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.

Children's Hospital Medical Center (NPI 1306988852)

Field	Value
Entity Type	Organization
Organization	Children's Hospital Medical Center
Address	3333 Burnet Avenue
City	Cincinnati
State	OH
ZIP	45229
Taxonomy	Pediatric Dentistry
NPI Enumerated	February 13, 2007

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2930	N/A	23,910	$120	$2.8M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	20,670	$70	$1.4M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	67,510	$20	$1.4M
D1120	Prophylaxis–child	55,000	$20	$1.3M
D0120	Periodic oral evaluation - established patient	56,710	$20	$1.1M
D1351	Sealant - per tooth	28,960	$20	$637.2K
D2391	Resin‑based composite – one surface, posterior	8,160	$60	$473.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	11,600	$40	$452.3K
D0272	N/A	33,980	$10	$407.8K
D0150	Comprehensive oral evaluation – new or established patient	12,430	$30	$373K

Showing 1–10 of 26

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

Children's Hospital Medical Center — 13 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8670	N/A	85	100	500	$290	$669K
D2930	N/A	4	190	700	$170	$480.4K
D8030	N/A	33	60	1,180	$70	$185.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	10	920	510	$70	$144K
D1354	N/A	15	120	290	$30	$121.1K
D3220	N/A	78	120	340	$130	$108.7K
D2392	Post 2 surface resin‑based composite	50	990	340	$60	$78.4K
D1351	Sealant - per tooth	7	530	380	$30	$67.7K
D2391	Resin‑based composite – one surface, posterior	14	860	260	$60	$60.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	23	1,540	450	$30	$50.8K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Children's Hospital Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital Medical Center	OH	Children's Hospital	$0	$386.8M
Children's Hospital Medical Center	OH	Pediatrics Physician	$0	$91.2M
Children's Hospital Medical Center	OH	Home Infusion Therapy Pharmacy	$0	$57M
Children's Hospital Medical Center	OH	Durable Medical Equipment & Medical Supplies	$0	$51.1M
Children's Hospital Medical Center	OH	Home Health Agency	$0	$19.2M
Robert Sisk	OH	Ophthalmology Physician	$2.5M	$0
William Hansen	OH	Counseling Psychologist	$112.8K	$194.9K
Roxana Rivera	OH	Ophthalmology Physician	$216K	$0
Mehran Attari	OH	Clinical Cardiac Electrophysiology Physician	$207K	$0
Joel Sorger	OH	Orthopaedic Surgery Physician	$193.5K	$0

Nearby Providers

Other providers in the same ZIP code as Children's Hospital Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Clinic Outpatient Services	OH	Mental Health Counselor	$0	$30.8M
Ohio First Home Healthcare Inc.	OH	Home Health Aide	$0	$14.2M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$619.7K	$4.9M
Terri Mcmillan	OH	Allergy Physician	$67.8K	$0
Ann Orlet	OH	Certified Registered Nurse Anesthetist	$52.4K	$0
Rebecca Soward	OH	Physician Assistant	$37.8K	$0
Jennifer Estes	OH	Certified Registered Nurse Anesthetist	$36.4K	$0
Howard Melvin	OH	Ophthalmology Physician	$31K	$2.8K
Jane Smith	OH	Pediatric Nurse Practitioner	$24.1K	$0
Christopher Cates	OH	Pulmonary Disease Physician	$20.4K	$0

Children's Hospital Medical Center — Billing Profile & Reimbursement Data

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Children's Hospital Medical Center — 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