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.

Franciscan Health Dyer & Hammond (NPI 1811077431)

Franciscan Health Dyer & Hammond is a general acute care hospital provider located in Dyer, Indiana. This profile covers 0 Medicare and 44 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	Franciscan Health Dyer & Hammond
Address	24 Joliet St
City	Dyer
State	IN
ZIP	46311
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,750	$1,770	$3.1M
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,…	3,240	$110	$347K
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.	1,460	$170	$247.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	3,480	$60	$208.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	2,720	$30	$76K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	80	$880	$73.6K
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.	1,370	$50	$69.8K
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…	80	$900	$68.3K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	800	$80	$65.6K
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.	340	$160	$54.7K

Showing 1–10 of 44

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

Franciscan Health Dyer & Hammond — 0 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

44 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.	277	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.	217	360	3,490	$110	$1.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	71	100	2,210	$70	$926K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	3	30	450	$1,270	$886.9K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	123	130	3,770	$60	$617.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	200	390	3,600	$50	$511.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	135	400	1,100	$40	$382.2K
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…	1,598	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.	82	190	800	$40	$344.7K
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.	149	200	280	$130	$321.2K

Showing 1–10 of 44

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Health Dyer & Hammond	IN	General Acute Care Hospital	$0	$3.3M
Amber Vogt	OR	Emergency Medicine Physician	$362.7K	$0
Mohammed Alo	OH	Cardiovascular Disease Physician	$256.6K	$27.2K
Binu Malhotra	MI	Hematology & Oncology Physician	$114.7K	$0
Sameer Sharma	IN	Gynecologic Oncology Physician	$93.1K	$620
Farhoud Khosravi	AK	Gastroenterology Physician	$59K	$0
Ebenezer Tayui	IN	Anesthesiology Physician	$28K	$0
Leticia Vazquez	IL	Anesthesiology Physician	$16.2K	$0
Anant Yadav	IN	Anesthesiology Physician	$15.7K	$0
Michele Bonneau	IN	Certified Registered Nurse Anesthetist	$4.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohamad Kassar	IN	Hematology & Oncology Physician	$4.7M	$0
Tae'ni Chang-stroman M.d., P.C.	IN	Pediatrics Physician	$0	$3.5M
Cannan Healthcare Services & Staffing Inc	IN	Home Health Agency	$0	$3.2M
Neel Shah	IN	Hematology & Oncology Physician	$3.2M	$0
Pathology Consultants Inc	IN	Anatomic Pathology & Clinical Pathology Physician	$0	$2.9M
Michael Tallarico	IN	Medical Oncology Physician	$2.7M	$0
Northwest Cancer Centers, PC	IN	Internal Medicine Physician	$0	$2.5M
Gowri Ramadas	IN	Hematology & Oncology Physician	$1.3M	$0
Shruti Singh	IN	Hematology & Oncology Physician	$1.1M	$0
Kunwarjit Duggal	IN	Physical Medicine & Rehabilitation Physician	$669.7K	$18.8K

Franciscan Health Dyer & Hammond — Billing Profile & Reimbursement Data

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Franciscan Health Dyer & Hammond — 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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