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.

Central Ohio Primary Care Physicians, Inc. (NPI 1194705194)

Central Ohio Primary Care Physicians, Inc. is a internal medicine physician provider located in Westerville, Ohio. This profile covers 0 Medicare and 138 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	Central Ohio Primary Care Physicians, Inc.
Address	655 Africa Rd
City	Westerville
State	OH
ZIP	43082
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 18, 2006

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

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

138 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…	108,530	$40	$4.1M
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…	59,420	$50	$2.7M
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.	134,820	$20	$2M
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…	14,280	$60	$828.2K
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…	10,710	$50	$546.1K
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…	30,150	$20	$542.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	8,170	$60	$465.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	8,860	$30	$230.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,930	$60	$184.5K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	3,630	$50	$177.8K

Showing 1–10 of 138

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

Central Ohio Primary Care Physicians, Inc. — 6 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

138 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0241U	N/A	76	90	1,960	$120	$464.3K
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…	79	4,510	500	$60	$377.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	194	270	8,700	$10	$353.7K
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…	54	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…	35	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…	24	480	450	$70	$292.9K
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…	82	270	420	$90	$276K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	153	240	2,610	$10	$239.7K
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…	547	840	1,040	$50	$220.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	181	220	1,080	$20	$214.4K

Showing 1–10 of 138

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tridia Hospice Care, LLC	OH	Community Based Hospice Care Agency	$0	$138.7M
Dasco Hme, LLC	OH	Oxygen Equipment & Supplies (DME)	$0	$11.9M
Excel Health Services LLC	OH	Home Health Agency	$0	$7.5M
Brian Biernat	OH	MOHS-Micrographic Surgery Physician	$623K	$0
Central Ohio Endoscopy Center, LLC	OH	Endoscopy Clinic/Center	$583.2K	$0
Angela Casey	OH	MOHS-Micrographic Surgery Physician	$571.6K	$0
Peter Seline	OH	MOHS-Micrographic Surgery Physician	$532.2K	$0
Polaris Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$497K	$0
Bradley Soder	OH	Dermatology Physician	$289.3K	$0
Westerville Endoscopy Center LLC	OH	Endoscopy Clinic/Center	$254.6K	$0

Central Ohio Primary Care Physicians, Inc. — Billing Profile & Reimbursement Data

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Central Ohio Primary Care Physicians, Inc. — 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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Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Emily Saul	OH	Hematology & Oncology Physician	$250.7K	$0
Kort Gronbach	OH	Interventional Pain Medicine Physician	$219.5K	$0
Joshua Jones	OH	Family Medicine Physician	$179.5K	$0
Brian Phipps	OH	Internal Medicine Physician	$159.4K	$0
Melissa Kander	OH	Internal Medicine Physician	$146.5K	$0
Daniel Melaragno	OH	Internal Medicine Physician	$146.1K	$0
Michael Waluzak	OH	Internal Medicine Physician	$141.6K	$0
Robert Naylor	OH	Internal Medicine Physician	$131.2K	$0
Tracey Trgovac	OH	Internal Medicine Physician	$128K	$0