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.

Galion Community Hospital (NPI 1215907522)

Galion Community Hospital is a critical access hospital provider located in Galion, Ohio. This profile covers 0 Medicare and 301 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	Galion Community Hospital
Address	269 Portlandway South
City	Galion
State	OH
ZIP	44833
Taxonomy	Critical Access Hospital
NPI Enumerated	January 26, 2006

Payer Source	Total Paid
Medicaid	$25.2M
Medicare	$0

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

301 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	114,640	$80	$9.4M
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.	21,940	$110	$2.5M
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.	11,490	$120	$1.4M
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…	15,540	$80	$1.2M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10,740	$90	$912.8K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	1,460	$630	$910.6K
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.	6,730	$120	$800.8K
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…	8,960	$70	$654.4K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	13,040	$40	$495.3K
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…	5,990	$80	$467.5K

Showing 1–10 of 301

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

Galion Community Hospital — 3 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

301 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	98	150	4,030	$100	$5.9M
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.	130	170	4,660	$300	$2.6M
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.	131	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.	180	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.	172	580	510	$100	$1.3M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	28	50	310	$110	$817.2K
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	18	20	480	$50	$671.8K
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.	164	290	1,380	$90	$635.2K
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.	166	280	1,110	$110	$605.7K
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.	124	230	2,200	$100	$530.1K

Showing 1–10 of 301

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nhan Luu	OH	Nephrology Physician	$396.1K	$0
Scott Foster	OH	Adult Reconstructive Orthopaedic Surgery Physician	$309.4K	$0
Mary Breckenridge	OH	Cardiovascular Disease Physician	$158.5K	$0
Gubert Tan	OH	Neurology Physician	$125.9K	$0
Gangaram Rasa	OH	Cardiovascular Disease Physician	$99.1K	$960
Thomas Mceldowney	OH	Internal Medicine Physician	$85.2K	$0
Diane Ceruzzi	MD	Family Medicine Physician	$45.9K	$0
Ronald Salkovick	OH	Registered Nurse	$43.6K	$0
Jack Moskowitz	OH	Cytopathology Physician	$36.8K	$0
Christopher Cannell	OH	Physical Medicine & Rehabilitation Physician	$10.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Central Ohio Family Care Center, Inc	OH	Specialist	$0	$15.3M
Ripal Parikh	OH	Interventional Pain Medicine Physician	$142.5K	$0
Michael Swiatek	OH	Foot & Ankle Surgery Podiatrist	$78.6K	$0
Joel Siegal	OH	Neurological Surgery Physician	$74.5K	$0
Guillermo Amurao	OH	Pulmonary Disease Physician	$59K	$0
Danelle Boone	OH	Foot & Ankle Surgery Podiatrist	$40.1K	$0
Kimberly Ciccero	OH	Foot & Ankle Surgery Podiatrist	$38K	$0

Galion Community Hospital — 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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