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.

Mercy Health Physicians Youngstown Specialty Care LLC (NPI 1649892225)

Field	Value
Entity Type	Organization
Organization	Mercy Health Physicians Youngstown Specialty Care LLC
Address	1044 Belmont Ave
City	Youngstown
State	OH
ZIP	44504
Taxonomy	Surgery Physician
NPI Enumerated	May 18, 2020

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

188 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…	65,370	$30	$2.2M
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…	44,950	$40	$2M
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…	37,860	$20	$833K
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…	9,260	$60	$592.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	74,850	$10	$449.1K
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…	9,270	$40	$407.9K
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…	12,950	$30	$349.7K
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…	5,120	$60	$291.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	6,300	$40	$277.1K
76818	The provider performs a biophysical profile test to measure the health of the baby during pregnancy. The test consists of a nonstress test and an ultrasound.	8,440	$30	$253.3K

Showing 1–10 of 188

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

Mercy Health Physicians Youngstown Specialty Care LLC — 13 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

188 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.	28	80	100	$860	$719.1K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	32	40	100	$850	$680.6K
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.	270	290	1,380	$90	$635.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,627	2,640	620	$90	$408.2K
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…	109	4,510	500	$60	$377.8K
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…	96	5,080	560	$40	$323.9K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	10	10	30	$2,100	$311.1K
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.	147	280	570	$250	$276.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	28	190	430	$70	$258.6K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	27	90	770	$100	$250.1K

Showing 1–10 of 188

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mercy Health Physicians Youngstown Specialty Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Mercy Health Youngstown LLC	OH	General Acute Care Hospital	$0	$36.6M
Mercy Health Physicians North Specialty Care LLC	OH	Surgery Physician	$0	$13.1M
Jonathan Wiesen	VA	Internal Medicine Physician	$2.4M	$0
Dinesh Sundarakumar	TX	Diagnostic Radiology Physician	$916K	$0
Reema Taneja	OH	Internal Medicine Physician	$360.9K	$5.1K
William Woods	OH	Orthopaedic Surgery Physician	$357K	$0
Shaju Shamsuddin	OH	Radiation Oncology Physician	$333.9K	$0
Douglas Keyser	OH	Radiation Oncology Physician	$277.6K	$0
Rashad El-dabh	OH	Radiation Oncology Physician	$277.5K	$0

Nearby Providers

Other providers in the same ZIP code as Mercy Health Physicians Youngstown Specialty Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health Youngstown LLC	OH	General Acute Care Hospital	$0	$63.7M
Mercy Health Physicians Youngstown, LLC	OH	Family Medicine Physician	$0	$25.1M
Focuscare LLC	OH	Addiction (Substance Use Disorder) Counselor	$0	$8.5M
Mahoning Valley Emergency Specialists LLC	OH	Emergency Medicine Physician	$0	$7.7M
Dwight Heron	OH	Radiation Oncology Physician	$227.3K	$0
Albert Cook	OH	Vascular & Interventional Radiology Physician	$170.3K	$0
Nathaniel Doe	OH	Nephrology Physician	$145.8K	$1.2K
David Hoffman	OH	Cardiovascular Disease Physician	$138.3K	$0
Venkata Kollipara	OH	Vascular Surgery Physician	$101.2K	$0
Chakri Yarlagadda	OH	Cardiovascular Disease Physician	$98.9K	$0

Mercy Health Physicians Youngstown Specialty Care LLC — Billing Profile & Reimbursement Data

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Mercy Health Physicians Youngstown Specialty Care LLC — 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