, Inc
Address	204 Legacy Plz W
City	La Porte
State	IN
ZIP	46350
Taxonomy	Pain Medicine Physician
NPI Enumerated	December 10, 2008

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

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

60 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	45,650	$50	$2.3M
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…	28,560	$30	$856.7K
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.	28,000	$30	$812.1K
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	2,720	$240	$658K
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…	8,040	$40	$353.6K
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,…	16,120	$20	$274K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	2,620	$100	$261.5K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	4,200	$60	$235.4K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	2,440	$100	$231.5K
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).	3,830	$60	$214.3K

Showing 1–10 of 60

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

Centers For Pain Control, Inc — 11 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

60 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…	62	2,120	870	$60	$450.6K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	16	30	400	$90	$443.4K
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…	133	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.	16	190	800	$40	$344.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	18	90	390	$40	$171.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	46	490	1,080	$30	$162.7K
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	1	10	130	$350	$162.3K
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	3	10	90	$420	$137.3K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	244	390	2,270	$20	$121.4K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	1	30	140	$230	$100.9K

Showing 1–10 of 60

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Interventional Pain Management LLC	IN	Ambulatory Surgical Clinic/Center	$216.2K	$908.1K
Keerthi Prasad	TX	Vascular & Interventional Radiology Physician	$666.7K	$0
Interventional Pain Management LLC	IN	Ambulatory Surgical Clinic/Center	$182.1K	$444.5K
Interventional Pain Management, LLC	IN	Ambulatory Surgical Clinic/Center	$109.6K	$417.9K
Monish Merchant	FL	Vascular & Interventional Radiology Physician	$306.8K	$120
Sheel Patel	IN	Pain Medicine (Anesthesiology) Physician	$210.1K	$32.6K
Chelsea Beauregard	IN	Family Nurse Practitioner	$159.4K	$0
Tarek Shahbandar	IN	Pain Medicine (Anesthesiology) Physician	$120K	$0
Rohit Puranik	IN	Pain Medicine (Anesthesiology) Physician	$117.5K	$0
Simon Ho	IN	Pain Medicine (Anesthesiology) Physician	$110.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Porte Hospital Company LLC	IN	General Acute Care Hospital	$0	$20.9M
North Indiana Emergency Physicians, LLP	IN	Emergency Medicine Physician	$0	$7M
La Porte County Auditor	IN	Land Ambulance	$1M	$4.8M
Valerie Weber	IN	Mental Health Counselor	$0	$5.2M
Beacon Medical Group, Inc.	IN	Family Medicine Physician	$0	$3.4M
Lincoln Pediatrics	IN	Pediatrics Physician	$0	$3.3M
Thomas Allen	IN	Health Service Psychologist	$33.2K	$1.4M
Jennifer Alderink	IN	Family Medicine Physician	$981.7K	$0
Sayuri Cheruvu	IN	Medical Oncology Physician	$934.1K	$0
Nadeem Kamran	IN	Internal Medicine Physician	$280.4K	$0

Centers For Pain Control, 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

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