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.

The Oak Clinic (NPI 1447353594)

Field	Value
Entity Type	Organization
Organization	The Oak Clinic
Address	3838 Massillon Rd
City	Uniontown
State	OH
ZIP	44685
Taxonomy	Neurology Physician
NPI Enumerated	September 6, 2006

Payer Source	Total Paid
Medicaid	$14.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2323	Injection, natalizumab, 1 mg	2,950	$3,470	$10.2M
J2350	Injection, ocrelizumab, 1 mg	210	$17,320	$3.7M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	4,590	$60	$270.9K
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…	1,020	$40	$37.9K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	220	$40	$8.1K
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…	120	$20	$2.9K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	340	$10	$2.4K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	220	$10	$1.3K
J2919	Injection, methylprednisolone sodium succinate, 5 mg	20	$0	$0

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

The Oak Clinic — 1 of 8 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2350	Injection, ocrelizumab, 1 mg	7	10	310	$20,560	$10M
J2323	Injection, natalizumab, 1 mg	1	10	440	$4,300	$3.2M
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…	1,794	4,510	500	$60	$377.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	22	100	1,000	$120	$357.1K
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…	3,566	5,080	560	$40	$323.9K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	28	40	700	$280	$287.1K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	172	190	5,470	$1	$28.2K
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	79	150	380	$1	$620
J2919	Injection, methylprednisolone sodium succinate, 5 mg	119	120	220	$1	$140

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Oak Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timothy Carrabine	OH	Internal Medicine Physician	$1.8M	$0
Christopher Sheppard	OH	Neurology Physician	$615.8K	$0

Nearby Providers

Other providers in the same ZIP code as The Oak Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crossroads Hospice Of Northeast	OH	Community Based Hospice Care Agency	$0	$47.5M
Comprehensive Surgical Center Of Green, LLC	OH	Ambulatory Surgical Clinic/Center	$230.5K	$136.7K
Richard Li	OH	Internal Medicine Physician	$93.8K	$0
Robert Dallara	OH	Pain Medicine (Anesthesiology) Physician	$56.8K	$0
Vimala Rapaka	OH	Pulmonary Disease Physician	$31.4K	$0
Rita Vogel	OH	Certified Registered Nurse Anesthetist	$28.5K	$0

The Oak Clinic — Billing Profile & Reimbursement Data

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The Oak Clinic — 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