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.

Pike Co (NPI 1104911213)

Field	Value
Entity Type	Organization
Organization	Pike Co
Address	116 S Market St
City	Waverly
State	OH
ZIP	45690
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicare	$71.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	130	$130	$17K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	230	$70	$16.3K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	110	$140	$15.4K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	240	$40	$9.5K
G0008	Administration of influenza virus vaccine	250	$30	$6.7K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	10	$280	$3.4K
0124A	N/A	40	$40	$1.5K
0134A	N/A	30	$40	$1K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	20	$20	$510
G0009	Administration of pneumococcal vaccine	10	$30	$320

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Pike Co — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91322	368	1,280	70	$140	$13K
91320	324	1,250	70	$130	$12.2K
90677	1,803	2,150	20	$280	$6.5K
90480	203	1,870	110	$40	$4.5K
90662	112	3,240	40	$70	$4.3K
G0008	291	5,280	50	$30	$2.1K
0124A	136	790	20	$40	$1.1K
0134A	206	620	20	$40	$1.1K
G0009	2,030	2,410	20	$30	$630
90686	95	290	20	$20	$610

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Pike Co, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pike County Recovery Council Inc	OH	Public Health or Welfare Agency	$0	$49.6M
Pike Health Services, Inc	OH	Critical Access Hospital	$0	$9.2M
Community Action Committee Of Pike County	OH	Federally Qualified Health Center (FQHC)	$0	$7.3M
Sean Stiltner	OH	Family Medicine Physician	$243.3K	$0

Pike Co — Billing Profile & Reimbursement Data

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Pike Co — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References