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.

Ohio North East Health Systems, Inc (NPI 1033437702)

Field	Value
Entity Type	Organization
Organization	Ohio North East Health Systems, Inc
Address	1977 Niles Rd Se
City	Warren
State	OH
ZIP	44484
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 5, 2010

Payer Source	Total Paid
Medicaid	$14M
Medicare	$0

Medicaid: Complete Services Breakdown

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

99 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	114,910	$80	$9.1M
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…	38,950	$30	$1.2M
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…	55,080	$20	$1.1M
90832	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…	35,630	$20	$783.9K
J2315	Injection, naltrexone, depot form, 1 mg	160	$1,160	$180.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	12,540	$10	$175.6K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	26,220	$10	$131.1K
D0150	Comprehensive oral evaluation – new or established patient	9,530	$10	$104.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,770	$30	$101.8K
D0120	Periodic oral evaluation - established patient	13,770	$10	$96.4K

Showing 1–10 of 99

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

Ohio North East Health Systems, Inc — 12 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

99 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	18	530	7,190	$70	$1.5M
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…	834	2,640	620	$90	$408.2K
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…	123	4,510	500	$60	$377.8K
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…	117	5,080	560	$40	$323.9K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	90	120	580	$50	$273K
J2315	Injection, naltrexone, depot form, 1 mg	24	60	110	$600	$245.7K
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.	374	700	210	$60	$154.1K
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…	282	1,320	290	$50	$148.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	133	920	510	$70	$144K
90832	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…	27	1,320	450	$40	$139.1K

Showing 1–10 of 99

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ohio North East Health Systems, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quick Med Urgent Care LLC	OH	Urgent Care Clinic/Center	$0	$21.8M
Ohio North East Health Systems Inc	OH	Federally Qualified Health Center (FQHC)	$0	$11M
Raymond Wawrowski	OH	Physician Assistant	$4.7M	$0

Nearby Providers

Other providers in the same ZIP code as Ohio North East Health Systems, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health Youngstown LLC	OH	General Acute Care Hospital	$0	$43.6M
First Step Recovery Of Warren LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$38.9M
Parisa Khavari	OH	Obstetrics & Gynecology Physician	$26.5K	$1.8M
Avamar Center For Endoscopy,inc	OH	Endoscopy Clinic/Center	$466.6K	$524.5K
Mazen Mahjoub	OH	Specialist	$572.9K	$317.8K
Lippy Surgery Center LLC	OH	Ambulatory Surgical Clinic/Center	$257K	$551.8K
Mehrdad Zarrinmakan	OH	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$738.6K	$0
Morgan Hott	OH	MOHS-Micrographic Surgery Physician	$581.4K	$0
Kapil Kwatra	OH	Internal Medicine Physician	$495.1K	$13.5K
Fadi Naddour	OH	Cardiovascular Disease Physician	$436.7K	$0

Ohio North East Health Systems, Inc — Billing Profile & Reimbursement Data

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Ohio North East Health Systems, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References