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.

Clinical Specialties Inc. (NPI 1447268230)

Clinical Specialties Inc. is a home infusion therapy pharmacy provider located in Hudson, Ohio. This profile covers 0 Medicare and 41 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	Clinical Specialties Inc.
Address	6288 Hudson Crossing Pkwy
City	Hudson
State	OH
ZIP	44236
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	August 4, 2006

Payer Source	Total Paid
Medicaid	$12.6M
Medicare	$0

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4105	In-line cartridge containing digestive enzyme(s) for enteral feeding, each	1,130	$2,510	$2.8M
S9500	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	17,360	$140	$2.5M
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	10,140	$100	$983.6K
S9502	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	5,490	$150	$839.8K
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	16,370	$50	$785.6K
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	13,010	$50	$637.2K
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	5,430	$110	$602.8K
S9501	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	2,690	$140	$373.6K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	6,130	$50	$306.5K
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	1,780	$160	$291.4K

Showing 1–10 of 41

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

Clinical Specialties Inc. — 5 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

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4105	In-line cartridge containing digestive enzyme(s) for enteral feeding, each	1	10	1,130	$2,510	$2.8M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	23	30	3,220	$390	$1.5M
J3380	Injection, vedolizumab, intravenous, 1 mg	3	10	240	$5,260	$1.5M
S9342	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…	3	10	16,370	$70	$1.2M
S9500	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	1	10	2,450	$140	$851.9K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	29	40	2,610	$120	$677.4K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	12	50	4,010	$80	$640.4K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	354	560	3,370	$40	$543.8K
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	2	10	3,530	$100	$464.1K
S9502	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	1	10	2,790	$150	$420.1K

Showing 1–10 of 41

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edwards Health Care Services, Inc.	OH	Durable Medical Equipment & Medical Supplies	$0	$149.9M
Raymond Wawrowski	OH	Physician Assistant	$4.7M	$0
Mark Armstrong	OH	Diagnostic Radiology Physician	$357.6K	$49.6K
Elizabeth Gaary	OH	Diagnostic Radiology Physician	$153.4K	$0
Emil Hayek	OH	Cardiovascular Disease Physician	$83.8K	$0
Tejas Samaroo	OH	Diagnostic Radiology Physician	$75K	$0
Raul Martin	OH	Diagnostic Radiology Physician	$71.4K	$0
Josef Noga	OH	Diagnostic Radiology Physician	$53.6K	$0
Bryan Lazzara	OH	Diagnostic Radiology Physician	$37K	$0
Ronald Bailey	OH	Diagnostic Radiology Physician	$35.1K	$0

Clinical Specialties Inc. — Billing Profile & Reimbursement Data

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Clinical Specialties 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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