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.

Trinity West (NPI 1043234677)

Trinity West is a family medicine physician provider located in Steubenville, Ohio. This profile covers 0 Medicare and 159 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	Trinity West
Address	380 Summit Ave
City	Steubenville
State	OH
ZIP	43952
Taxonomy	Family Medicine Physician
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicaid	$14.2M
Medicare	$0

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

159 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…	138,360	$30	$4.7M
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…	85,770	$50	$3.9M
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.	16,870	$30	$523.1K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	4,830	$90	$439.1K
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…	7,000	$60	$406.1K
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…	7,270	$50	$377.9K
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…	4,530	$70	$316.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	15,260	$20	$290K
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…	6,110	$50	$280.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,300	$60	$249.6K

Showing 1–10 of 159

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

Trinity West — 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

159 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…	55	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…	33	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…	50	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…	51	480	450	$70	$292.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	10	280	570	$250	$276.5K
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…	56	270	420	$90	$276K
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…	30	330	630	$80	$231.5K
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…	440	840	1,040	$50	$220.1K
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	23	20	40	$2,100	$201.8K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	194	200	570	$90	$189.8K

Showing 1–10 of 159

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rafael Schmulevich	OH	Cardiovascular Disease Physician	$239.7K	$0
Prabhjot Deol	WV	Psychiatry Physician	$106.8K	$122.6K
Amit Nahata	OH	Nephrology Physician	$217.8K	$0
Sathish Magge	OH	Cardiovascular Disease Physician	$214.8K	$0
Charn Nandra	OH	Cardiovascular Disease Physician	$178.4K	$0
Nasrollah Jahdi	OH	Gastroenterology Physician	$172.5K	$0
Shalu Singh	OH	Neurology Physician	$132.7K	$0
Aaron Orlosky	OH	Sports Medicine (Family Medicine) Physician	$121.7K	$0
Dana Sefsick	OH	Family Nurse Practitioner	$118.1K	$2.2K
Suresh Srinivasan	OH	Interventional Pain Medicine Physician	$110.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinity Hospital Holding Company	OH	General Acute Care Hospital	$0	$36M
Chrysalis Health Ohio, LLC	OH	Community/Behavioral Health Agency	$0	$8.2M
City Of Steubenville General Fund	OH	Land Ambulance	$312.4K	$1M
Subrat Behera	OH	Family Medicine Physician	$202.1K	$0
John Kuruc	OH	Internal Medicine Physician	$45.5K	$134.8K
Mark Fye	OH	Orthopaedic Surgery Physician	$124.6K	$10.4K
Jeffrey Clark	OH	Diagnostic Radiology Physician	$119K	$0
Munazza Ahmed	OH	Clinical Neurophysiology Physician	$87.1K	$0
John Brem	OH	Podiatrist	$87K	$0
Michael Scarpone	OH	Sports Medicine (Internal Medicine) Physician	$60.4K	$0

Trinity West — Billing Profile & Reimbursement Data

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Trinity West — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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