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.

Ohiohealth Corporation (NPI 1467484972)

Field	Value
Entity Type	Organization
Organization	Ohiohealth Corporation
Address	3535 Olentangy River Rd
City	Columbus
State	OH
ZIP	43214
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$76.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: Total Medicare revenue: none (no Medicare billing on file) while Total Medicaid revenue: $76.9M. The NPI was enumerated on 2006-07-07 (~20 years ago), indicating long-tenured enrollment in the provider registry but no recorded Medicare billings in the dataset.

Revenue is highly concentrated in a small set of Medicaid codes: the Precomputed top 3 Medicaid codes by revenue account for 40.0% of this provider's total Medicaid revenue. Those top contributors are 99284 (14.6%), J2350 (13.9%), and J2323 (11.4%), together driving roughly two‑fifths of reported Medicaid dollars.

The clinical/service mix points to a high-volume emergency and infusion operation. Multiple high-revenue ED evaluation and management codes (99284, 99285, 99283) appear in the top Medicaid codes, while J2350 and J2323 represent high-cost specialty infusions (ocrelizumab and natalizumab), suggesting the hospital operates both a busy ED and an infusion/infusion clinic treating biologic therapies.

Emergency care footprint is large relative to in-state peers: 99284 reports 48K claims, $180 avg paid/claim, $8.6M revenue and ranks #61 of 655 providers in-state (91th percentile; typical, unremarkable volume for this code), while 99285 records 31.7K claims, $201 avg paid/claim, $6.4M revenue and ranks #61 of 581 providers in-state (90th percentile; typical, unremarkable volume for this code). Those placements indicate above-average ED volume and acuity versus many state peers even though the code descriptors are labeled "typical, unremarkable" in the comparison set.

The provider is a meaningful in-state participant for specialty infusion drugs but shows mixed competitive strength across agents: J2323 (natalizumab) generated $6.8M and ranks #2 of 8 providers in-state (86th percentile; typical, unremarkable volume for this code), signaling a strong position among the small cohort of natalizumab billers, whereas J2350 (ocrelizumab) produced $8.2M and ranks #4 of 9 providers in-state (63th percentile; typical, unremarkable volume for this code), which is a mid‑pack standing among a small number of in-state ocrelizumab billers.

Observation-hour billing is an outlier for this provider: G0378 shows 47K claims, $82 avg paid/claim, $3.9M revenue (6.5% of this provider's total Medicaid revenue) and ranks #3 of 155 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). That exceptionally high observation-hour utilization suggests sustained use of observation-level care outside formal inpatient admissions compared with peers.

Several ancillary services are notably elevated versus peers, consistent with a broad acute-care footprint: 97803 (dietary reassessment) records 8.2K claims, $80 avg paid/claim, $653.9K revenue (1.1%) and ranks #6 of 101 providers in-state (95th percentile; notably above typical state volume for this code), while 93976 (limited duplex scan) posts 3K claims, $152 avg paid/claim, $455.8K revenue (0.8%) and ranks #5 of 55 providers in-state (93th percentile; notably above typical state volume for this code).

Taken together, the top-code mix (ED E/M codes, observation hours, high-cost biologic infusions) paints a picture of a general acute care hospital with heavy ED throughput, substantial observation-unit use, and a clinically significant infusion program; because Total Medicare revenue: none (no Medicare billing on file), the provider’s reported revenue exposure in this dataset is concentrated in Medicaid reimbursement streams.

Medicaid: Complete Services Breakdown

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

430 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	48,050	$180	$8.6M
J2350	Injection, ocrelizumab, 1 mg	380	$21,670	$8.2M
J2323	Injection, natalizumab, 1 mg	1,220	$5,540	$6.8M
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.	31,690	$200	$6.4M
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.	20,290	$290	$5.9M
G0378	Hospital observation service, per hour	47,040	$80	$3.9M
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.	25,710	$140	$3.7M
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.	7,190	$240	$1.7M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	8,940	$190	$1.7M
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.	6,600	$220	$1.5M

Showing 1–10 of 430

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

Ohiohealth Corporation — 1 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

430 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2350	Injection, ocrelizumab, 1 mg	4	10	310	$20,560	$10M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	85	150	4,030	$100	$5.9M
J2323	Injection, natalizumab, 1 mg	2	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.	18	170	4,660	$300	$2.6M
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.	109	480	4,510	$90	$1.8M
H2020	Therapeutic behavioral services, per diem	111	310	1,190	$150	$1.5M
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.	61	660	460	$90	$1.5M
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.	61	580	510	$100	$1.3M
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.	53	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.	47	280	1,110	$110	$605.7K

Showing 1–10 of 430

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$215.2M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$72.3M
Ohiohealth Corporation	OH	Clinical Medical Laboratory	$0	$44.3M
Medcentral Health System	OH	General Acute Care Hospital	$0	$36.9M
Marion General Hospital, Inc.	OH	General Acute Care Hospital	$0	$36.4M
Sheltering Arms Hospital Foundation, Inc.	OH	General Acute Care Hospital	$0	$26.9M
Ohiohealth Urgent Care LLC	OH	Urgent Care Clinic/Center	$0	$13.4M
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$11.8M
Grady Memorial Hospital	OH	General Acute Care Hospital	$0	$9.5M

Nearby Providers

Other providers in the same ZIP code as Ohiohealth Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Radiology And Interventional Associates Inc	OH	Diagnostic Radiology Physician	$0	$30.3M
Compassus Ohiohealth Columbus Hospice, LLC	OH	Community Based Hospice Care Agency	$0	$19.4M
Central Ohio Hospitalists, Inc	OH	Specialist	$0	$11.7M
Ohio Surgery Center LLC	OH	Ambulatory Surgical Clinic/Center	$227.8K	$1.1M
Clem Kirkland	OH	Dermatology Physician	$725.1K	$0
Thomas Sweeney	OH	Medical Oncology Physician	$712K	$0
Jason Seavolt	OH	Radiation Oncology Physician	$695.3K	$0
Jarred Burkart	OH	Hematology & Oncology Physician	$659.8K	$0
Kavya Krishna	OH	Hematology & Oncology Physician	$565.3K	$0
Subinoy Das	OH	Otolaryngology Physician	$382.8K	$0

Ohiohealth Corporation — Billing Profile & Reimbursement Data

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Ohiohealth Corporation — 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