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 1952411233)

Parkview Health System, Inc. is a internal medicine physician provider located in Fort Wayne, Indiana. This profile covers 0 Medicare and 102 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	Parkview Health System, Inc.
Address	11109 Parkview Plaza Dr
City	Fort Wayne
State	IN
ZIP	46845
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicaid	$22.5M
Medicare	$0

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

102 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	144,900	$30	$4.9M
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…	36,520	$100	$3.8M
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…	45,500	$40	$1.9M
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…	27,650	$60	$1.6M
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…	33,710	$50	$1.6M
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…	21,310	$40	$895.1K
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…	15,620	$60	$859.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	12,890	$60	$799.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	14,790	$50	$769.1K
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…	11,680	$50	$630.8K

Showing 1–10 of 102

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. — 11 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

102 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.	371	380	2,470	$100	$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.	245	330	1,530	$100	$1.1M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	13	10	340	$320	$899.7K
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…	219	580	710	$60	$582.9K
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…	103	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…	184	690	1,070	$80	$422.3K
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.	48	140	430	$220	$413.2K
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…	77	2,380	920	$50	$376.8K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	3	20	250	$100	$344.7K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	4	20	250	$100	$308.8K

Showing 1–10 of 102

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkview Hospital, Inc.	IN	General Acute Care Hospital	$0	$92.8M
Parkview Health System Inc	IN	Family Medicine Physician	$0	$88.7M
Columbia St. Mary's Hospital Milwaukee, Inc.	WI	General Acute Care Hospital	$0	$64.5M
La Porte Clinic Company LLC	IN	Internal Medicine Physician	$0	$18.8M
Columbia St. Mary's Hospital Milwaukee, Inc	WI	Multi-Specialty Clinic/Center	$0	$9.8M
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
Michael Hafran	MI	Family Medicine Physician	$3.7M	$0
Parkview Health System, Inc.	IN	Cardiovascular Disease Physician	$0	$3M

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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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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