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    OpenPayerNPI Medicare & MedicaidNes Of Sandusky Inc
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    Nes Of Sandusky Inc — Billing Profile & Reimbursement Data

    NPI 1972978583 · Logansport, IN · Emergency Medicine Physician

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    Nes Of Sandusky Inc is a emergency medicine physician provider located in Logansport, Indiana. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNes Of Sandusky Inc
    Address1101 Michigan Ave
    CityLogansport
    StateIN
    ZIP46947
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedDecember 8, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The 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.16,420$80$1.3M
    99284The 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.20,260$60$1.2M
    99283The 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.8,230$30$246.9K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.4,020$1$16.1K
    99282The 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.50$30$1.4K
    G8783Normal blood pressure reading documented, follow-up not required160$0$0
    G8952Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given620$0$0
    G9744Patient not eligible due to active diagnosis of hypertension390$0$0
    3210FNo Summary found for this code100$0$0
    G8711Prescribed antibiotic on or within 3 days after the episode date100$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Indiana median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.793802,470$100$1.5M
    99283The 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.1413603,490$110$1.5M
    99285The 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.553301,530$100$1.1M
    99282The 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.159200280$130$321.2K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.73290630$1$45.5K
    G8783Normal blood pressure reading documented, follow-up not required2640310$0$0
    G8952Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given920520$0$0
    G9744Patient not eligible due to active diagnosis of hypertension1840240$0$0
    3210FNo Summary found for this code210150$0$0
    G8711Prescribed antibiotic on or within 3 days after the episode date110100$0$0

    Nearby Providers

    Other providers in the same ZIP code as Nes Of Sandusky Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkview Logansport Hospital IncINGeneral Acute Care Hospital$0$15.4M
    Parkview Logansport Hospital, Inc.INGeneral Acute Care Hospital$0$9.8M
    Peak Community Services Inc.INIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$6.3M
    Cass County AuditorINAmbulance$345K$946.5K
    Twin Rivers Medical Laboratory, IncINClinical Medical Laboratory$476.2K$160.7K
    John MarvelINRadiation Oncology Physician$292K$0
    Cherie BennettINInternal Medicine Physician$97.2K$0
    Matthew FriedenINOptometrist$75.8K$10.2K
    Scott MarshINFoot & Ankle Surgery Podiatrist$41.5K$0
    David SommersINAnesthesiology Physician$22.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Indiana Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Nes Of Sandusky Inc — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana