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.

Firelands Regional Medical Center (NPI 1316119019)

Field	Value
Entity Type	Organization
Organization	Firelands Regional Medical Center
Address	1925 Hayes Ave
City	Sandusky
State	OH
ZIP	44870
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	April 2, 2008

Payer Source	Total Paid
Medicaid	$17.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	77,630	$70	$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…	47,970	$90	$4.5M
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…	23,230	$70	$1.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	33,060	$50	$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…	9,080	$110	$980.2K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	6,480	$120	$751.3K
90834	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…	11,480	$60	$734.7K
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…	9,230	$50	$461.7K
H2020	Therapeutic behavioral services, per diem	3,910	$120	$453K
90840	In this add on service, after initial psychotherapy intervention for crisis, the provider performs an additional 30 minutes of psychotherapy for crisis. The crisis state is a life–threatening…	3,860	$110	$428K

Showing 1–10 of 22

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

Firelands Regional Medical Center — 4 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	51	840	240	$90	$1.8M
H2020	Therapeutic behavioral services, per diem	104	310	1,190	$150	$1.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	70	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	53	240	1,090	$50	$509.2K
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…	50	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…	505	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…	312	5,080	560	$40	$323.9K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	5	80	430	$120	$173.9K
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.	188	700	210	$60	$154.1K
90834	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…	62	1,320	290	$50	$148.6K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Firelands Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Firelands Regional Medical Center	OH	General Acute Care Hospital	$0	$37.5M
Hassan Ibrahim	OH	Cardiovascular Disease Physician	$215.1K	$0
Mourhaf Traboulssi	OH	Cardiovascular Disease Physician	$204.6K	$0
William Mcguinn	OH	Cardiovascular Disease Physician	$199.9K	$0
Nicholas Denbesten	OH	Clinical Neuropsychologist	$72.8K	$0
Matthew Langenberg	IN	Vascular Surgery Physician	$72.6K	$0
Daniel Basinski	OH	Physician Assistant	$66.3K	$0
Thomas Williamson	OH	Internal Medicine Physician	$59.5K	$0
Jeffrey Buehrer	OH	Vascular Surgery Physician	$58.4K	$0
Albert Vargas	OH	Surgery Physician	$51.4K	$0

Nearby Providers

Other providers in the same ZIP code as Firelands Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cambridge Home Health Care, Inc.	OH	Home Health Agency	$0	$19.4M
Northern Ohio Medical Specialists LLC	OH	Internal Medicine Physician	$0	$16.4M
Stein Hospice Services, Inc	OH	Community Based Hospice Care Agency	$0	$11.1M
Erie County Office Of Auditor	OH	Federally Qualified Health Center (FQHC)	$0	$7.5M
Erie County Office Of Auditor	OH	Substance Use Disorder Rehabilitation Hospital Unit	$0	$7M
Family Health Services Of Erie County	OH	Federally Qualified Health Center (FQHC)	$0	$6.9M
Brian Murphy	OH	Hematology & Oncology Physician	$2.8M	$0
Sandusky City Office Of Treasurer	OH	Land Ambulance	$345.9K	$1.1M
Surgery Center Of Sandusky LLC	OH	Ambulatory Surgical Clinic/Center	$974.7K	$0
Paul Bedocs	OH	Dermatology Physician	$680.6K	$18.6K

Firelands Regional Medical Center — Billing Profile & Reimbursement Data

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Firelands Regional 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