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 State University Hospitals (NPI 1447359997)

Field	Value
Entity Type	Organization
Organization	Ohio State University Hospitals
Address	410 W 10th Ave
City	Columbus
State	OH
ZIP	43210
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 21, 2006

Payer Source	Total Paid
Medicaid	$197.7M
Medicare	$0

Key Findings

OHIO STATE UNIVERSITY HOSPITALS reports no Medicare billing on file and is effectively a single-payer (Medicaid) provider in the available claims data, with total Medicaid revenue of $197.7M. The absence of Medicare activity in the dataset means all payer-pattern observations below are driven by Medicaid billing alone.

Revenue is concentrated in a relatively small set of outpatient, therapy, and emergency services: the precomputed top three Medicaid codes by revenue (99211, 97110, 99285) account for 34.0% of the provider's total Medicaid revenue. Specifically, 99211 contributes $16.5M (15.2%), 97110 contributes $10.3M (9.5%), and 99285 contributes $10M (9.2%), indicating that a minority of codes generate a large share of Medicaid dollars.

The code mix indicates a combined outpatient/ED and therapy-heavy operational profile: high-volume outpatient visit code 99211 (153.2K claims, $108 avg, $16.5M) and therapeutic exercise 97110 (116.2K claims, $89 avg, $10.3M) point to substantial ambulatory and rehabilitative throughput, while multiple ED E/M codes (99285, 99284, 99283, 99282) show meaningful emergency department activity across acuity levels. This blend suggests the provider operates large outpatient and ED services alongside robust physical therapy programs.

OHIO STATE UNIVERSITY HOSPITALS is a dominant statewide provider for several specific service lines: 97110 ranks #1 of 841 providers in-state (100th percentile; extreme outlier) and 99211 ranks #2 of 703 providers in-state (100th percentile; extreme outlier), while specialty infusion J1745 (infliximab) ranks #1 of 15 providers in-state (100th percentile; extreme outlier). These rank/percentile signals identify the hospital as a major center for therapeutic exercise, high-volume outpatient visits, and certain biologic infusions compared with in-state peers.

Emergency department high-acuity service is a material revenue driver but is largely in the range of typical state-level volumes: 99285 accounts for $10M (9.2%) with 66.3K claims and ranks #24 of 581 providers in-state (96th percentile; typical, unremarkable volume), while 99284, 99283, and 99282 also appear among top codes with volumes that rank in the upper percentiles but are described as typical or unremarkable. This pattern indicates a busy ED that contributes meaningfully to Medicaid revenue without being an extreme outlier on most ED codes.

The hospital is a clear hub for infusion and high-cost drug administration under Medicaid: J1745 (infliximab) generates $7.9M (7.2%) and is an extreme outlier in-state, J1459 (IV immune globulin) contributes $3.5M (3.2%) and ranks #1 of 4 providers in-state (100th percentile; typical, unremarkable volume), and several other biologic codes (J2350, J3380, J0178, J0741) appear in the top revenue list. Together these data signal substantial infusion center activity and high-cost drug administration as a notable part of the provider’s Medicaid-facing service mix.

Obstetrics and diagnostic imaging are meaningful secondary service lines: fetal follow-up ultrasound 76816 ($3.1M, 2.9%, 21.4K claims) ranks #9 of 185 providers in-state (96th percentile; notably above typical), and fetal heart testing 59025 ($3M, 2.8%, 15.4K claims) ranks #7 of 204 (97th percentile; extreme outlier). CT imaging codes (74177, 70450) also appear in the top-25, indicating sustained maternal/obstetric and radiology throughput within the Medicaid population.

The provider has an established billing presence, with its NPI enumerated on 2006-09-21 (~20 years ago). Combined with $197.7M in documented Medicaid revenue and multiple extreme outlier rankings across high-volume outpatient, therapy, and infusion codes, this tenure and scale are consistent with a long-standing, major statewide hospital system focused on high-volume ambulatory, ED, rehabilitation, and infusion services for Medicaid beneficiaries.

Medicaid: Complete Services Breakdown

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

886 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	153,210	$110	$16.5M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	116,170	$90	$10.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	66,270	$150	$10M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	6,140	$1,280	$7.9M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	46,800	$150	$7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	41,950	$150	$6.1M
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,…	57,300	$100	$5.6M
J2350	Injection, ocrelizumab, 1 mg	140	$26,840	$3.6M
J1459	Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg	2,580	$1,340	$3.5M
J0585	Injection, onabotulinumtoxina, 1 unit	4,520	$760	$3.4M

Showing 1–10 of 886

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 State University Hospitals — 13 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

886 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2350	Injection, ocrelizumab, 1 mg	8	10	310	$20,560	$10M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	24	150	4,030	$100	$5.9M
H2036	Alcohol and/or other drug treatment program, per diem	116	130	13,910	$220	$5.2M
J2323	Injection, natalizumab, 1 mg	8	10	440	$4,300	$3.2M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	45	170	4,660	$300	$2.6M
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…	212	610	1,350	$150	$1.9M
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	3	10	1,030	$1,520	$1.9M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	71	480	4,510	$90	$1.8M
J0741	Injection, cabotegravir and rilpivirine, 2mg/3mg	2	10	230	$4,830	$1.7M
J3380	Injection, vedolizumab, intravenous, 1 mg	2	10	240	$5,260	$1.5M

Showing 1–10 of 886

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ohio State University Hospitals, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Osu Internal Medicine, LLC	OH	Internal Medicine Physician	$0	$28M
David Meier	OH	Interventional Cardiology Physician	$405.3K	$0
Kristopher Fisher	OH	Dermatopathology Physician	$403.1K	$1.3K
David Carr	OH	MOHS-Micrographic Surgery Physician	$261.7K	$0
Kathryn Shahwan	OH	MOHS-Micrographic Surgery Physician	$225.5K	$0
Mark Bechtel	OH	Dermatology Physician	$203.1K	$0
Ralph Augostini	OH	Clinical Cardiac Electrophysiology Physician	$180.6K	$0
Mahmoud Houmsse	OH	Clinical Cardiac Electrophysiology Physician	$170.7K	$0
Andrew Grainger	OH	Hematology & Oncology Physician	$159.9K	$0
Mary Breckenridge	OH	Cardiovascular Disease Physician	$158.5K	$0

Nearby Providers

Other providers in the same ZIP code as Ohio State University Hospitals, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arthur G James Cancer Hospital And Research Institute	OH	Special Hospital	$0	$140.7M
Osu Emergency Medicine LLC	OH	Emergency Medical Services (Emergency Medicine) Physician	$0	$15.7M
Osu Radiology LLC	OH	Diagnostic Radiology Physician	$0	$13.9M
Dental Clinics College Of Dentistry	OH	Dentist	$0	$9.4M
Jonathan Rock	OH	Anatomic Pathology & Clinical Pathology Physician	$498.3K	$0
Amado Del Rosario	OH	Diagnostic Radiology Physician	$490.7K	$0
Albert Clairmont	OH	Physical Medicine & Rehabilitation Physician	$444.1K	$0
Evan Wuthrick	OH	Radiation Oncology Physician	$237.8K	$0
Nicholas Shaheen	OH	Diagnostic Radiology Physician	$196.1K	$0
Mamdouh Khayat	OH	Vascular & Interventional Radiology Physician	$184.8K	$0

Ohio State University Hospitals — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References