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.

The Surgery Center At Southwoods, LLC (NPI 1740398890)

The Surgery Center At Southwoods, LLC is a special hospital provider located in Youngstown, Ohio. This profile covers 0 Medicare and 167 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	The Surgery Center At Southwoods, LLC
Address	7630 Southern Blvd
City	Youngstown
State	OH
ZIP	44512
Taxonomy	Special Hospital
NPI Enumerated	August 28, 2006

Payer Source	Total Paid
Medicaid	$20.2M
Medicare	$0

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

167 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	135,440	$90	$11.8M
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.	3,230	$420	$1.4M
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…	9,160	$130	$1.2M
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	1,980	$510	$1M
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	1,640	$340	$556.6K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	2,130	$220	$469.5K
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,…	710	$630	$446.5K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	480	$580	$276.8K
58661	The provider removes one or both ovaries and one or both fallopian tubes or a combination of both using a laparoscope.	140	$1,930	$273.9K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	540	$500	$268.6K

Showing 1–10 of 167

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

The Surgery Center At Southwoods, LLC — 5 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

167 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	12	150	4,030	$100	$5.9M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	22	30	520	$820	$994.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	181	280	1,110	$110	$605.7K
G0378	Hospital observation service, per hour	113	160	2,840	$80	$529.2K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	210	230	980	$110	$319.6K
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.	21	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…	51	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…	174	330	630	$80	$231.5K
58661	The provider removes one or both ovaries and one or both fallopian tubes or a combination of both using a laparoscope.	9	20	100	$1,750	$228.7K
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…	792	840	1,040	$50	$220.1K

Showing 1–10 of 167

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
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
Triad Health Services, LLC	OH	Plastic Surgery Physician	$0	$6.9M
Vpa PC	OH	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$247.6K	$1.3M

The Surgery Center At Southwoods, LLC — Billing Profile & Reimbursement Data

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The Surgery Center At Southwoods, 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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