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.

Mary Rutan Hospital (NPI 1548254931)

Mary Rutan Hospital is a general acute care hospital provider located in Bellefontaine, Ohio. This profile covers 0 Medicare and 236 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	Mary Rutan Hospital
Address	205 Palmer Avenue
City	Bellefontaine
State	OH
ZIP	43311
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 31, 2005

Payer Source	Total Paid
Medicaid	$15.8M
Medicare	$0

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

236 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.	16,330	$110	$1.7M
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…	35,390	$50	$1.6M
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.	13,020	$110	$1.4M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	16,690	$70	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	9,830	$110	$1.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	16,080	$70	$1.1M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	18,540	$60	$1.1M
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.	3,510	$270	$933.1K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	6,590	$60	$408.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	6,930	$60	$401.9K

Showing 1–10 of 236

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

Mary Rutan Hospital — 3 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

236 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	68	150	4,030	$100	$5.9M
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.	95	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.	179	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.	143	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.	361	580	510	$100	$1.3M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	48	80	100	$860	$719.1K
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	11	20	480	$50	$671.8K
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.	147	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.	144	280	1,110	$110	$605.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	38	230	2,200	$100	$530.1K

Showing 1–10 of 236

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Frank Fumich	OH	Orthopaedic Surgery of the Spine Physician	$302.7K	$0
Dhiraj Warman	FL	Cardiovascular Disease Physician	$286K	$0
Omar Khan	OH	Urology Physician	$284.9K	$0
M. Niranjan Reddy	OH	Interventional Cardiology Physician	$158.1K	$0
Heath Tennyson	OH	Otolaryngology Physician	$155.2K	$0
Steven Haman	OH	Orthopaedic Trauma Physician	$150.7K	$0
Roger Amigo	OH	Urology Physician	$140.3K	$0
Anuj Shah	OH	Interventional Pain Medicine Physician	$127.3K	$3.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robinaugh Ems, LLC	OH	Land Ambulance	$455.6K	$965.1K
Muhammad Azrak	OH	Ophthalmology Physician	$361.7K	$0
Jennifer Regler	OH	Foot & Ankle Surgery Podiatrist	$199.6K	$0
Frederick Elkins	OH	Chiropractor	$24.4K	$105K
William Houser	OH	Cardiovascular Disease Physician	$94.6K	$0
Jason Anane-sefah	OH	Orthopaedic Surgery Physician	$77.1K	$12K
Stacy Eldridge	OH	Family Nurse Practitioner	$88.2K	$0
Kimberly Klapchar	OH	Otolaryngology Physician	$44.4K	$0
County Of Logan Office Of Auditor	OH	Public Health or Welfare Agency	$6.5K	$10.8K
Wava Young	OH	Family Nurse Practitioner	$15.1K	$0

Mary Rutan Hospital — Billing Profile & Reimbursement Data

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Mary Rutan Hospital — 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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