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.

Children's Hospital Medical Center (NPI 1508904400)

Field	Value
Entity Type	Organization
Organization	Children's Hospital Medical Center
Address	660 Lincoln Ave
City	Cincinnati
State	OH
ZIP	45206
Taxonomy	Home Health Agency
NPI Enumerated	February 2, 2007

Payer Source	Total Paid
Medicaid	$19.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	41,260	$340	$13.8M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	14,150	$150	$2.1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	16,720	$50	$886.1K
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	3,260	$130	$432.9K
S9131	Physical therapy; in the home, per diem	2,550	$160	$415.3K
S9128	Speech therapy, in the home, per diem	1,980	$160	$320.8K
S9129	Occupational therapy, in the home, per diem	1,820	$160	$294.2K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	3,760	$60	$240.6K
99506	A home health provider, such as a registered nurse, visits a patient in his home to administer an intramuscular injection of a medicine, per another provider’s order.	1,960	$100	$201.4K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	3,030	$60	$184.5K

Showing 1–10 of 12

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

Children's Hospital Medical Center — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	18	60	15,120	$270	$8.4M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	2	10	590	$90	$904.3K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	116	560	3,370	$40	$543.8K
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	6	10	3,530	$100	$464.1K
S9128	Speech therapy, in the home, per diem	1	10	1,980	$160	$320.4K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	11	40	1,230	$60	$283.8K
S9129	Occupational therapy, in the home, per diem	2	10	1,820	$90	$282.5K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	59	200	950	$60	$281.1K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	39	100	1,500	$60	$257K
S9131	Physical therapy; in the home, per diem	2	10	100	$80	$205.5K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Children's Hospital Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital Medical Center	OH	Children's Hospital	$0	$386.8M
Children's Hospital Medical Center	OH	Pediatrics Physician	$0	$91.2M
Children's Hospital Medical Center	OH	Home Infusion Therapy Pharmacy	$0	$57M
Children's Hospital Medical Center	OH	Durable Medical Equipment & Medical Supplies	$0	$51.1M
Children's Hospital Medical Center	OH	Pediatric Dentistry	$0	$11.6M
Robert Sisk	OH	Ophthalmology Physician	$2.5M	$0
William Hansen	OH	Counseling Psychologist	$112.8K	$194.9K
Roxana Rivera	OH	Ophthalmology Physician	$216K	$0
Mehran Attari	OH	Clinical Cardiac Electrophysiology Physician	$207K	$0
Joel Sorger	OH	Orthopaedic Surgery Physician	$193.5K	$0

Nearby Providers

Other providers in the same ZIP code as Children's Hospital Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brightview, LLC	OH	Addiction Medicine (Internal Medicine) Physician	$2.3M	$501.1M
Greater Cincinnati Behavioral Health Services	OH	Community/Behavioral Health Agency	$0	$100.4M
Talbert House	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$38M
Lighthouse Youth Services Inc.	OH	Mental Health Counselor	$0	$18.9M
Talbert House, Inc	OH	Substance Abuse Rehabilitation Facility	$0	$13.9M
First Step Home, Inc.	OH	Substance Abuse Rehabilitation Facility	$0	$9.9M
Emmanuel Rivera	OH	Geriatric Medicine (Family Medicine) Physician	$62.5K	$0

Children's Hospital Medical Center — Billing Profile & Reimbursement Data

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Children's Hospital Medical Center — 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