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 Renal Care Group, LLC (NPI 1386759132)

Field	Value
Entity Type	Organization
Organization	Ohio Renal Care Group, LLC
Address	3280 W 25th St
City	Cleveland
State	OH
ZIP	44109
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicaid	$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.

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	63,820	$100	$6.4M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	6,250	$70	$412.2K
J1756	Injection, iron sucrose, 1 mg	13,590	$1	$40.8K
J1270	Injection, doxercalciferol, 1 mcg	35,940	$1	$35.9K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	3,440	$1	$6.9K
J3490	Unclassified drugs	6,770	$1	$6.8K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	2,070	$1	$2.1K
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	40	$40	$1.4K
80069	The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.	300	$1	$900
G0008	Administration of influenza virus vaccine	270	$1	$800

Showing 1–10 of 43

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 Renal Care Group, LLC — 4 of 15 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

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	4	270	8,860	$80	$1.1M
J3490	Unclassified drugs	24	220	860	$30	$131.3K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	201	410	2,650	$1	$124.4K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	246	250	570	$10	$72.3K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	117	220	180	$10	$67.7K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	4	190	510	$50	$60.2K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	424	650	540	$10	$50.5K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	44	360	550	$10	$30.7K
87340	The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.	61	270	410	$10	$24.7K
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	40	300	640	$10	$20.2K

Showing 1–10 of 43

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ohio Renal Care Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohio Renal Care Group, LLC	OH	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.8M

Nearby Providers

Other providers in the same ZIP code as Ohio Renal Care Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Metrohealth System	OH	General Acute Care Hospital	$0	$574.3M
The Metrohealth System	OH	Multi-Specialty Clinic/Center	$0	$125.4M
The Metrohealth System	OH	Air Ambulance	$0	$27.3M
Chad Marcantonio	OH	Ophthalmology Physician	$310.9K	$0
The Metrohealth System	OH	Community/Retail Pharmacy	$242K	$50
Raj Vallabhaneni	OH	Interventional Cardiology Physician	$187.7K	$0
Stephen Scull	OH	Emergency Medicine Physician	$83.8K	$42K
Bryan Canterbury	OH	Emergency Medicine Physician	$106.8K	$0
Ann Rivera	OH	Diagnostic Radiology Physician	$73.3K	$8.1K
Aleksandr Rovner	OH	Cardiovascular Disease Physician	$79.7K	$30

Ohio Renal Care Group, LLC — Billing Profile & Reimbursement Data

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Ohio Renal Care Group, LLC — 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