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.

University Of Cincinnati Medical Center, LLC (NPI 1033154026)

Field	Value
Entity Type	Organization
Organization	University Of Cincinnati Medical Center, LLC
Address	3188 Bellevue Avenue
City	Cincinnati
State	OH
ZIP	45219
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicaid	$176.6M
Medicare	$0

Key Findings

This entity reports no Medicare billing on file and is effectively a Medicaid-focused provider, with total Medicaid revenue of $176.6M. The absence of Medicare activity means payer mix is concentrated entirely in Medicaid for the available claims data, so analyses of payer exposure and reimbursement trends should treat this as a single-payer dataset.

Revenue is highly concentrated in a very small set of codes: the top three Medicaid codes (99211, J2350, G0463) account for 44.6% of the provider’s total Medicaid revenue. Those three codes are 99211 ($26M, 21.1% of Medicaid revenue), J2350 ($15M, 12.2%), and G0463 ($13.8M, 11.2%), indicating that nearly half of Medicaid dollars flow through routine outpatient clinic/office visit channels and a small number of high-cost drug infusions.

The code mix is consistent with a large acute-care hospital that runs extensive outpatient clinic and infusion services: high-volume ambulatory visit codes (99211, G0463), substantial emergency department E/M visits (99284, 99283, 99285), and significant infusion/chemotherapy activity (96365, 96366, 96413). This pattern points to combined high-throughput ambulatory operations plus specialty infusion and oncology services rather than a narrow specialty clinic.

On competitive standing within Ohio, the provider is a dominant outlier for certain outpatient visit codes and select specialty therapies. It ranks #1 of 703 in-state for 99211 and is labeled an "extreme outlier, far above typical state volume for this code," and it ranks #1 of 7 for J0741 (notably above typical state volume); other high-volume codes such as G0463 (rank #7 of 151, 96th percentile) also place it well above typical peer activity for hospital outpatient clinic visits.

High-cost injectable and oncology-related codes contribute meaningful Medicaid dollars and indicate a sizable specialty drug and oncology infusion footprint. J2350 (ocrelizumab) generates $15M (12.2% of Medicaid revenue) and ranks #2 of 9 in-state, while J9271 (pembrolizumab, $4.6M) and J2323 (natalizumab, $2M) and infusion administration codes (96366, 96365) are flagged as notably above typical state volume or in high percentiles, underscoring a material oncology/immunotherapy infusion program.

Emergency department throughput is substantial and material to Medicaid revenue: 99284 accounts for $8.6M (7.0% of Medicaid revenue) with 58.1K claims and sits at the 93rd percentile in-state, while 99283 ($6M, 4.8%) and 99285 ($5.8M, 4.7%) are also high-volume relative to peers. These volumes indicate consistent moderate- and high-acuity ED activity that complements the hospital’s outpatient and infusion services.

The provider shows large maternal/fetal imaging and lab volumes supporting sizable obstetric care and routine diagnostics: 59025 ($1.7M), 76816 ($1.5M), 76819 ($1.4M) and a high-volume CMP entry 80053 (133K claims, $1.6M). Several of these codes rank in the 90th+ percentiles in-state (for example 59025 at the 96th percentile), which suggests a major role in perinatal services and high throughput for routine laboratory testing.

The NPI was enumerated on 2006-06-17 (~20 years ago), indicating long tenure in the market. Combined with the concentrated Medicaid revenue base ($176.6M) and the top-three-code concentration (44.6%), this profile implies the provider is an established Medicaid-first acute-care system with significant outpatient, ED, infusion, and perinatal operations—factors that should be weighed in contracting, network planning, and comparative market-share assessments.

Medicaid: Complete Services Breakdown

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

920 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	263,110	$100	$26M
J2350	Injection, ocrelizumab, 1 mg	730	$20,640	$15M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	238,470	$60	$13.8M
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.	58,140	$150	$8.6M
J0741	Injection, cabotegravir and rilpivirine, 2mg/3mg	1,490	$5,280	$7.9M
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.	49,640	$120	$6M
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.	32,080	$180	$5.8M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	32,610	$160	$5.3M
J9271	Injection, pembrolizumab, 1 mg	740	$6,220	$4.6M
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	1,330	$1,790	$2.4M

Showing 1–10 of 920

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

University Of Cincinnati Medical Center, LLC — 8 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

920 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2350	Injection, ocrelizumab, 1 mg	2	10	310	$20,560	$10M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7	150	4,030	$100	$5.9M
J9271	Injection, pembrolizumab, 1 mg	8	20	360	$8,480	$5M
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	4	10	510	$320	$4M
J2323	Injection, natalizumab, 1 mg	5	10	440	$4,300	$3.2M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	61	170	4,660	$300	$2.6M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	9	20	530	$2,040	$2.6M
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	4	10	280	$5,660	$2M
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	2	10	1,030	$1,520	$1.9M
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.	56	480	4,510	$90	$1.8M

Showing 1–10 of 920

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of Cincinnati Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital Medical Center	OH	Children's Hospital	$0	$386.8M
Cathryn Jenkins	OH	Adult Health Nurse Practitioner	$131.8K	$0
Rosann Giesting	OH	Adult Health Clinical Nurse Specialist	$83.9K	$0
Anita Whitton	OH	Family Nurse Practitioner	$7.1K	$0

Nearby Providers

Other providers in the same ZIP code as University Of Cincinnati Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Cincinnati Physicians Company, LLC	OH	Family Medicine Physician	$0	$65.2M
Christ Hospital	OH	General Acute Care Hospital	$0	$49.6M
University Surgical-dental Associates, LLC	OH	Oral & Maxillofacial Surgery (D.M.D.)	$0	$8.2M
The Christ Hospital Medical Associates, LLC	OH	Internal Medicine Physician	$0	$6.8M
Hsc Surgical Associates Of Cincinnati, LLC	OH	Ambulatory Surgical Clinic/Center	$567.2K	$1.1M
Hugh Gloster	OH	MOHS-Micrographic Surgery Physician	$1.1M	$0
Kavita Talati	OH	Gerontology Nurse Practitioner	$673.1K	$0
Greg Mott	OH	Internal Medicine Physician	$417.8K	$0
John Houk	OH	Rheumatology Physician	$386.4K	$0
Edward Schloss	OH	Clinical Cardiac Electrophysiology Physician	$366.8K	$0

University Of Cincinnati Medical Center, LLC — Billing Profile & Reimbursement Data

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University Of Cincinnati Medical Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References