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.

Incare Health Solutions LLC (NPI 1235422403)

Incare Health Solutions LLC is a internal medicine physician provider located in Marion, Ohio. This profile covers 0 Medicare and 42 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	Incare Health Solutions LLC
Address	175 Edgefield Blvd
City	Marion
State	OH
ZIP	43302
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 22, 2011

Payer Source	Total Paid
Medicaid	$40.1M
Medicare	$0

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	218,520	$60	$13.5M
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	146,210	$70	$10.8M
99203	The provider sees a new 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 provider…	115,740	$60	$6.4M
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…	74,480	$40	$3.3M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	84,000	$30	$2.1M
99204	The provider sees a new 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 provider…	26,480	$70	$1.9M
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	24,590	$30	$786.7K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	41,370	$10	$372.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	37,600	$10	$300.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	3,790	$50	$177.9K

Showing 1–10 of 42

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

Incare Health Solutions LLC — 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	1	30	1,080	$70	$1.2M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	34	40	230	$130	$455.9K
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…	20	4,510	500	$60	$377.8K
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…	78	5,080	560	$40	$323.9K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	64	250	710	$110	$209K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	125	1,030	180	$90	$127K
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,…	246	1,610	220	$50	$98.6K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	300	420	920	$10	$75.4K
99204	The provider sees a new 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 provider…	8	1,410	120	$70	$65.7K
99203	The provider sees a new 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 provider…	2	1,690	120	$50	$60.1K

Showing 1–10 of 42

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephanie Zaino	OH	Nurse Practitioner	$357.2K	$0
Tyler Adamson	CA	Sports Medicine (Family Medicine) Physician	$129.2K	$0
Dale Hager	OH	Family Nurse Practitioner	$107K	$0
Christine Ulrich	OH	Family Nurse Practitioner	$54.9K	$0
Cory Brune	MO	Anesthesiology Physician	$42.2K	$0
Kaitlin Martin	OH	Family Nurse Practitioner	$39.2K	$0
Amber Gerken	OH	Family Nurse Practitioner	$19.7K	$0
Jessica Niese	OH	Family Nurse Practitioner	$17.4K	$0
Erica Wolff	OH	Family Nurse Practitioner	$16.6K	$0
Ryan Phile	OH	Physician Assistant	$13.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marion General Hospital, Inc.	OH	General Acute Care Hospital	$0	$36.4M
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Sang Pham	OH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$10.8M
Center Street Community Clinic Inc	OH	Federally Qualified Health Center (FQHC)	$0	$10.4M
City Of Marion Auditor	OH	Land Ambulance	$372K	$1.7M
Parminder Singh	OH	Internal Medicine Physician	$737.5K	$0
George Drew	OH	Dermatology Physician	$531K	$33.2K
New Horizons Surgery Center LLC	OH	Ambulatory Surgical Clinic/Center	$396.2K	$44.4K
Adil Katabay	OH	Pain Medicine (Anesthesiology) Physician	$390.5K	$0
Amish Oza	OH	Family Medicine Physician	$387.5K	$0

Incare Health Solutions LLC — Billing Profile & Reimbursement Data

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Incare Health Solutions LLC — 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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