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.

Healthsource Of Ohio, Inc. (NPI 1316994072)

Field	Value
Entity Type	Organization
Organization	Healthsource Of Ohio, Inc.
Address	4627 Aicholtz Rd
City	Cincinnati
State	OH
ZIP	45244
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 28, 2006

Payer Source	Total Paid
Medicaid	$13.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

84 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	113,460	$70	$8.2M
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…	75,050	$20	$1.7M
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.	60,440	$10	$664.9K
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…	15,560	$30	$466.6K
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…	14,160	$30	$368.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9,920	$30	$277.8K
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…	4,550	$30	$150.2K
D2392	Post 2 surface resin‑based composite	6,020	$20	$144.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4,510	$30	$144.2K
D0120	Periodic oral evaluation - established patient	20,460	$10	$143.2K

Showing 1–10 of 84

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

Healthsource Of Ohio, Inc. — 20 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

84 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	20	530	7,190	$70	$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…	823	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…	77	5,080	560	$40	$323.9K
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…	26	430	560	$60	$303.2K
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…	21	480	450	$70	$292.9K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	48	100	260	$60	$243.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	19	480	280	$70	$181.7K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	8	290	180	$50	$147.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	139	920	510	$70	$144K
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…	461	1,320	450	$40	$139.1K

Showing 1–10 of 84

Related Providers

Other providers that share a Tax Identification Number (TIN) with Healthsource Of Ohio, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthsource Of Ohio, Inc.	OH	Federally Qualified Health Center (FQHC)	$0	$8.3M
Healthsource Of Ohio, Inc.	OH	Federally Qualified Health Center (FQHC)	$0	$8M
Starla Sparks	OH	Family Nurse Practitioner	$38.3K	$0
Virinder Sidhu	OH	Acute Care Nurse Practitioner	$37.1K	$0

Nearby Providers

Other providers in the same ZIP code as Healthsource Of Ohio, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Child Focus Inc	OH	Community/Behavioral Health Agency	$0	$12M
Gretchen Serota	OH	Geriatric Medicine (Internal Medicine) Physician	$125.5K	$507K

Healthsource Of Ohio, Inc. — Billing Profile & Reimbursement Data

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Healthsource Of Ohio, 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