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.

Emergency Medicine Physicians Of Franklin County, Ltd (NPI 1538108501)

Field	Value
Entity Type	Organization
Organization	Emergency Medicine Physicians Of Franklin County, Ltd
Address	5100 W Broad St
City	Columbus
State	OH
ZIP	43228
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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.	89,950	$50	$4.6M
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.	57,930	$70	$4.2M
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.	66,820	$30	$2.1M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	8,790	$60	$509.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	52,390	$10	$262K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	30	$50	$1.2K
99053	The provider renders overnight services at a 24 hour facility.	20	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	60	$0	$0

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

Emergency Medicine Physicians Of Franklin County, Ltd — 2 of 6 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	41	480	4,510	$90	$1.8M
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.	27	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.	29	580	510	$100	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	15	260	280	$50	$120.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	26	450	720	$10	$67K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	60	70	140	$160	$42.9K
99053	The provider renders overnight services at a 24 hour facility.	57	70	410	$1	$20
G9744	Patient not eligible due to active diagnosis of hypertension	52	70	270	$1	$10

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Medicine Physicians Of Franklin County, Ltd, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Chijioke Kalu	IN	Family Medicine Physician	$89.2K	$0
Timothy Walbridge	IN	Internal Medicine Physician	$84.3K	$0
Wayne Jones	PA	Emergency Medicine Physician	$49.3K	$1.8K
Kathy Short	KY	Family Medicine Physician	$44.4K	$0
Christopher John	PA	Physician Assistant	$24.7K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Medicine Physicians Of Franklin County, Ltd, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$72.3M
Cems Of Ohio Inc	OH	Ambulance	$5.2M	$13.6M
Central Ohio Specialty Care, LLC	OH	Durable Medical Equipment & Medical Supplies	$0	$12.6M
Freedom Recovery LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.5M
Child Care Consultants	OH	Pediatrics Physician	$0	$8.3M
Roberta Watts	OH	Family Nurse Practitioner	$23.1K	$1.4M
George Youssef	OH	Interventional Cardiology Physician	$986.8K	$0
Mitesh Parekh	OH	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$207.2K	$0
Heather Childers	OH	Emergency Medicine Physician	$100.3K	$0
Faozan Narvel	OH	Family Medicine Physician	$85.9K	$0

Emergency Medicine Physicians Of Franklin County, Ltd — Billing Profile & Reimbursement Data

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Emergency Medicine Physicians Of Franklin County, Ltd — 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