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.

Elite Emergency Physicians Inc (NPI 1932155371)

Field	Value
Entity Type	Organization
Organization	Elite Emergency Physicians Inc
Address	600 East Blvd
City	Elkhart
State	IN
ZIP	46514
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$21.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 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.	119,720	$80	$10.1M
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.	158,770	$60	$9.5M
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.	40,370	$30	$1.4M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	70,830	$1	$283.3K
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…	2,170	$90	$192.8K
99217	N/A	650	$20	$13.7K
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.	470	$20	$8.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	150	$40	$5.1K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	150	$20	$2.6K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	30	$50	$1.7K

Showing 1–10 of 17

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

Elite Emergency Physicians Inc — 3 of 14 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

17 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.	6	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.	32	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.	4	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.	87	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…	25	140	270	$130	$195.3K
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…	298	330	210	$80	$126.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	147	280	160	$40	$52.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	11	290	630	$1	$45.5K
99217	N/A	23	90	190	$60	$30.1K
99220	N/A	30	70	180	$60	$27K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Elite Emergency Physicians Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glen Brookshire	IN	Emergency Medicine Physician	$97.9K	$0
Michele Smith	IN	Family Nurse Practitioner	$33.8K	$0
Stephanie Brenneman	IN	Family Nurse Practitioner	$6.9K	$0

Nearby Providers

Other providers in the same ZIP code as Elite Emergency Physicians Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elkhart General Hospital, Inc.	IN	General Acute Care Hospital	$0	$25.6M
Beacon Medical Group, Inc.	IN	Critical Care Medicine (Internal Medicine) Physician	$0	$4.6M
Orthopedic And Sports Medicine Center Of Northern Indiana, Inc	IN	Orthopaedic Surgery Physician	$0	$3.1M
Privia Medical Group Indiana, LLC	IN	Multi-Specialty Clinic/Center	$0	$2.6M
Gordon Hughes	IN	Rheumatology Physician	$2M	$0
Asc Surgical Ventures, LLC	IN	Ambulatory Surgical Clinic/Center	$1.5M	$17.2K
Ahsanul Haque	IN	Hematology & Oncology Physician	$831K	$0
Whitney Boling	IN	Ophthalmology Physician	$724K	$0
Roger Moore	IN	Dermatology Physician	$693.9K	$0
Edith Cullen	IN	Sports Medicine (Family Medicine) Physician	$676.7K	$0

Elite Emergency Physicians Inc — Billing Profile & Reimbursement Data

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Elite Emergency Physicians Inc — 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