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.

Crystal Clinic Orthopaedic Center LLC (NPI 1669669917)

Crystal Clinic Orthopaedic Center LLC is a special hospital provider located in Akron, Ohio. This profile covers 0 Medicare and 79 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	Crystal Clinic Orthopaedic Center LLC
Address	3557 Embassy Pkwy
City	Akron
State	OH
ZIP	44333
Taxonomy	Special Hospital
NPI Enumerated	October 1, 2007

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

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

79 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…	22,790	$90	$2M
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…	25,980	$40	$1M
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…	4,330	$170	$749.1K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	7,740	$70	$518.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8,330	$60	$474.5K
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…	7,550	$50	$354.6K
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.	4,980	$70	$333.4K
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,…	3,070	$100	$294.8K
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…	1,890	$90	$177.3K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	660	$250	$165.5K

Showing 1–10 of 79

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

Crystal Clinic Orthopaedic Center LLC — 1 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

79 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	58	150	4,030	$100	$5.9M
G0378	Hospital observation service, per hour	131	160	2,840	$80	$529.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	279	340	2,260	$30	$398.2K
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…	2,365	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…	318	5,080	560	$40	$323.9K
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…	30	840	1,040	$50	$220.1K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	135	140	350	$150	$215.8K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	194	230	4,530	$10	$140.8K
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.	249	1,060	1,850	$30	$126.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	278	410	2,650	$1	$124.4K

Showing 1–10 of 79

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Curtis Noel	OH	Orthopaedic Surgery Physician	$171.3K	$0
Ian Gradisar	OH	Orthopaedic Surgery Physician	$155.7K	$0
Mollie Manley	OH	Orthopaedic Hand Surgery Physician	$144.1K	$0
Jovan Laskovski	OH	Sports Medicine (Orthopaedic Surgery) Physician	$68.8K	$0
Timothy Ko	PA	Interventional Pain Medicine Physician	$65.4K	$2.4K
Nathan Monaco	OH	Orthopaedic Hand Surgery Physician	$54.4K	$0
James Klejka	OH	Physical Medicine & Rehabilitation Physician	$41.8K	$0
Chance Mitan	OH	Physician Assistant	$30.7K	$0
Madeline Corrigall	OH	Nurse Practitioner	$28.8K	$0
Emily Exten	OH	Orthopaedic Surgery Physician	$16.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Behavioral Nursing Services, Inc	OH	Home Health Agency	$0	$26M
James Libecco	OH	Dermatology Physician	$878.2K	$0
Megan Bielawski	OH	Rheumatology Physician	$800.7K	$0
David Bacha	OH	Rheumatology Physician	$796.5K	$0
Carlos Zevallos	OH	Rheumatology Physician	$553.7K	$0
Margaret Pullin	OH	Rheumatology Physician	$468.2K	$0
Akron Surgical Associates, LLC	OH	Ambulatory Surgical Clinic/Center	$393.2K	$68.5K
Allison Moosally	OH	MOHS-Micrographic Surgery Physician	$338.8K	$0
Tony Lababidi	OH	Pain Medicine Physician	$303.4K	$0
Anil Parikh	OH	Psychiatry Physician	$57.1K	$241.7K

Crystal Clinic Orthopaedic Center LLC — Billing Profile & Reimbursement Data

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Crystal Clinic Orthopaedic Center 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

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