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.

Kosciusko Medical Group LLC (NPI 1932349594)

Kosciusko Medical Group LLC is a family medicine physician provider located in Warsaw, Indiana. This profile covers 0 Medicare and 89 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	Kosciusko Medical Group LLC
Address	2235 Dubois Dr
City	Warsaw
State	IN
ZIP	46580
Taxonomy	Family Medicine Physician
NPI Enumerated	February 23, 2009

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

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

89 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…	60,430	$70	$3.9M
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…	57,980	$50	$3M
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…	3,540	$80	$297.1K
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…	2,780	$90	$238.7K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	2,580	$70	$183.1K
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…	6,540	$30	$163.6K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	1,760	$80	$146.4K
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…	1,810	$80	$144.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,480	$90	$127.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	4,660	$20	$111.7K

Showing 1–10 of 89

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

Kosciusko Medical Group LLC — 2 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

89 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…	47	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…	58	2,380	920	$50	$376.8K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	71	160	1,390	$70	$294.8K
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…	68	280	880	$80	$267.2K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	74	190	1,680	$70	$264.2K
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…	76	290	770	$80	$250.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	94	130	360	$280	$234.4K
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…	98	530	740	$30	$210K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	249	270	470	$30	$171.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	83	320	310	$80	$133.9K

Showing 1–10 of 89

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gregory Haase	IN	Internal Medicine Physician	$137.7K	$0
Jonathan Lee	IN	Vascular & Interventional Radiology Physician	$61.3K	$0
Saad Ibrahim	IN	Diagnostic Radiology Physician	$38.8K	$0
Bradley Strnad	IN	Vascular & Interventional Radiology Physician	$37.2K	$0
Brady Laughlin	IN	Vascular & Interventional Radiology Physician	$34.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bowen Health Inc	IN	Adult Mental Health Clinic/Center	$0	$508.6M
Forte Residential, Inc	IN	Developmentally Disabled Services Day Training Agency	$0	$44.8M
Warsaw Health System LLC	IN	General Acute Care Hospital	$0	$10M
Joes Kids Inc	IN	Physical Therapist	$0	$2.9M
Grossnickle Eye Center, Inc.	IN	Ophthalmologic Surgery Clinic/Center	$1.8M	$0
Colin Ridenour	IN	Ophthalmology Physician	$1.2M	$0
Allison Pernic	IN	Ophthalmology Physician	$1.1M	$0
Matthew Ralstin	IN	Ophthalmology Physician	$889K	$0
Christopher Knight	IN	Ophthalmology Physician	$880.3K	$0
Ann Buikema Wiarda	IN	Ophthalmology Physician	$808.4K	$0

Kosciusko Medical Group LLC — Billing Profile & Reimbursement Data

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Kosciusko Medical Group LLC — 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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