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.

American Health Network Of Indiana, LLC (NPI 1831236272)

American Health Network Of Indiana, LLC is a internal medicine physician provider located in Indianapolis, Indiana. This profile covers 0 Medicare and 209 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	American Health Network Of Indiana, LLC
Address	7440 Woodland Dr Ste 200
City	Indianapolis
State	IN
ZIP	46278
Taxonomy	Internal Medicine Physician
NPI Enumerated	February 1, 2007

Payer Source	Total Paid
Medicaid	$15.3M
Medicare	$0

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

209 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…	125,140	$50	$6.5M
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…	115,580	$40	$4.6M
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…	6,610	$60	$376.8K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	9,260	$30	$286.9K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	3,460	$70	$241.9K
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…	3,460	$70	$235.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	7,830	$20	$164.4K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	2,320	$60	$148.3K
J0178	Injection, aflibercept, 1 mg	230	$660	$147.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	42,230	$1	$126.7K

Showing 1–10 of 209

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

American Health Network Of Indiana, LLC — 7 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

209 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	15	20	470	$610	$598.3K
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…	15	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…	24	30	400	$90	$443.4K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	31	140	430	$220	$413.2K
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…	21	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.	61	190	800	$40	$344.7K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	51	160	1,390	$70	$294.8K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	42	90	1,150	$60	$289.6K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	25	70	750	$120	$276.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	237	280	880	$80	$267.2K

Showing 1–10 of 209

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Health Network Of Indiana, LLC	IN	Clinical Medical Laboratory	$2.2M	$1.6M
Rita Singh-parikshak	IN	Ophthalmology Physician	$1.5M	$0
Naveed Chowhan	IN	Hematology & Oncology Physician	$910.4K	$0
David Szczesniak	OH	Diagnostic Radiology Physician	$588.2K	$0
Jamie Giesbrandt	NM	Diagnostic Radiology Physician	$385.5K	$0
Jayakrishnakamal Konijeti	IN	Nephrology Physician	$373.9K	$0
Nitie Sroa	OH	Podiatrist	$332.2K	$0
Monish Merchant	FL	Vascular & Interventional Radiology Physician	$306.8K	$120
Michael Hodkin	IN	Ophthalmology Physician	$295.7K	$0
Travis Clegg	IN	Orthopaedic Surgery Physician	$267.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patients Choice Laboratories Of Indiana, LLC	IN	Clinical Medical Laboratory	$17.3M	$23.4M
Kci Usa Inc.	IN	Durable Medical Equipment & Medical Supplies	$0	$10.1M
Landmark Recovery Of Carmel LLC	IN	Substance Abuse Rehabilitation Facility	$0	$6.4M
Pharmaneek Inc	IN	Pharmacy	$6.2M	$17.8K
Aria Diagnostics LLC	IN	Clinical Medical Laboratory	$647.7K	$3.9M
Kacy Rogers	IN	Nurse Practitioner	$643.1K	$0
Brian Wiegel	IN	Diagnostic Radiology Physician	$446.5K	$0
Timothy Davis	IN	Diagnostic Radiology Physician	$429.5K	$0
Florentino Ferrer	IN	Physical Therapist	$244.3K	$0
Michael Conley	IN	Diagnostic Radiology Physician	$231.2K	$0

American Health Network Of Indiana, LLC — Billing Profile & Reimbursement Data

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American Health Network Of Indiana, LLC — 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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