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.

Ashtabula County Medical Center (NPI 1285607416)

Key Findings

Field	Value
Entity Type	Organization
Organization	Ashtabula County Medical Center
Address	2420 Lake Ave
City	Ashtabula
State	OH
ZIP	44004
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 8, 2006

Payer Source	Total Paid
Medicaid	$56.7M
Medicare	$0

ASHTABULA COUNTY MEDICAL CENTER reports no Medicare billing on file and $56.7M in lifetime Medicaid revenue, making its public claims footprint effectively single‑payer (Medicaid) in scale. That payer concentration creates dependence on Medicaid reimbursement and network contracting for the facility’s revenue base, with limited visibility into Medicare-facing volumes or pricing dynamics.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 72.5% of the provider’s total Medicaid revenue. Those top drivers are G0463 ($26.9M, 54.7%), 99283 ($5.3M, 10.8%), and 99284 ($3.5M, 7.1%), indicating a small set of codes is responsible for the bulk of Medicaid receipts.

The code mix implies an operational focus on hospital outpatient clinic assessments and emergency department care. G0463 has 285.9K claims and contributes $26.9M, while ED E/M codes 99283 (44.9K claims, $5.3M) and 99284 (28.2K claims, $3.5M) are the second and third largest revenue contributors, consistent with a center that generates major Medicaid revenue through outpatient clinic activity and higher‑volume ED throughput.

Competitive standing is mixed by code: G0463 ranks #5 of 151 providers in-state (97th percentile), placing the hospital among the top statewide billers for that clinic‑visit code even though the reference labels its volume as “typical, unremarkable” within the distribution. ED codes show solid but not dominant statewide positions (for example, 99283 ranks #65 of 484, 87th percentile; 99284 ranks #109 of 655, 83rd percentile), indicating above‑average ED volumes but not statewide dominance across all ED acuity levels.

Several procedure and diagnostic codes stand out as above‑peer levels for the state: 11042 (surgical debridement) ranks #6 of 253 (98th percentile) and is described as notably above typical state volume, and 87637 (multiplex respiratory NAAT) ranks #5 of 50 (92nd percentile) and is also noted as notably above typical. These outlier positions suggest stronger-than-peer activity in wound care/debridement and respiratory pathogen testing.

Other elements of a full acute‑care service line are visible in the Medicaid mix: imaging (70450 $895.1K; 74176 $744.7K; 74177 $583.5K), endoscopy (43239 $546.7K; 45380 $428.9K; 45385 $418.7K), lab panels (80053 $682.8K), and infusion/IV administration (96365 $920.5K; 96361 $472.4K). These codes and associated revenues underscore a broad inpatient/outpatient capability beyond ED and clinic visits.

Within emergency department codes the distribution skews toward mid‑level acuity: 99283 (10.8% of Medicaid revenue) and 99284 (7.1%) are the largest ED contributors, while highest‑level ED care 99285 accounts for 2.8% and lowest‑level 99281 accounts for 0.6%. This suggests the ED’s Medicaid case mix is weighted toward moderate‑acuity emergency visits rather than predominantly low‑ or highest‑acuity encounters.

The NPI enumeration date is 2006-02-08 (~20 years ago), indicating a long‑standing presence in the market. Combined with the ED/outpatient clinic revenue concentration and the outlier procedural volumes, the data portray an established general acute care hospital serving a broad set of inpatient/outpatient needs for its Medicaid population.

Medicaid: Complete Services Breakdown

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

388 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	285,930	$90	$26.9M
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.	44,900	$120	$5.3M
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.	28,210	$120	$3.5M
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.	11,400	$120	$1.4M
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.	8,740	$130	$1.1M
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.	4,490	$210	$920.5K
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.	3,790	$240	$895.1K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	9,040	$100	$867.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,070	$90	$750.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,710	$280	$744.7K

Showing 1–10 of 388

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

Ashtabula County Medical Center — 2 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

388 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	5	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.	107	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.	65	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.	109	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.	134	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…	35	140	1,130	$90	$1.1M
G0482	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…	43	80	910	$110	$884.9K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	36	80	100	$860	$719.1K
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.	89	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.	110	280	1,110	$110	$605.7K

Showing 1–10 of 388

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashtabula County Medical Center	OH	Specialist	$0	$10.1M
Alexander Taich	OH	Ophthalmology Physician	$365.3K	$0
Houssam Mhanna	OH	Internal Medicine Physician	$311.8K	$0
Osama Ibrahim	TN	Interventional Cardiology Physician	$278.7K	$0
Imraan Haniff	OH	Emergency Medicine Physician	$201.9K	$0
Michael Leke	NC	Vascular Surgery Physician	$201.8K	$0
Mohamed Kanj	OH	Clinical Cardiac Electrophysiology Physician	$194.2K	$0
Stephen Hantus	OH	Neurology Physician	$164.7K	$0
Mario Lee	IN	Orthopaedic Surgery Physician	$150.9K	$0
Abdallah Al-shahed	OH	Internal Medicine Physician	$137.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Signature Health Inc.	OH	Federally Qualified Health Center (FQHC)	$0	$29.6M
Community Counseling Center Of Ashtabula County	OH	Adolescent and Children Mental Health Clinic/Center	$0	$22.5M
Square One Health LLC	OH	Substance Abuse Rehabilitation Facility	$0	$20.4M
Lake Area Recovery Center	OH	Case Management Agency	$0	$13.3M
Community Care Ambulance Network	OH	Land Ambulance	$2.1M	$8.7M
Melissa Vance	OH	Nurse Practitioner	$229.1K	$0
Cara Ogren	OH	Orthopedic Physical Therapist	$172K	$0
Stephen Wychock	OH	Physical Therapist	$124.5K	$0
Yisa Sunmonu	OH	Sleep Medicine (Internal Medicine) Physician	$119.4K	$0
Diana Bucher	OH	Adult Health Nurse Practitioner	$114K	$0

Ashtabula County Medical Center — Billing Profile & Reimbursement Data

Sign up for Ashtabula County Medical Center — Billing Profile & Reimbursement Data policy alerts

Ashtabula County Medical Center — Billing Profile & Reimbursement Data

Sign up for Ashtabula County Medical Center — Billing Profile & Reimbursement Data policy alerts

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