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.

Lafayette Emergency Care, P.C. (NPI 1861447211)

Field	Value
Entity Type	Organization
Organization	Lafayette Emergency Care, P.C.
Address	5165 Mccarty Ln
City	Lafayette
State	IN
ZIP	47905
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$3.8M
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.	32,560	$70	$2.2M
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.	22,520	$50	$1.1M
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.	15,830	$30	$459K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	16,420	$1	$49.3K
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…	120	$30	$4.1K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	40	$1	$160
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.	60	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	730	$0	$0
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and…	420	$0	$0
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	120	$0	$0

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

Lafayette Emergency Care, P.C. — 0 of 6 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.	72	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.	94	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.	28	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.	146	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…	90	140	270	$130	$195.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	36	290	630	$1	$45.5K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	112	160	100	$10	$3.3K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	59	190	250	$0	$0
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and…	1	10	420	$0	$0
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	14	30	140	$0	$0

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lafayette Emergency Care, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hector Torres	IN	Emergency Medicine Physician	$40.9K	$0

Nearby Providers

Other providers in the same ZIP code as Lafayette Emergency Care, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Health Lafayette	IN	General Acute Care Hospital	$0	$38.6M
Arnett Clinic, LLC	IN	Internal Medicine Physician	$0	$35.1M
Piece By Piece Aba Therapy LLC	IN	Behavior Technician	$0	$33M
Indiana University Health Arnett Inc	IN	General Acute Care Hospital	$0	$26M
Limestone Health, LLC	IN	Methadone Clinic	$117.1K	$11.2M
Sycamore Springs, LLC	IN	Psychiatric Hospital	$0	$7M
Lafayette Pain Care, P.C.	IN	Pain Medicine Physician	$0	$6M
Awl Dentistry PC	IN	General Practice Dentistry	$0	$6M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$5.2M
Emergency Care Associates Of Indiana, LLC	IN	Emergency Medicine Physician	$0	$4.5M

Lafayette Emergency Care, P.C. — Billing Profile & Reimbursement Data

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Lafayette Emergency Care, P.C. — 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