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 Good Samaritan Hospital Of Cincinnati, Ohio (NPI 1508835828)

Field	Value
Entity Type	Organization
Organization	The Good Samaritan Hospital Of Cincinnati, Ohio
Address	375 Dixmyth Ave
City	Cincinnati
State	OH
ZIP	45220
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 17, 2006

Payer Source	Total Paid
Medicaid	$85.6M
Medicare	$0

Key Findings

This facility is effectively single‑payer in scope: there is no Medicare billing on file while total Medicaid revenue is $85.6M, indicating heavy reliance on Medicaid for net patient revenue. The provider’s NPI was enumerated on 2006-03-17 (~20 years ago), so this is an established acute‑care hospital with long tenure under its current identifier.

Revenue is highly concentrated in a small set of Medicaid procedure codes: the precomputed top 3 Medicaid codes by revenue — 99283 ($11.9M, 16.8%), 99284 ($10M, 14.2%), and 96361 ($8.2M, 11.7%) — account for 42.7% of this provider’s total Medicaid revenue. That concentration signals that a few service lines (emergency evaluation/management and ongoing IV fluid/infusion services) dominate Medicaid earnings.

The code mix points to a high-volume emergency department and infusion/infusion-support operation: 99283 and 99284 are among the largest revenue drivers and are E/M codes for ED visits at low and moderate levels of medical decision making, respectively, while 96361 is for IV fluids administered by the hospital. Together these codes suggest routine ED throughput plus frequent prolonged IV/infusion encounters rather than a predominance of elective inpatient procedures.

Several individual codes show the hospital is a major statewide participant for specific services. 99283 ranks #25 of 484 providers in-state (95th percentile; notably above typical state volume for this code), and 99284 ranks #36 of 655 (95th percentile), indicating above‑typical ED volume; 96361 ranks #10 of 165 (95th percentile), supporting the view of strong infusion/IV service volume in the state.

The provider reports extreme outlier volumes on lower‑acuity outpatient codes that likely reflect high throughput of brief nursing or clinic encounters: 99211 (72.3K claims, $8.2M, 11.6% of Medicaid revenue) ranks #6 of 703 providers in-state (99th percentile; extreme outlier). That pattern is consistent with a facility doing very large numbers of short outpatient E/M visits, triage or ancillary treatment visits that together drive material Medicaid revenue.

Oncology and high‑cost drug administration is a visible service line: J9271 (pembrolizumab, $6.8M, 9.7% of Medicaid revenue) ranks #6 of 22 in-state (76th percentile) and J9173 (durvalumab, $1.5M, 2.1%) ranks #1 of 6 in-state (100th percentile; notably above typical state volume for this code). The presence of multiple infusion/chemotherapy codes (96365, 96366, 96413) alongside these J‑codes indicates an established cancer/infusion program handling high-cost biologic therapies.

Multiple procedural and imaging codes appear at typical-to‑above‑typical statewide volumes, indicating breadth of acute services beyond ED and infusion care: 74177 CT abdomen/pelvis with contrast ($1.4M) ranks in the 81st percentile, 70450 head CT ($1.3M) in the 77th percentile, and 93306 echocardiography ($484.5K) in the 75th percentile. These placements suggest the hospital maintains standard acute diagnostic capacity that supports the ED and inpatient workflows.

Because Medicare is absent from the billing data while Medicaid accounts for $85.6M, the hospital’s financial and utilization profile is particularly sensitive to Medicaid policy and rate changes. Operationally, payers and network planners should view this provider as a Medicaid‑focused, high‑volume ED and infusion hub with notable statewide leadership in selected immunotherapy drugs and unusually large volumes of brief outpatient encounters.

Medicaid: Complete Services Breakdown

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

482 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	97,540	$120	$11.9M
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.	70,540	$140	$10M
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.	27,130	$300	$8.2M
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.	72,330	$110	$8.2M
J9271	Injection, pembrolizumab, 1 mg	860	$7,930	$6.8M
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…	42,850	$120	$5.2M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	16,770	$200	$3.4M
0241U	N/A	14,460	$120	$1.8M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	10,000	$160	$1.6M
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.	11,880	$130	$1.5M

Showing 1–10 of 482

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 Good Samaritan Hospital Of Cincinnati, Ohio — 6 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

482 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	56	150	4,030	$100	$5.9M
J9271	Injection, pembrolizumab, 1 mg	6	20	360	$8,480	$5M
J1726	Injection, hydroxyprogesterone caproate, (makena), 10 mg	5	10	1,780	$1,080	$4.1M
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.	10	170	4,660	$300	$2.6M
J9299	Injection, nivolumab, 1 mg	4	10	210	$6,940	$2.1M
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	480	4,510	$90	$1.8M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	12	20	480	$730	$1.6M
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.	36	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.	131	580	510	$100	$1.3M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	11	20	260	$1,470	$1.1M

Showing 1–10 of 482

Nearby Providers

Other providers in the same ZIP code as The Good Samaritan Hospital Of Cincinnati, Ohio, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trihealth G LLC	OH	Internal Medicine Physician	$0	$31M
The Crossroads Center	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$21.1M
Trihealth H LLC	OH	Obstetrics Physician	$0	$12.5M
Robert Hutchins	OH	Ophthalmology Physician	$1.6M	$0
Jennifer Walker	OH	MOHS-Micrographic Surgery Physician	$312K	$0
David Huelsman	OH	Diagnostic Radiology Physician	$135.9K	$0
Stephen Whitlatch	OH	Specialist	$115.7K	$0
Christine Smith	OH	Physical Medicine & Rehabilitation Physician	$100.1K	$0
David Dow	OH	Diagnostic Radiology Physician	$95.1K	$0
Sean Lewis	OH	Otolaryngology Physician	$91.2K	$0

The Good Samaritan Hospital Of Cincinnati, Ohio — Billing Profile & Reimbursement Data

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The Good Samaritan Hospital Of Cincinnati, Ohio — 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

Nearby Providers

Frequently Asked Questions

References