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.

First Urology, Psc (NPI 1922099811)

First Urology, Psc is a urology physician provider located in Jeffersonville, Indiana. This profile covers 0 Medicare and 62 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	First Urology, Psc
Address	101 Hospital Blvd
City	Jeffersonville
State	IN
ZIP	47130
Taxonomy	Urology Physician
NPI Enumerated	October 31, 2005

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

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

62 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…	34,680	$40	$1.5M
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	9,830	$110	$1.1M
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…	27,730	$30	$721K
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…	5,500	$80	$462.3K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	1,950	$140	$273K
88112	Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…	4,540	$40	$181.5K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	920	$110	$104.5K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	1,670	$50	$88.2K
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…	1,380	$60	$79.9K
84153	The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…	5,880	$10	$76.4K

Showing 1–10 of 62

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

First Urology, Psc — 6 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

62 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…	77	2,120	870	$60	$450.6K
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…	137	2,380	920	$50	$376.8K
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	1	10	260	$110	$289.7K
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…	217	530	740	$30	$210K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	296	360	430	$50	$177.4K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	7	40	160	$80	$173.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	204	330	210	$80	$126.9K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	26	100	280	$50	$113.8K
76770	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…	11	40	170	$50	$104.9K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	10	60	80	$60	$104.7K

Showing 1–10 of 62

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Optum Pharmacy 702, LLC	IN	Community/Retail Pharmacy	$0	$55.1M
Lifespring, Inc	IN	Community/Behavioral Health Agency	$0	$53.5M
Maxim Healthcare Services, Inc.	IN	Home Health Agency	$0	$30.1M
Lifespring, Inc	IN	Community/Behavioral Health Agency	$0	$21.6M
Norton Clark Hospital, LLC	IN	General Acute Care Hospital	$0	$19.7M
North Clark Medical Group LLC	IN	General Practice Physician	$0	$16.1M
Pediatric Plus Home Healthcare Services LLC	IN	Home Health Agency	$0	$8.3M
Pax Riverbend LLC	IN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8M
Utica Township Volunteer Fire Fighters Association	IN	Land Ambulance	$1.6M	$4.9M
Eye Associates Of Southern Indiana PC	IN	Ophthalmology Physician	$0	$6.4M

First Urology, Psc — Billing Profile & Reimbursement Data

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First Urology, Psc — 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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Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Forsthoefel	DC	Radiation Oncology Physician	$1.1M	$0
David Musich	IN	Radiation Oncology Physician	$1.1M	$0
Lawrence Hochman	IN	Radiation Oncology Physician	$1.1M	$0
Ryan Malone	IN	Urology Physician	$784.5K	$0
Charles Goodwin	IN	Urology Physician	$596.2K	$0
John Eifler	IN	Urology Physician	$427.6K	$0
Christopher Smith	IN	Urology Physician	$426.4K	$0
Dennis Smith	IN	Urology Physician	$408.6K	$0
John Jurige	IN	Urology Physician	$408.3K	$0
David Rosenbaum	IN	Urology Physician	$401.3K	$0