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.

Osu Internal Medicine, LLC (NPI 1740231448)

Osu Internal Medicine, LLC is a internal medicine physician provider located in Columbus, Ohio. This profile covers 0 Medicare and 127 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	Osu Internal Medicine, LLC
Address	410 W 10th Ave
City	Columbus
State	OH
ZIP	43210
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicaid	$28M
Medicare	$0

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

127 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	245,480	$30	$7.9M
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…	125,140	$40	$5.3M
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…	43,170	$50	$2.3M
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…	100,120	$20	$2.1M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	201,380	$10	$1.4M
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…	22,520	$60	$1.3M
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…	39,700	$30	$1.1M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	24,710	$40	$1.1M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	13,520	$60	$797.8K
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…	7,060	$80	$529.6K

Showing 1–10 of 127

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

Osu Internal Medicine, LLC — 15 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

127 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	588	660	460	$90	$1.5M
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…	33	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…	183	5,080	560	$40	$323.9K
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.	50	280	570	$250	$276.5K
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…	3	330	630	$80	$231.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	12	170	240	$360	$217K
38222	The provider takes a scraping or sample of bone marrow tissue, using biopsy and aspiration techniques, for diagnostic purposes. Bone marrow aspiration is typically performed prior to the biopsy when…	5	10	60	$870	$193.8K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	12	80	1,450	$50	$176.7K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	18	180	190	$320	$139.3K
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…	1	600	480	$30	$132.5K

Showing 1–10 of 127

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohio State University Hospitals	OH	General Acute Care Hospital	$0	$197.7M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Osu Radiology LLC	OH	Diagnostic Radiology Physician	$0	$13.9M
Kristin Dittmar	CA	Diagnostic Radiology Physician	$745.3K	$0
Ariyan Javadi	WI	Diagnostic Radiology Physician	$58.4K	$543.8K
Shamseldeen Mahmoud	MO	Neuroradiology Physician	$109.5K	$474K
Amado Del Rosario	OH	Diagnostic Radiology Physician	$490.7K	$0
Ravi Rajpoot	MD	Diagnostic Radiology Physician	$123K	$316.3K
David Meier	OH	Interventional Cardiology Physician	$405.3K	$0
Kristopher Fisher	OH	Dermatopathology Physician	$403.1K	$1.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arthur G James Cancer Hospital And Research Institute	OH	Special Hospital	$0	$140.7M
Osu Emergency Medicine LLC	OH	Emergency Medical Services (Emergency Medicine) Physician	$0	$15.7M
Dental Clinics College Of Dentistry	OH	Dentist	$0	$9.4M
Jonathan Rock	OH	Anatomic Pathology & Clinical Pathology Physician	$498.3K	$0
Albert Clairmont	OH	Physical Medicine & Rehabilitation Physician	$444.1K	$0
Evan Wuthrick	OH	Radiation Oncology Physician	$237.8K	$0
Nicholas Shaheen	OH	Diagnostic Radiology Physician	$196.1K	$0
Mamdouh Khayat	OH	Vascular & Interventional Radiology Physician	$184.8K	$0
Ralph Augostini	OH	Clinical Cardiac Electrophysiology Physician	$180.6K	$0
Michael Barrows	OH	Diagnostic Radiology Physician	$147.8K	$0

Osu Internal Medicine, LLC — Billing Profile & Reimbursement Data

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Osu Internal Medicine, 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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