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.

Lima Memorial Professional Corporation (NPI 1457474900)

Lima Memorial Professional Corporation is a specialist provider located in Lima, Ohio. This profile covers 0 Medicare and 152 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	Lima Memorial Professional Corporation
Address	1001 Bellefontaine Ave
City	Lima
State	OH
ZIP	45804
Taxonomy	Specialist
NPI Enumerated	April 9, 2007

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

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

152 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	112,730	$30	$3.3M
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…	70,110	$40	$2.6M
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…	7,520	$40	$300.8K
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…	6,270	$50	$282.1K
99203	The provider sees a new 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 provider…	4,400	$40	$167.4K
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…	5,160	$30	$154.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	11,700	$10	$140.4K
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	110	$1,100	$122.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	2,390	$50	$121.7K
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…	2,070	$50	$109.4K

Showing 1–10 of 152

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

Lima Memorial Professional Corporation — 4 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

152 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	57	80	100	$860	$719.1K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	213	290	1,380	$90	$635.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	206	280	1,110	$110	$605.7K
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…	66	4,510	500	$60	$377.8K
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	7	10	140	$1,070	$335.3K
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…	50	5,080	560	$40	$323.9K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	194	230	980	$110	$319.6K
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…	47	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…	56	480	450	$70	$292.9K
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…	102	270	420	$90	$276K

Showing 1–10 of 152

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Bryan Gray	OH	Dermatology Physician	$2.4M	$499.2K
Abbas Chamsuddin	IL	Diagnostic Radiology Physician	$368.8K	$114.2K
Jason Kerr	AZ	Diagnostic Radiology Physician	$341.7K	$0
Iliya Khramov	FL	Diagnostic Radiology Physician	$303.2K	$0
Richard Eickler	KY	Diagnostic Radiology Physician	$275.6K	$7.2K
Venkat Battula	OH	Cardiovascular Disease Physician	$269.5K	$0
Hassan Semaan	OH	Diagnostic Radiology Physician	$232.7K	$0
Paul Anike	OH	Cardiovascular Disease Physician	$216.9K	$0
Vadak Ranganathan	OH	Neurology Physician	$62.6K	$144K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lima Memorial Joint Operating Company	OH	General Acute Care Hospital	$0	$28.4M
Health Partners Of Western Ohio	OH	Federally Qualified Health Center (FQHC)	$0	$21.7M
Family Resource Center Of Northwest Ohio Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17.9M
Melissa Kloeppel	OH	Family Nurse Practitioner	$360.4K	$0
Jeffery Mcmath	OH	Orthopaedic Surgery Physician	$324.8K	$0
Selvon St. Clair	OH	Orthopaedic Surgery of the Spine Physician	$314K	$0
Frank Fumich	OH	Orthopaedic Surgery of the Spine Physician	$302.7K	$0
James Patterson	OH	Adult Reconstructive Orthopaedic Surgery Physician	$285.4K	$0
Samir Patel	OH	Orthopaedic Hand Surgery Physician	$242.7K	$0
Chad Broering	OH	Orthopaedic Surgery Physician	$213.4K	$0

Lima Memorial Professional Corporation — Billing Profile & Reimbursement Data

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Lima Memorial Professional Corporation — 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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