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.

Dayton Osteopathic Hospital (NPI 1053339507)

Field	Value
Entity Type	Organization
Organization	Dayton Osteopathic Hospital
Address	405 W Grand Ave
City	Dayton
State	OH
ZIP	45405
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicaid	$111.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-centric hospital: there is no Medicare billing on file and the reported lifetime Medicaid revenue is $111.3M, indicating Medicaid is the dominant — effectively sole — public payer on record for this entity. The NPI was enumerated 2006-07-17 (~20 years ago), signalling an established presence in the market rather than a recent entrant.

Revenue is highly concentrated in a small set of outpatient and infusion/ED services: the precomputed top three Medicaid codes (99283, 96361, 99284) together account for 44.1% of the provider's total Medicaid revenue. Individually those codes are reported as 99283: $14.2M (15.6%), 96361: $13.5M (14.8%), and 99284: $12.5M (13.7%), showing that nearly half of Medicaid dollars flow through a narrow mix of emergency/acute E/M and IV infusion services.

The code mix points to a high-volume emergency department and associated observation/infusion operations: ED E/M codes (99283, 99284, 99285, 99282, 99281) and hospital outpatient clinic/observation codes (G0463, G0378) generate large claim counts and material revenue, e.g., 99283 at $14.2M and 99284 at $12.5M. These patterns suggest the hospital operates a busy ED with substantial downstream use of observation and ED-level resources rather than a revenue base driven by elective inpatient surgical throughput.

Infusion and oncology care are a clear secondary service line: infusion codes 96361 ($13.5M), 96365 ($2.5M), 96366 ($1.6M) and chemotherapy code 96413 ($1.7M) appear among the top revenue generators, alongside high-cost oncology drug J9271 (pembrolizumab) at $9.3M. The presence of J9271 and J9299 (nivolumab, $882.4K) indicates the hospital furnishes outpatient cancer drug administration in addition to routine IV fluid and infusion therapy.

Several codes show the provider is a significant in-state participant for specific services: 99283 ranks #18 of 484 providers in-state (96th percentile) and 99284 ranks #28 of 655 (96th percentile), while infusion code 96361 ranks #6 of 165 (97th percentile). The provider is an outlier on some infusion activity — 96365 ranks #3 of 181 providers (99th percentile) and is labeled an "extreme outlier," underscoring an unusually high volume of initial medication infusions compared with peers.

Imaging, diagnostic and ancillary services support the ED/acute care profile but are not the primary revenue drivers: high-volume imaging codes such as 70450 ($3.6M), 74177 ($2.5M) and 74176 ($2M) plus lab panels 80048 ($709.3K) and 80053 ($686K) appear in the top-25 list and generally sit in typical-to-high state percentiles (mostly in the 85th–98th percentiles). This pattern is consistent with a hospital whose ED/observation throughput generates steady demand for CT studies and metabolic panels.

The provider shows pockets of leadership in narrower service lines despite overall Medicaid concentration: for example, 58662 (laparoscopic ovarian lesion excision) reports $741.5K and ranks #1 of 4 providers in-state (100th percentile), which suggests local dominance for that specific procedure even though overall volumes are much smaller. Conversely, several high-cost drug codes (J9271, J9299) are present but rank in smaller denominators or lower percentiles, indicating targeted oncology activity rather than broad statewide dominance in biologic drug administration.

Because a large share of Medicaid revenue is tied to emergency E/M and infusion codes (the top three codes account for 44.1% of Medicaid revenue), the provider’s revenue profile could be sensitive to changes in ED utilization patterns, infusion reimbursement, or shifts in oncology drug procurement. Analysts should treat this as a Medicaid-dependent hospital with concentrated service-line exposure rather than a broadly diversified payer mix.

Medicaid: Complete Services Breakdown

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

544 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	120,450	$120	$14.2M
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.	43,190	$310	$13.5M
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.	88,970	$140	$12.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	105,480	$100	$10.1M
J9271	Injection, pembrolizumab, 1 mg	1,340	$6,960	$9.3M
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.	38,910	$150	$5.8M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	13,780	$260	$3.6M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	17,260	$150	$2.5M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	10,580	$230	$2.5M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7,680	$260	$2M

Showing 1–10 of 544

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

Dayton Osteopathic Hospital — 10 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

544 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	14	150	4,030	$100	$5.9M
J9271	Injection, pembrolizumab, 1 mg	4	20	360	$8,480	$5M
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.	6	170	4,660	$300	$2.6M
J9299	Injection, nivolumab, 1 mg	5	10	210	$6,940	$2.1M
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.	18	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.	28	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.	48	580	510	$100	$1.3M
J2506	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg	4	10	490	$2,060	$1.1M
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…	41	140	1,130	$90	$1.1M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	27	290	1,380	$90	$635.2K

Showing 1–10 of 544

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dayton Osteopathic Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alliance Physicians Inc	OH	Family Medicine Physician	$0	$38.9M
Scott Pfahler	OH	Ophthalmology Physician	$1.6M	$16.4K
Steven Finkelstein	NY	Radiation Oncology Physician	$1.4M	$0
Timothy Schoonover	OH	Neurology Physician	$356.8K	$0
Parminder Modgil	OH	Internal Medicine Physician	$240.6K	$101.1K
Jonathan Silverman	OH	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$304.1K	$0
Haseeb Jafri	OH	Clinical Cardiac Electrophysiology Physician	$301.4K	$0
Parthiv Shah	OH	Clinical Cardiac Electrophysiology Physician	$292.7K	$0
James Beegan	OH	Physical Medicine & Rehabilitation Physician	$275.8K	$0
Saleem Ahmad	OH	Clinical Cardiac Electrophysiology Physician	$253.4K	$0

Nearby Providers

Other providers in the same ZIP code as Dayton Osteopathic Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Home Healthcare Service, LLC	OH	Home Health Agency	$0	$9M
Kenneth Pugar	OH	Neurology Physician	$104.8K	$0
John Balazs	OH	Otolaryngology Physician	$76.3K	$0
Jarrod Curry	OH	Diagnostic Radiology Physician	$70.5K	$0
Kunalkumar Vyas	OH	Ophthalmology Physician	$68.6K	$0
John Balazs	OH	Otolaryngology Physician	$66K	$0
Craig Dues	OH	Emergency Medicine Physician	$62.6K	$0
Andrew Goins	OH	Anesthesiology Physician	$51.5K	$0
David Mann	OH	Anesthesiology Physician	$23.9K	$0
Brandon Hilburn	OH	Anesthesiology Physician	$20.1K	$0

Dayton Osteopathic Hospital — 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