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.

Emergency Physicians Of Northwest Ohio Inc. (NPI 1043274418)

Emergency Physicians Of Northwest Ohio Inc. is a emergency medicine physician provider located in Toledo, Ohio. This profile covers 0 Medicare and 18 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	Emergency Physicians Of Northwest Ohio Inc.
Address	2142 N Cove Blvd
City	Toledo
State	OH
ZIP	43606
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 13, 2006

Payer Source	Total Paid
Medicaid	$32.6M
Medicare	$0

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	295,290	$50	$15.7M
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.	175,820	$70	$12.8M
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.	84,600	$40	$3.1M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	93,500	$10	$467.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	3,280	$110	$354.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3,040	$40	$115.3K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	780	$30	$20.2K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	270	$60	$14.7K
12002	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.6 to 7.5 cm in…	100	$30	$3.3K
29125	The provider applies a static, or rigid, splint to the lower arm extending from the elbow to the palm to immobilize an injury to the forearm or wrist during healing or for stabilization of a fracture…	120	$20	$2.7K

Showing 1–10 of 18

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

Emergency Physicians Of Northwest Ohio Inc. — 3 of 17 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	29	480	4,510	$90	$1.8M
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.	3	660	460	$90	$1.5M
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.	6	580	510	$100	$1.3M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	96	230	2,200	$100	$530.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	38	260	280	$50	$120.1K
64400	The provider injects an anesthetic agent and/or steroid close to each branch of fifth cranial nerve, also called the trigeminal nerve, a mixed cranial nerve that is composed of three large branches —…	8	10	50	$60	$73.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	11	450	720	$10	$67K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	12	100	230	$160	$50.9K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	30	70	140	$160	$42.9K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	34	60	90	$170	$41.9K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Svetlana Stahl	OH	Acute Care Nurse Practitioner	$103.9K	$0
Muhammad Ali	MI	Internal Medicine Physician	$101.3K	$0
Milad Asfar	MI	Emergency Medicine Physician	$74.3K	$0
Nour Sinno	WI	Emergency Medicine Physician	$24.4K	$2.1K
Russell Graff	OH	Emergency Medicine Physician	$21.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Toledo Hospital	OH	General Acute Care Hospital	$0	$151.2M
Harbor	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$77.4M
Maxim Healthcare Services, Inc.	OH	Home Health Agency	$0	$22.2M
Pharmacy Counter, LLC	OH	Durable Medical Equipment & Medical Supplies	$0	$19.7M
Empowered For Excellence Behavioral Health Ohio	OH	Community/Behavioral Health Agency	$0	$13.4M
Empowered For Excellence Behavioral Health Ohio	OH	Community/Behavioral Health Agency	$0	$11.1M
Harbor	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.4M
A Better Life 2 Embrace LLC (a.b.l.e.) LLC	OH	Community/Behavioral Health Agency	$0	$9.9M
Toledo Radiological Associates, Inc.	OH	Diagnostic Radiology Physician	$0	$9.4M
Prime Hha, LLC	OH	Home Health Agency	$0	$9.1M

Emergency Physicians Of Northwest Ohio Inc. — Billing Profile & Reimbursement Data

Sign up for Emergency Physicians Of Northwest Ohio Inc. — Billing Profile & Reimbursement Data policy alerts

Emergency Physicians Of Northwest Ohio Inc. — Billing Profile & Reimbursement Data

Sign up for Emergency Physicians Of Northwest Ohio Inc. — 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