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.

Simeon Hain (NPI 1548598469)

Field	Value
Entity Type	Individual
Organization	Simeon Hain
Address	26 E Park Dr Ste 105c
City	Athens
State	OH
ZIP	45701
Taxonomy	Neuromusculoskeletal Medicine & OMM Physician
NPI Enumerated	December 4, 2009

Payer Source	Total Paid
Medicare	$54.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	540	$50	$25.5K
98929	The provider performs controlled manual pressure in nine to ten body regions to treat somatic and nonsomatic disorders.	380	$50	$18.3K
98928	The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders.	180	$40	$7.5K
99203	The provider sees a new 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 provider…	50	$60	$2.6K
98927	The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.	30	$30	$990

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Simeon Hain — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98929	1	10	130	$50	$7.7K
99213	569	20,000	70	$50	$6.6K
98927	16	20	40	$40	$4K
98928	2	20	80	$50	$4K
99203	1,897	6,380	30	$60	$2.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marietta Memorial Hospital	OH	General Acute Care Hospital	$0	$102.2M
Marietta Memorial Hospital Of Tyler County Inc	WV	Critical Access Hospital	$0	$2.7M
Srini Vasan	OH	Radiation Oncology Physician	$807K	$0
Christopher Kolibash	WV	Clinical Cardiac Electrophysiology Physician	$425.8K	$48K
Maninder Bedi	WV	Cardiovascular Disease Physician	$416.1K	$53.8K
Glen Miske	WV	Clinical Cardiac Electrophysiology Physician	$289.3K	$950
Meisam Moghbelli	WI	Cardiovascular Disease Physician	$290K	$0
Douglas Keyser	OH	Radiation Oncology Physician	$277.6K	$0
Barrett Louden	WV	Dermatology Physician	$259.2K	$0
David Montgomery	OH	Internal Medicine Physician	$218K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopewell Health Centers Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$45.6M
Sheltering Arms Hospital Foundation, Inc.	OH	General Acute Care Hospital	$0	$26.9M
Health Recovery Services, Inc	OH	Addiction (Substance Use Disorder) Counselor	$0	$26.8M
Anew Behavioral Health, LLC	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.9M
Hopewell Health Centers, Inc.	OH	Federally Qualified Health Center (FQHC)	$0	$10.5M
Pinnacle Treatment Centers Oh-xvi, LLC	OH	Methadone Clinic	$88.1K	$5.1M
Athens County	OH	Ambulance	$581.9K	$2.1M
Ronald Gordineer	OH	Psychiatry Physician	$229.9K	$1.6M
Chase Scarbrough	OH	Dermatology Physician	$416.6K	$0
Kathleen Nemer	OH	MOHS-Micrographic Surgery Physician	$397.1K	$2.6K

Simeon Hain — Billing Profile & Reimbursement Data

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Simeon Hain — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References