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.

Circle Health Services (NPI 1386609857)

Field	Value
Entity Type	Organization
Organization	Circle Health Services
Address	12201 Euclid Ave
City	Cleveland
State	OH
ZIP	44106
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 19, 2006

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	67,180	$70	$4.8M
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…	28,750	$20	$546.3K
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…	17,680	$30	$530.5K
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…	8,430	$40	$303.3K
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…	10,180	$20	$244.2K
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…	7,470	$20	$149.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,670	$40	$73.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3,920	$10	$47.1K
D0150	Comprehensive oral evaluation – new or established patient	2,330	$20	$35K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,400	$20	$32.3K

Showing 1–10 of 63

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

Circle Health Services — 1 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

63 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	480	610	1,350	$150	$1.9M
T1015	Clinic visit/encounter, all-inclusive	45	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…	281	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…	280	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…	252	5,080	560	$40	$323.9K
H0005	Alcohol and/or drug services; group counseling by a clinician	276	490	940	$50	$271.1K
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.	69	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…	74	1,320	290	$50	$148.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	489	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…	140	1,320	450	$40	$139.1K

Showing 1–10 of 63

Related Providers

Other providers that share a Tax Identification Number (TIN) with Circle Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Circle Health Services	OH	Federally Qualified Health Center (FQHC)	$0	$7.9M
Erin Murphy	OH	Radiation Oncology Physician	$48.4K	$0

Nearby Providers

Other providers in the same ZIP code as Circle Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospitals Cleveland Medical Center	OH	General Acute Care Hospital	$0	$156.9M
University Hospitals Medical Group Inc	OH	Multi-Specialty Clinic/Center	$0	$107.5M
University Hospitals Cleveland Medical Center	OH	Children's Hospital	$0	$76.7M
University Hospitals Laboratory Services Foundation	OH	Clinical Medical Laboratory	$8.4M	$41.1M
Community Dialysis Center	OH	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7M
Adir Ludin	OH	Radiation Oncology Physician	$1.6M	$0
Katarzyna Brodowska	OH	Ophthalmology Physician	$929.6K	$162.9K
Eric Palfreyman	OH	Internal Medicine Physician	$1M	$0
Shree Kurup	OH	Ophthalmology Physician	$533.2K	$0
Roy Raad	OH	Diagnostic Radiology Physician	$459.2K	$46.8K

Circle Health Services — Billing Profile & Reimbursement Data

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Circle Health Services — 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