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.

Ohiohealth Corporation (NPI 1710916945)

Ohiohealth Corporation is a clinical medical laboratory provider located in Columbus, Ohio. This profile covers 0 Medicare and 324 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	Ohiohealth Corporation
Address	3535 Olentangy River Rd
City	Columbus
State	OH
ZIP	43214
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicaid	$44.3M
Medicare	$0

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

324 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	47,090	$80	$3.8M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	100,970	$30	$2.6M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	100,860	$30	$2.5M
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	70,240	$30	$1.8M
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	142,180	$10	$1.7M
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.	36,320	$50	$1.6M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	186,760	$10	$1.5M
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	76,540	$20	$1.5M
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	131,750	$10	$1.2M
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	58,590	$20	$1.2M

Showing 1–10 of 324

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

Ohiohealth Corporation — 22 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

324 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	5	140	1,130	$90	$1.1M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	25	80	910	$110	$884.9K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	16	50	310	$110	$817.2K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	8	50	220	$30	$675.9K
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	3	20	170	$210	$485.4K
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.	16	340	2,260	$30	$398.2K
87902	The lab analyst performs the technical lab test to analyze the specific genotype by nucleic acid of a specimen containing hepatitis C virus.	6	20	290	$160	$379.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	8	270	8,700	$10	$353.7K
86480	The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.	8	60	330	$40	$323K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	68	70	560	$70	$292.9K

Showing 1–10 of 324

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$215.2M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$76.9M
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$72.3M
Ohiohealth Urgent Care LLC	OH	Urgent Care Clinic/Center	$0	$13.4M
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$11.8M
Jacqueline Nicholas	OH	Neurology Physician	$149.8K	$0
Joseph Hofmeister	OH	Hematology & Oncology Physician	$111.2K	$0
Brian Zeno	OH	Pulmonary Disease Physician	$73.2K	$0
Adam Halverson	WI	Orthopaedic Foot and Ankle Surgery Physician	$18.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Radiology And Interventional Associates Inc	OH	Diagnostic Radiology Physician	$0	$30.3M
Compassus Ohiohealth Columbus Hospice, LLC	OH	Community Based Hospice Care Agency	$0	$19.4M
Central Ohio Hospitalists, Inc	OH	Specialist	$0	$11.7M
Ohio Surgery Center LLC	OH	Ambulatory Surgical Clinic/Center	$227.8K	$1.1M
Clem Kirkland	OH	Dermatology Physician	$725.1K	$0
Thomas Sweeney	OH	Medical Oncology Physician	$712K	$0
Jason Seavolt	OH	Radiation Oncology Physician	$695.3K	$0
Jarred Burkart	OH	Hematology & Oncology Physician	$659.8K	$0
Kavya Krishna	OH	Hematology & Oncology Physician	$565.3K	$0
Subinoy Das	OH	Otolaryngology Physician	$382.8K	$0

Ohiohealth Corporation — Billing Profile & Reimbursement Data

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Ohiohealth Corporation — 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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