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.

Triad Health Services, LLC (NPI 1588925457)

Triad Health Services, LLC is a plastic surgery physician provider located in Youngstown, Ohio. This profile covers 0 Medicare and 144 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	Triad Health Services, LLC
Address	100 Debartolo Pl Ste 200
City	Youngstown
State	OH
ZIP	44512
Taxonomy	Plastic Surgery Physician
NPI Enumerated	June 6, 2012

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

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

144 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…	95,550	$30	$2.6M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	62,250	$40	$2.2M
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…	6,910	$40	$269.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	13,020	$20	$208.2K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,920	$100	$193.8K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	10,300	$20	$185.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	3,620	$50	$177.5K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	9,070	$20	$136.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	10,920	$10	$131K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,390	$20	$77.9K

Showing 1–10 of 144

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

Triad Health Services, LLC — 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

144 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	75	80	100	$860	$719.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	77	4,510	500	$60	$377.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	101	100	1,000	$120	$357.1K
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…	61	5,080	560	$40	$323.9K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	71	90	320	$110	$293.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	282	480	450	$70	$292.9K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	44	40	700	$280	$287.1K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	45	280	570	$250	$276.5K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	45	100	260	$60	$243.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	97	330	630	$80	$231.5K

Showing 1–10 of 144

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shaju Shamsuddin	OH	Radiation Oncology Physician	$333.9K	$0
Magdy Iskander	OH	Rheumatology Physician	$327.3K	$0
Rashad El-dabh	OH	Radiation Oncology Physician	$277.5K	$0
Dwight Heron	OH	Radiation Oncology Physician	$227.3K	$0
Carl Peterson	OH	Radiation Oncology Physician	$174.6K	$0
Michael Derosa	OH	Endocrinology, Diabetes & Metabolism Physician	$173.3K	$0
Munir Ahmad	OH	Radiation Oncology Physician	$150.1K	$0
Brian Shannon	PA	Orthopaedic Surgery Physician	$126.5K	$0
Christopher Chuirazzi	OH	Internal Medicine Physician	$125.1K	$0
Badi Altawil	OH	Internal Medicine Physician	$105.2K	$10.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southerncare, Inc.	OH	Community Based Hospice Care Agency	$0	$42.5M
Mercy Health Youngstown LLC	OH	General Acute Care Hospital	$0	$36.6M
The Surgery Center At Southwoods, LLC	OH	Special Hospital	$0	$20.2M
Homecare With Heart, LLC	OH	Home Health Agency	$0	$19.5M
Aura Genetics Of Ohio, LLC	OH	Clinical Medical Laboratory	$17.9M	$28.4K
Kids Choice LLC	OH	Speech-Language Pathologist	$0	$9.7M
Sacred Arms, Inc.	OH	Home Health Agency	$0	$8.4M
Valley Home Health Care, LLC	OH	Home Health Agency	$0	$7.6M
Travco Behavioral Health, Inc.	OH	Mental Health Counselor	$0	$7.3M
Vpa PC	OH	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$247.6K	$1.3M

Triad Health Services, LLC — Billing Profile & Reimbursement Data

Sign up for Triad Health Services, LLC — Billing Profile & Reimbursement Data policy alerts

Triad Health Services, LLC — Billing Profile & Reimbursement Data

Sign up for Triad Health Services, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References