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.

Ohio North East Health Systems Inc (NPI 1306835210)

Field	Value
Entity Type	Organization
Organization	Ohio North East Health Systems Inc
Address	726 Wick Ave
City	Youngstown
State	OH
ZIP	44505
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 14, 2005

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Medicaid: Complete Services Breakdown

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

122 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	100,620	$60	$5.7M
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…	66,100	$20	$1.5M
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…	32,640	$40	$1.2M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	16,800	$20	$285.6K
D0120	Periodic oral evaluation - established patient	22,640	$10	$203.8K
D0150	Comprehensive oral evaluation – new or established patient	11,980	$20	$179.7K
D2392	Post 2 surface resin‑based composite	5,500	$30	$159.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,540	$30	$120.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	5,170	$20	$113.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	9,350	$10	$112.2K

Showing 1–10 of 122

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

Ohio North East Health Systems Inc — 9 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

122 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	26	530	7,190	$70	$1.5M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,484	2,640	620	$90	$408.2K
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…	147	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…	94	5,080	560	$40	$323.9K
99392	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…	333	480	450	$70	$292.9K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	137	270	420	$90	$276K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	219	810	2,560	$50	$274.4K
J2315	Injection, naltrexone, depot form, 1 mg	36	60	110	$600	$245.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	232	480	280	$70	$181.7K
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.	391	700	210	$60	$154.1K

Showing 1–10 of 122

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ohio North East Health Systems Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quick Med Urgent Care LLC	OH	Urgent Care Clinic/Center	$0	$21.8M
Ohio North East Health Systems, Inc	OH	Federally Qualified Health Center (FQHC)	$0	$14M
Raymond Wawrowski	OH	Physician Assistant	$4.7M	$0

Nearby Providers

Other providers in the same ZIP code as Ohio North East Health Systems Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Classic Optical Laboratories, Inc.	OH	Eyewear Supplier	$0	$147M
Psy-care Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$25.1M
Bhc Belmont Pines Hospital, Inc	OH	Psychiatric Hospital	$0	$16.1M
Generations Behavioral Health Clinic, LLC	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.5M
Pinnacle Treatment Centers Oh-viii, LLC	OH	Methadone Clinic	$83.9K	$8M
Magdy Iskander	OH	Rheumatology Physician	$327.3K	$0
Mita Raheja	OH	Clinical Cardiac Electrophysiology Physician	$178.1K	$0
Asif Khan	OH	Allergy Physician	$126.3K	$5.4K
Morgan Dannhauser	OH	Speech-Language Pathologist	$68.7K	$0
Amanda Lingenfelter	OH	Certified Registered Nurse Anesthetist	$2.6K	$1.3K

Ohio North East Health Systems Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References