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.

Alliance Physicians Inc (NPI 1437125572)

Alliance Physicians Inc is a family medicine physician provider located in Kettering, Ohio. This profile covers 0 Medicare and 230 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Alliance Physicians Inc
Address	1827 Woodman Center Dr
City	Kettering
State	OH
ZIP	45420
Taxonomy	Family Medicine Physician
NPI Enumerated	February 28, 2006

Payer Source	Total Paid
Medicaid	$38.9M
Medicare	$0

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

230 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	266,740	$50	$13.6M
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…	343,940	$40	$13.4M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	24,950	$40	$923.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	18,030	$50	$865.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	21,180	$30	$656.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	11,320	$50	$599.9K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	13,630	$40	$558.8K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	5,870	$90	$551.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	26,070	$20	$547.6K
99204	The provider sees a new 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 provider…	7,200	$70	$532.9K

Showing 1–10 of 230

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

Alliance Physicians Inc — 10 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

230 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0241U	N/A	47	90	1,960	$120	$464.3K
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…	2,093	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…	14	4,510	500	$60	$377.8K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	18	30	1,060	$120	$372K
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…	12	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…	162	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…	151	480	450	$70	$292.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	35	280	570	$250	$276.5K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	69	270	420	$90	$276K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	12	190	430	$70	$258.6K

Showing 1–10 of 230

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dayton Osteopathic Hospital	OH	General Acute Care Hospital	$0	$111.3M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Jonathan Wiesen	VA	Internal Medicine Physician	$2.4M	$0
Steven Finkelstein	NY	Radiation Oncology Physician	$1.4M	$0
Dalia Zaky Dawoud	CA	Nephrology Physician	$824.9K	$0
Zhineng Yang	MO	Hematology & Oncology Physician	$413.4K	$6.9K
Amish Oza	OH	Family Medicine Physician	$387.5K	$0
Parminder Modgil	OH	Internal Medicine Physician	$240.6K	$101.1K
Jonathan Silverman	OH	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$304.1K	$0
Haseeb Jafri	OH	Clinical Cardiac Electrophysiology Physician	$301.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Hospice Of Dayton, Inc.	OH	Community Based Hospice Care Agency	$0	$71M
Access Ohio, LLC	OH	Substance Abuse Rehabilitation Facility	$0	$40.1M
Ohio Pediatrics, Inc.	OH	Pediatrics Physician	$0	$7.4M
Greater Dayton Surgery Center LLC	OH	Ambulatory Surgical Clinic/Center	$1.1M	$0
Paul Nitz	OH	Orthopaedic Surgery Physician	$196.8K	$0
Jeffrey Hoskins	OH	Orthopaedic Surgery Physician	$137.7K	$0
Kevin Paley	OH	Orthopaedic Surgery Physician	$123.2K	$0
Melissa Rammel	OH	Physician Assistant	$64K	$0
David Seymour	OH	Physical Medicine & Rehabilitation Physician	$44.8K	$0

Alliance Physicians Inc — Billing Profile & Reimbursement Data

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Alliance Physicians 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

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