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 Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio 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. Ohio (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.

Wooster Clinic, LLC (NPI 1033135009)

Wooster Clinic, LLC is a multi-specialty clinic/center provider located in Wooster, Ohio. This profile covers 0 Medicare and 109 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	Wooster Clinic, LLC
Address	1740 Cleveland Rd
City	Wooster
State	OH
ZIP	44691
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	July 14, 2006

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

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

109 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…	77,550	$40	$3M
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…	46,550	$50	$2.5M
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…	2,480	$60	$138.8K
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…	4,300	$30	$116K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	5,740	$20	$114.8K
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…	1,890	$50	$88.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	2,590	$30	$80.3K
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…	1,540	$50	$75.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	9,170	$10	$73.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	24,270	$1	$72.8K

Showing 1–10 of 109

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Wooster Clinic, LLC — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

109 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…	101	4,510	500	$60	$377.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	51	100	1,000	$120	$357.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	164	270	8,700	$10	$353.7K
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…	71	5,080	560	$40	$323.9K
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…	152	430	560	$60	$303.2K
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…	126	480	450	$70	$292.9K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	182	270	420	$90	$276K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	73	190	430	$70	$258.6K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	222	240	2,610	$10	$239.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	283	330	630	$80	$231.5K

Showing 1–10 of 109

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Cleveland Clinic Foundation	OH	General Acute Care Hospital	$0	$864.1M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Cleveland Clinic Mercy Hospital	OH	General Acute Care Hospital	$0	$86.8M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Partners Physician Group	OH	Surgery Physician	$0	$28.5M
Quick Med Urgent Care LLC	OH	Urgent Care Clinic/Center	$0	$21.8M
Clinic Medical Services Company LLC	OH	Diagnostic Radiology Physician	$0	$10.8M
Cleveland Clinic Home Care Services	OH	Community Based Hospice Care Agency	$0	$10.8M
The Cleveland Clinic Foundation	OH	Clinical Medical Laboratory	$144K	$9M
Community Memorial Hospital Association	MN	Critical Access Hospital	$0	$4.3M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prentke Romich Company	OH	Customized Equipment (DME)	$0	$186.7M
Village Network	OH	Voluntary or Charitable Agency	$0	$62.3M
Christian Children's Home Of Ohio	OH	Adolescent and Children Mental Health Clinic/Center	$0	$18.6M
Lifecare Hospice	OH	Community Based Hospice Care Agency	$0	$16.3M
City Of Wooster	OH	General Acute Care Hospital	$0	$14M
Oneeighty, Inc.	OH	Community/Behavioral Health Agency	$0	$9.9M
Counseling Center Of Wayne & Holmes Counties	OH	Community/Behavioral Health Agency	$0	$8.6M
City Of Wooster	OH	Land Ambulance	$269.5K	$852.9K
Wasc LLC	OH	Ambulatory Surgical Clinic/Center	$950.3K	$540
Wooster Ophthalmologists, Inc.	OH	Ambulatory Surgical Clinic/Center	$647.1K	$2.4K

Wooster Clinic, LLC — Billing Profile & Reimbursement Data

Sign up for Wooster Clinic, LLC — Billing Profile & Reimbursement Data policy alerts

Wooster Clinic, LLC — Billing Profile & Reimbursement Data

Sign up for Wooster Clinic, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References