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.

Indiana University Health Care Associates, Inc (NPI 1902032832)

Key Findings

Field	Value
Entity Type	Organization
Organization	Indiana University Health Care Associates, Inc
Address	340 W Tenth St
City	Indianapolis
State	IN
ZIP	46202
Taxonomy	General Practice Physician
NPI Enumerated	June 5, 2009

Payer Source	Total Paid
Medicaid	$125.4M
Medicare	$0

This provider has no Medicare billing on file and reports $125.4M in lifetime Medicaid revenue, making its publicly visible activity effectively single‑payer (Medicaid) at the scale reported. Analysts should treat Medicaid as the dominant and nearly exclusive payer for the entity in the available data.

Revenue is highly concentrated in emergency department evaluation-and-management codes: 99285 accounts for $40.9M (33.5% of Medicaid revenue), 99284 accounts for $30M (24.5%), and 99283 accounts for $17M (13.9%); those top three codes together account for 72.0% of the provider’s total Medicaid revenue. This concentration signals that a large share of Medicaid dollars flow through a small set of high-volume ED encounters.

The code mix indicates the organization operates a high-volume acute care and emergency services footprint. In addition to the dominant ED E/M codes (99285/99284/99283), the presence of 99291 ($722.8K) and hospital care codes such as 99232 ($2M) and 99233 ($484.2K) demonstrates capacity for critical and inpatient follow-up care tied to emergency presentations.

On statewide competitive standing, this provider is a dominant outlier for core ED codes: 99285 ranks #1 of 325 providers in-state (100th percentile; extreme outlier), 99284 ranks #2 of 382 (100th percentile; extreme outlier), and 99283 ranks #1 of 364 (100th percentile; extreme outlier). Those rank/percentile positions indicate volumes far above typical state peers and suggest market leadership in ED Medicaid activity.

Beyond emergency care, the Medicaid billing mix shows a broad clinical footprint spanning preventive care, primary care visits, vaccinations, obstetrics, behavioral health, and specialty services. Examples include 99214 ($10M, 8.2%), 99213 ($9.2M, 7.5%), preventive medicine codes 99391 ($1.5M) and 99392 ($1.3M), vaccination codes 90471/90472 ($891K and $693.4K), obstetric mini-global codes 59426/59425 (~$880.2K and $688K), psychiatric evaluation 90792 ($576.5K), diabetes education G0108 ($576.9K, rank #1 of 19; 100th percentile; extreme outlier), and sleep study 95810 ($451.9K, rank #2 of 58; 98th percentile; extreme outlier).

Multiple codes are described as statistical outliers or notably above typical state volume, reinforcing the provider’s unusually high Medicaid throughput across several service lines. In addition to the ED codes labeled “extreme outlier,” vaccination and diabetes‑education codes (90471, G0108) and polysomnography (95810) are also flagged at very high percentiles, which indicates the provider’s profile is atypically large across both acute and selected outpatient care categories.

The NPI was enumerated on 2009-06-05 (~17 years ago), indicating a long tenure in the market. Combined with the concentrated high-volume Medicaid billing and top-state ranks, the tenure supports classification as an established, high-capacity provider for Medicaid patients in Indianapolis and Indiana more broadly.

Medicaid: Complete Services Breakdown

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

204 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.	314,780	$130	$40.9M
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.	296,630	$100	$30M
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.	273,770	$60	$17M
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…	120,790	$80	$10M
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…	129,050	$70	$9.2M
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…	49,770	$40	$2M
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…	18,040	$80	$1.5M
99392	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…	15,110	$90	$1.3M
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…	10,720	$110	$1.2M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	52,410	$20	$891K

Showing 1–10 of 204

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

Indiana University Health Care Associates, Inc — 14 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

204 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.	2	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.	1	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.	1	330	1,530	$100	$1.1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	92	580	710	$60	$582.9K
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…	367	390	3,600	$50	$511.6K
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…	17	2,120	870	$60	$450.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	185	690	1,070	$80	$422.3K
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…	18	2,380	920	$50	$376.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	185	220	1,380	$20	$360.2K
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.	46	200	280	$130	$321.2K

Showing 1–10 of 204

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana University Health, Inc	IN	Home Infusion Therapy Pharmacy	$0	$178.1M
Indiana University Health Inc	IN	General Acute Care Hospital	$0	$111.5M
Indiana University Health Inc	IN	Children's Hospital	$0	$75.6M
Indiana University Health Southern Indiana Physicians, LLC	IN	Multi-Specialty Clinic/Center	$0	$69.5M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Indiana University Radiology Associates, Inc.	IN	Diagnostic Radiology Physician	$0	$47.8M
University Medical Diagnostic Associates, Inc.	IN	Internal Medicine Physician	$0	$28.3M
Indiana University Health Arnett Inc	IN	General Acute Care Hospital	$0	$26M
Eskenazi Medical Group Inc	IN	Adult Medicine Physician	$0	$18.9M
Indiana University Health West Hospital Inc	IN	General Acute Care Hospital	$0	$16M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Health And Hospital Corporation Of Marion County	IN	General Acute Care Hospital	$0	$231.6M
University Pediatric Associates, Inc.	IN	Pediatrics Physician	$0	$98.3M
University Family Physicians, Inc.	IN	Family Medicine Physician	$0	$65.3M
The Health And Hospital Corporation Of Marion County	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46.9M
Icem-wishard LLC	IN	Emergency Medicine Physician	$0	$34.6M
The Health And Hospital Corporation Of Marion County	IN	Nurse Practitioner	$0	$30.1M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$16.6M
Indiana Clinic-neurology, LLC	IN	Neurology Physician	$0	$15.8M
University Obstetricians-gynecologists,inc	IN	Obstetrics & Gynecology Physician	$0	$14.3M
University Pediatric Dentistry Associates	IN	Pediatric Dentistry	$0	$12.8M

Indiana University Health Care Associates, Inc — Billing Profile & Reimbursement Data

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Indiana University Health Care Associates, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References