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.

Ohiohealth Corporation (NPI 1255377149)

Field	Value
Entity Type	Organization
Organization	Ohiohealth Corporation
Address	111 S Grant Ave
City	Columbus
State	OH
ZIP	43215
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicaid	$215.2M
Medicare	$0

Key Findings

This provider is effectively single‑payer at the Medicare/Medicaid level: there is no Medicare billing on file and all reported government revenue is Medicaid only, totaling $215.2M. The absence of Medicare activity means Medicaid reimbursement dynamics will primarily determine the providerâ€™s public-payer revenue performance and risk exposure.

Revenue is highly concentrated in a small set of emergency and infusion codes: the top three Medicaid codes (99283, 99284, 96361) account for 55.8% of the providerâ€™s total Medicaid revenue. Those three codes individually generate $39.4M (99283, 21.7%), $33.3M (99284, 18.3%), and $28.8M (96361, 15.8%) respectively, indicating a heavy dependence on a narrow set of services.

The code mix points to a large, high-throughput emergency department and substantial infusion/IV therapy capacity. High-volume ED E/M codes (99283: 257.7K claims; 99284: 177.3K claims; 99285: 77.1K claims; 99282: 75.6K claims) together with large counts for IV fluid/infusion codes (96361: 85.6K claims; 96365: 17K claims; 96360: 10.3K claims; 96366: 8.6K claims) suggest the site operates as a major acute-care ED with frequent use of IV rehydration and infusion services.

State-level competitive standing is dominant for multiple high-revenue codes: 99283 ranks #1 of 484 in the state (100th percentile; extreme outlier) and 96361 ranks #1 of 165 (100th percentile; extreme outlier), while 99284 ranks in the 99th percentile (#10 of 655; extreme outlier). Additional ED and infusion codes (99282, 96360, G0378) also occupy top statewide positions or extreme-outlier percentiles, signaling that this provider is a major outlier in Ohio for emergency and related acute-care services.

Observation and throughput-driven services are a notable secondary driver of revenue: G0378 (Hospital observation service, per hour) shows 61.4K claims and $5.1M revenue and ranks #1 of 155 providers in-state (100th percentile; extreme outlier). The combination of high per-hour observation revenue and very large ED visit volumes implies significant use of observation units and high patient turnover.

Imaging and specialty drug lines contribute meaningful but smaller shares of Medicaid revenue and appear at more typical statewide volumes. CT head without contrast (70450) generates $7.4M (4.1% of Medicaid revenue) and ranks in the 95th percentile, while drug injections such as J2350 ($6.6M, 3.6% of revenue) and J9271 ($4.5M, 2.5% of revenue) are present but rank at mixed percentiles, indicating typical to above-average activity in imaging and specialty medication administration relative to peers.

The providerâ€™s operational scale is large in absolute claim counts, reinforcing its role as a high-volume ED hub: 99283 alone has 257.7K claims and 99284 has 177.3K claims, and multiple infusion and imaging codes have multi‑thousand claim counts. These claim volumes, combined with the Medicaid revenue figures, underscore that the provider drives substantial patient throughput and service intensity within the state Medicaid program.

The NPI has been enumerated since 2006-06-21 (~20 years ago), indicating long tenure in the market; coupled with the providerâ€™s extreme-outlier ranks on several core codes, this longevity aligns with a well-established statewide position in emergency and acute infusion services. For payers and analysts, the combination of long tenure and concentrated Medicaid revenue suggests the provider is an entrenched Medicaid acute-care leader whose reimbursement changes or utilization trends could materially affect its revenue base.

Medicaid: Complete Services Breakdown

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

511 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	257,670	$150	$39.4M
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.	177,330	$190	$33.3M
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.	85,580	$340	$28.8M
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.	77,070	$210	$16.4M
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.	75,610	$120	$9.1M
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.	27,830	$270	$7.4M
J2350	Injection, ocrelizumab, 1 mg	310	$21,290	$6.6M
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.	19,540	$310	$6.1M
G0378	Hospital observation service, per hour	61,420	$80	$5.1M
J9271	Injection, pembrolizumab, 1 mg	520	$8,550	$4.5M

Showing 1–10 of 511

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

Ohiohealth Corporation — 17 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

511 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2350	Injection, ocrelizumab, 1 mg	5	10	310	$20,560	$10M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	62	150	4,030	$100	$5.9M
J9271	Injection, pembrolizumab, 1 mg	10	20	360	$8,480	$5M
J2323	Injection, natalizumab, 1 mg	3	10	440	$4,300	$3.2M
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.	1	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.	1	480	4,510	$90	$1.8M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	10	10	890	$1,920	$1.7M
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.	10	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.	17	580	510	$100	$1.3M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	10	20	260	$1,470	$1.1M

Showing 1–10 of 511

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ohiohealth Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$76.9M
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$72.3M
Ohiohealth Corporation	OH	Clinical Medical Laboratory	$0	$44.3M
Ohiohealth Urgent Care LLC	OH	Urgent Care Clinic/Center	$0	$13.4M
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$11.8M
Jacqueline Nicholas	OH	Neurology Physician	$149.8K	$0
Joseph Hofmeister	OH	Hematology & Oncology Physician	$111.2K	$0
Brian Zeno	OH	Pulmonary Disease Physician	$73.2K	$0
Adam Halverson	WI	Orthopaedic Foot and Ankle Surgery Physician	$18.1K	$0

Nearby Providers

Other providers in the same ZIP code as Ohiohealth Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Southeast, Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.8M
Mid-ohio Emergency Services, LLC	OH	Emergency Medicine Physician	$0	$38.5M
Nationwide Children's Hospital	OH	Home Infusion Agency	$0	$22.4M
Ohio Emergency Professionals Inc	OH	Emergency Medicine Physician	$0	$21.5M
Premier Care Of Ohio, LLC	OH	Methadone Clinic	$0	$18.2M
Nationwide Children's Hospital Homecare	OH	Home Health Agency	$0	$17.5M
Forward Health LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$12.1M
Nationwide Children's Hospital	OH	Dental Clinic/Center	$0	$11.1M
Sanctuary Home Health Care LLC	OH	Home Health Agency	$0	$10.7M

Ohiohealth Corporation — 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