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.

Planned Parenthood Of Greater Ohio (NPI 1033477062)

Field	Value
Entity Type	Organization
Organization	Planned Parenthood Of Greater Ohio
Address	444 W Exchange St
City	Akron
State	OH
ZIP	44302
Taxonomy	Ambulatory Family Planning Facility
NPI Enumerated	April 27, 2012

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	90,570	$80	$7.2M
J1050	Injection, medroxyprogesterone acetate, 1 mg	7,190	$90	$610.9K
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…	3,470	$60	$222K
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…	4,380	$40	$188.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	8,450	$10	$118.3K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	11,220	$10	$67.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,990	$30	$49.8K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	40	$780	$32K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	580	$40	$21.4K
87210	The lab analyst or microbiologist performs a wet mount preparation of a specimen, usually from material collected on a swab or placed directly on a microscope slide.	5,250	$1	$21K

Showing 1–10 of 20

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

Planned Parenthood Of Greater Ohio — 1 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	3	30	1,080	$70	$1.2M
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…	992	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…	1,103	5,080	560	$40	$323.9K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	20	30	80	$1,030	$203.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	292	1,610	220	$50	$98.6K
J1050	Injection, medroxyprogesterone acetate, 1 mg	4	220	410	$70	$77.5K
99204	The provider sees a new 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 provider…	1,078	1,410	120	$70	$65.7K
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…	1,057	1,690	120	$50	$60.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	403	870	590	$1	$31.5K
11982	The provider removes a non–biodegradable implant (a capsule or pellet with controlled–release properties containing a drug for long term delivery).	9	20	30	$200	$28.4K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Planned Parenthood Of Greater Ohio, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Michelle Isley	OH	Obstetrics & Gynecology Physician	$2.6K	$0

Nearby Providers

Other providers in the same ZIP code as Planned Parenthood Of Greater Ohio, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Partners Physician Group	OH	Surgery Physician	$0	$28.5M
Locust Dental Group Jeffrey S Rosenthal Dds Inc	OH	Dental Clinic/Center	$0	$7.9M
Joseph Khabbaza	OH	Pulmonary Disease Physician	$107.4K	$0
Jonathan Streit	OH	Orthopaedic Surgery Physician	$99.5K	$0
Sergey Vitebskiy	OH	Clinical Cardiac Electrophysiology Physician	$63K	$0
Robert Schweikert	OH	Clinical Cardiac Electrophysiology Physician	$62.2K	$0
Indiresha Iyer	OH	Clinical Cardiac Electrophysiology Physician	$61.1K	$0
Anmar Kanaa'n	OH	Cardiovascular Disease Physician	$46.3K	$0
Anthony Cucci	OH	Pulmonary Disease Physician	$37.3K	$0
Jeffery Courson	OH	Clinical Cardiac Electrophysiology Physician	$29.2K	$0

Planned Parenthood Of Greater Ohio — Billing Profile & Reimbursement Data

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Planned Parenthood Of Greater Ohio — 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