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.

Premier Health Specialists Inc (NPI 1194958223)

Field	Value
Entity Type	Organization
Organization	Premier Health Specialists Inc
Address	3170 Kettering Blvd
City	Moraine
State	OH
ZIP	45439
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 24, 2009

Payer Source	Total Paid
Medicaid	$31.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

170 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2350	Injection, ocrelizumab, 1 mg	290	$25,900	$7.6M
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…	122,160	$40	$5.4M
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…	64,460	$50	$3.2M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	223,510	$10	$1.6M
J0585	Injection, onabotulinumtoxina, 1 unit	2,720	$530	$1.4M
J2323	Injection, natalizumab, 1 mg	240	$5,890	$1.4M
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…	25,920	$40	$958.9K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	9,270	$90	$788.1K
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…	32,820	$20	$754.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	16,540	$50	$744.3K

Showing 1–10 of 170

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

Premier Health Specialists Inc — 12 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

170 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2350	Injection, ocrelizumab, 1 mg	6	10	310	$20,560	$10M
J2323	Injection, natalizumab, 1 mg	6	10	440	$4,300	$3.2M
J0585	Injection, onabotulinumtoxina, 1 unit	6	60	250	$730	$707.7K
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.	178	180	1,760	$140	$494.1K
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…	75	4,510	500	$60	$377.8K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	15	30	1,060	$120	$372K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	45	100	1,000	$120	$357.1K
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…	46	5,080	560	$40	$323.9K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	26	40	700	$280	$287.1K
95951	N/A	17	20	600	$130	$266.5K

Showing 1–10 of 170

Related Providers

Other providers that share a Tax Identification Number (TIN) with Premier Health Specialists Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zachary Arthurs	SC	Vascular Surgery Physician	$641.3K	$0
Tracy Eicher	OH	Neurology Physician	$350.1K	$0
Sandeep Gupta	OH	Clinical Cardiac Electrophysiology Physician	$304K	$0
Dhiraj Warman	FL	Cardiovascular Disease Physician	$286K	$0
Mark Krebs	OH	Clinical Cardiac Electrophysiology Physician	$276K	$0
Thein Aung	OH	Clinical Cardiac Electrophysiology Physician	$250K	$0
Kevin Kravitz	OH	Clinical Cardiac Electrophysiology Physician	$240.6K	$0
Koroush Khalighi	OH	Clinical Cardiac Electrophysiology Physician	$222K	$9.4K
Scott Albright	OH	Family Medicine Physician	$230.9K	$0
Bikram Verma Ansil	OH	Gastroenterology Physician	$230.1K	$0

Nearby Providers

Other providers in the same ZIP code as Premier Health Specialists Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Community Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$54.4M
Compunet Clinical Laboratories LLC	OH	Clinical Medical Laboratory	$7.7M	$34.3M
Fidelity Health Care Inc	OH	Home Health Agency	$0	$10.1M
Fidelity Health Care Inc	OH	Durable Medical Equipment & Medical Supplies	$0	$10.1M
Project Cure, Inc.	OH	Community/Behavioral Health Agency	$0	$10.1M
Cleanslate Medical Group Of Ohio LLC	OH	Addiction Medicine (Internal Medicine) Physician	$0	$9.5M
Providence Medical Group	OH	Family Medicine Physician	$0	$7.9M
Excel Home Health Care LLC	OH	Home Health Agency	$0	$7.8M
Providence Medical Group	OH	Clinical Medical Laboratory	$213.6K	$1M
Fresenius Vascular Care Dayton Asc LLC	OH	Ambulatory Surgical Clinic/Center	$624K	$215.1K

Premier Health Specialists Inc — Billing Profile & Reimbursement Data

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Premier Health Specialists 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

Related Providers

Nearby Providers

Frequently Asked Questions

References