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.

Marietta Memorial Hospital (NPI 1215936927)

Key Findings

Field	Value
Entity Type	Organization
Organization	Marietta Memorial Hospital
Address	401 Matthew St
City	Marietta
State	OH
ZIP	45750
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 15, 2005

Payer Source	Total Paid
Medicaid	$102.2M
Medicare	$0

MARIETTA MEMORIAL HOSPITAL is effectively a single‑payer Medicaid provider in the available data: there is no Medicare billing on file while total Medicaid revenue is $102.2M, so analyses of service mix and competitive position should focus on Medicaid activity. The facility’s NPI was enumerated ~21 years ago (2005-07-15), indicating an established presence in the market.

Revenue concentration is high: the precomputed top three Medicaid codes account for 53.6% of the provider’s total Medicaid revenue, signaling that a small set of service lines drive the majority of Medicaid income and warrant close operational and reimbursement monitoring.

Office/outpatient evaluation and management services are dominant, led by 99213 which generates $17.8M (23.2% of Medicaid revenue) and ranks as an extreme outlier in-state (100th percentile). This suggests the hospital performs large volumes of established outpatient visits or clinic-based follow-up care relative to peers, making ambulatory E/M a core revenue engine.

Emergency department E/M codes (99285 and 99284) together represent a substantial share of Medicaid revenue ($14M and $6.8M respectively, 18.3% and 8.8% of Medicaid revenue) and rank highly statewide (96th and 94th percentiles). Those placements indicate the hospital is a major ED provider for Medicaid beneficiaries and that high- and moderate-complexity ED visits are important components of its service mix.

Hospital outpatient clinic activity is also material: G0463 accounts for $9.3M (12.1% of Medicaid revenue) and ranks in the 92nd percentile in-state. Combined with the high-volume E/M and ED codes, the mix points to a full-service acute care hospital with significant outpatient and emergency throughput rather than a primarily procedural or inpatient-only focus.

Several ancillary service codes show above-typical to notable volumes statewide but contribute smaller shares of revenue: 74177 CT abdomen/pelvis with contrast ($2.4M, 3.1%); 74176 CT abdomen/pelvis without contrast ($675.9K, 0.9%); and 70450 CT head without contrast ($1M, 1.4%). These imaging volumes support the ED and outpatient evaluation activity implied by the E/M codes.

The provider posts extreme or notably above-typical volumes for multiple common outpatient codes beyond E/M—99214 ($6.2M, 8.1%, 99th percentile) and 99213 (highlighted above)—which together underscore a heavy outpatient caseload and possible reliance on frequent, moderate‑complexity follow-up visits to Medicaid patients. Analysts should treat performance and resource allocation for ambulatory clinics as a priority.

Procedure-level infusion and medication administration codes (96361, 96365, 96366, 96374) together represent recurring, clinically acute services ($2.4M, $1M, $463.1K, $492.6K respectively). Their presence alongside high ED volumes suggests active medical management of dehydration, IV therapies, and rapid medication administration in both ED and observation/outpatient infusion settings.

Medicaid: Complete Services Breakdown

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

616 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…	278,500	$60	$17.8M
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.	70,900	$200	$14M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	128,820	$70	$9.3M
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.	63,110	$110	$6.8M
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…	148,350	$40	$6.2M
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.	54,300	$100	$5.4M
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.	14,570	$170	$2.4M
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.	10,790	$220	$2.4M
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.	86,820	$10	$1.2M
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.	6,100	$170	$1M

Showing 1–10 of 616

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

Marietta Memorial Hospital — 4 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

616 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	13	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.	32	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.	51	480	4,510	$90	$1.8M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	14	20	480	$730	$1.6M
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.	43	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.	23	580	510	$100	$1.3M
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…	83	140	1,130	$90	$1.1M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	23	80	100	$860	$719.1K
J0585	Injection, onabotulinumtoxina, 1 unit	22	60	250	$730	$707.7K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	22	40	100	$850	$680.6K

Showing 1–10 of 616

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marietta Memorial Hospital Of Tyler County Inc	WV	Critical Access Hospital	$0	$2.7M
City Of Sistersville	WV	Critical Access Hospital	$0	$2.4M
Marietta Memorial Hospital Of Tyler County Inc	WV	Rural Health Clinic/Center	$0	$1.5M
City Of Sistersville	WV	Rural Health Clinic/Center	$0	$1.1M
Marietta Memorial Hospital Of Tyler County Inc	WV	Rural Health Clinic/Center	$0	$956K
Srini Vasan	OH	Radiation Oncology Physician	$807K	$0
Christopher Kolibash	WV	Clinical Cardiac Electrophysiology Physician	$425.8K	$48K
Maninder Bedi	WV	Cardiovascular Disease Physician	$416.1K	$53.8K
Glen Miske	WV	Clinical Cardiac Electrophysiology Physician	$289.3K	$950
Meisam Moghbelli	WI	Cardiovascular Disease Physician	$290K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Of Life Home Care, Ltd	OH	Home Health Agency	$0	$15.9M
Marietta Home Health And Hospice, L.L.C.	OH	Community Based Hospice Care Agency	$0	$7.6M
L & P Services, Inc.	OH	Public Health or Welfare Agency	$0	$7.2M
Marietta Health Care Physicians, Inc	OH	Emergency Medicine Physician	$0	$6.9M
Vivek Abhyankar	OH	Hematology & Oncology Physician	$1.9M	$0
Frederic Humphrey	OH	Internal Medicine Physician	$71.1K	$978.4K
Mahyar Tahbaz	OH	Nephrology Physician	$335K	$540.4K
City Of Marietta	OH	Ambulance	$257.6K	$486.6K
Matthew Macatol	OH	Anatomic Pathology & Clinical Pathology Physician	$348.7K	$470
David Montgomery	OH	Internal Medicine Physician	$218K	$0

Marietta Memorial 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