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.

Parkview Health System Inc (NPI 1932130952)

Key Findings

Field	Value
Entity Type	Organization
Organization	Parkview Health System Inc
Address	3909 New Vision Dr
City	Fort Wayne
State	IN
ZIP	46845
Taxonomy	Family Medicine Physician
NPI Enumerated	July 6, 2006

Payer Source	Total Paid
Medicaid	$88.7M
Medicare	$0

PARKVIEW HEALTH SYSTEM INC is effectively a Medicaid-focused provider: there is no Medicare billing on file and total Medicaid revenue is $88.7M, indicating a single-payer concentration in Medicaid for the data shown. This payer mix makes the organization highly dependent on Medicaid outpatient reimbursement and policy changes tied to that program.

Revenue is highly concentrated in a small set of E/M and preventive codes: the top three Medicaid codes (99213, 99214, 99391) account for 77.8% of the provider's total Medicaid revenue. Individually those codes are 99213: $33.1M (38.6%), 99214: $29.4M (34.3%), and 99391: $4.1M (4.8%), underscoring that routine office visits and preventive medicine drive the bulk of income.

The code mix points to a large ambulatory primary care operation with a strong preventive care and well-child focus: high volumes in 99213 and 99214 (established patient office visits) paired with major volumes in pediatric/adult preventive codes such as 99391 and 99392 indicate routine primary care and scheduled wellness visits are core services. This pattern is consistent with the provider taxonomy of Family Medicine Physician and suggests operational emphasis on longitudinal outpatient care rather than specialist procedures.

Operational scale is substantial for outpatient visits: 99213 shows 649.8K claims and 99214 shows 446.2K claims, figures that imply very high ambulatory throughput and likely multi-site or system-level capacity to deliver primary care at scale. Those claim volumes, combined with the large dollar amounts tied to each code, reflect a high-volume clinic footprint managing large patient panels under Medicaid.

Statewide competitive standing is dominant for multiple core codes: 99213 ranks #2 of 2377 providers in-state (100th percentile; extreme outlier) and 99214 ranks #4 of 2122 providers in-state (100th percentile; extreme outlier), signaling that this provider is a major Medicaid E/M player in Indiana. Preventive and diagnostic services also show outsized standing (for example, 99391 ranks #2 of 278 providers in-state, 100th percentile; extreme outlier), reinforcing the provider's leadership across routine care categories.

The provider offers a broad set of ancillary preventive and diagnostic services alongside primary care: vaccine administration codes such as 90471 (142.5K claims, $1.4M revenue, ranks #2 of 656 providers in-state, 100th percentile; extreme outlier) and 90472 (79.9K claims, $1.4M revenue, ranks #2 of 385 providers in-state, 100th percentile; extreme outlier) show high immunization volume, while testing codes like 87428 and 87426 (27.9K and 28.8K claims, $919.4K and $862.6K revenue respectively) indicate in-office or affiliated lab testing capacity. This suggests integrated preventive workflows (vaccination + screening) that support high E/M throughput.

There is a clear pediatric and adolescent preventive emphasis within the service mix: 99391 (55.1K claims, $4.1M revenue) and 99392 (52K claims, $4.1M revenue) both rank #2 in-state (100th percentile; extreme outlier), and 99393 and 99394 also appear in the top code list with strong ranks. Those data points indicate a sustained focus on well-child and adolescent annual visits as a revenue and service-line pillar.

The provider has long tenure in the NPI registry, enumerated on 2006-07-06 (~20 years ago), which combined with the large Medicaid footprint ($88.7M) and persistent high-volume rankings suggests an established presence in the state Medicaid market. Longevity plus the dominant code-level ranks supports interpreting current patterns as steady operational specialization rather than transient spikes.

Medicaid: Complete Services Breakdown

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

217 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	649,830	$50	$33.1M
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…	446,210	$70	$29.4M
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…	55,050	$80	$4.1M
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…	52,020	$80	$4.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	24,060	$80	$1.9M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	142,510	$10	$1.4M
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…	16,880	$80	$1.4M
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	79,910	$20	$1.4M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	34,730	$40	$1.2M
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…	20,220	$60	$1.2M

Showing 1–10 of 217

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

Parkview Health System Inc — 19 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

217 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	19	30	280	$820	$992.2K
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…	108	130	3,770	$60	$617.7K
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…	496	580	710	$60	$582.9K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	3	10	460	$170	$523.4K
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…	209	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…	4	2,120	870	$60	$450.6K
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.	23	140	430	$220	$413.2K
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.	88	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…	2	2,380	920	$50	$376.8K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	9	20	730	$130	$348.3K

Showing 1–10 of 217

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkview Hospital, Inc.	IN	General Acute Care Hospital	$0	$92.8M
Parkview Health System, Inc.	IN	Internal Medicine Physician	$0	$22.5M
La Porte Clinic Company LLC	IN	Internal Medicine Physician	$0	$18.8M
Parkview Health System, Inc.	IN	Obstetrics & Gynecology Physician	$0	$7.3M
Steppin Up Physical Therapy, Inc.	IN	Physical Therapist	$0	$4.6M
Parkview Hospital, Inc.	IN	Air Ambulance	$0	$3.8M
Parkview Health System, Inc.	IN	Cardiovascular Disease Physician	$0	$3M
Parkview Hospital Inc.	IN	Home Infusion Agency	$0	$2.6M
Jody Neer	IN	Neurology Physician	$741.1K	$0
Ryan Gonzales	IN	Hematology & Oncology Physician	$675.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fort Wayne Radiology Associates LLC	IN	Diagnostic Radiology Physician	$0	$8.8M
Adeel Khan	IN	Ophthalmology Physician	$6.6M	$0
Park Place Senior Living, LLC	IN	Assisted Living Facility	$0	$4.4M
Nephrology Associates Of Northern Indiana, Inc	IN	Nephrology Physician	$0	$3.3M
Allied Hospital Pathologists, P.C.	IN	Anatomic Pathology & Clinical Pathology Physician	$0	$2.9M
Gohar Salam	IN	Ophthalmology Physician	$2.5M	$0
Parkview Ortho Center, LLC	IN	Ambulatory Surgical Clinic/Center	$627.7K	$15.8K
Heather Roy	IN	Nurse Practitioner	$394.6K	$0
Robert Bednarek	IN	Dermatology Physician	$320K	$0
Christopher Carrel	IN	Diagnostic Radiology Physician	$304.9K	$0

Parkview Health System 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