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.

Health Partners Of Western Ohio (NPI 1740694462)

Field	Value
Entity Type	Organization
Organization	Health Partners Of Western Ohio
Address	1 Spartan Way
City	Lima
State	OH
ZIP	45801
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 20, 2014

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

64 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	72,080	$110	$7.7M
D1351	Sealant - per tooth	68,790	$10	$894.3K
D1354	N/A	44,200	$10	$574.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	26,750	$20	$535.1K
D1120	Prophylaxis–child	38,590	$10	$385.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	46,690	$10	$373.5K
D0120	Periodic oral evaluation - established patient	35,370	$10	$283K
D0150	Comprehensive oral evaluation – new or established patient	10,400	$20	$218.3K
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…	8,790	$20	$167K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,530	$30	$76K

Showing 1–10 of 64

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

Health Partners Of Western Ohio — 7 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

64 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	38	530	7,190	$70	$1.5M
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	97	140	410	$30	$384.3K
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…	2,448	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…	703	5,080	560	$40	$323.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	435	480	450	$70	$292.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	289	480	280	$70	$181.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	403	700	210	$60	$154.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	634	1,320	290	$50	$148.6K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	75	290	180	$50	$147.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	37	1,320	450	$40	$139.1K

Showing 1–10 of 64

Related Providers

Other providers that share a Tax Identification Number (TIN) with Health Partners Of Western Ohio, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Partners Of Western Ohio	OH	Federally Qualified Health Center (FQHC)	$0	$21.7M
Health Partners Of Western Ohio	OH	Federally Qualified Health Center (FQHC)	$0	$14.6M
Health Partners Of Western Ohio	OH	Federally Qualified Health Center (FQHC)	$0	$7.9M
Health Partners Of Western Ohio	OH	Federally Qualified Health Center (FQHC)	$0	$7.7M

Nearby Providers

Other providers in the same ZIP code as Health Partners Of Western Ohio, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health-st Ritas Medical Center LLC	OH	General Acute Care Hospital	$0	$48.1M
Lima-urban Minority Alcoholism And Drug Abuse Outreach Program., Inc	OH	Community Health Clinic/Center	$0	$14.8M
Mercy Health Physicians Lima, LLC	OH	Family Medicine Physician	$0	$9.1M
Specialized Alternatives For Families And Youth Of Ohio, Inc.	OH	Community/Behavioral Health Agency	$0	$6.9M
Bryan Gray	OH	Dermatology Physician	$2.4M	$499.2K
New Vision Medical Laboratories, LLC	OH	Clinical Medical Laboratory	$889.8K	$1.5M
Vivian Hobayan	OH	Specialist	$1.7M	$0
Michael Heaphy	OH	Dermatology Physician	$660.9K	$0
Zoheir Abdelbaki	OH	Nuclear Cardiology Physician	$478.7K	$0
James Wolery	OH	Cardiovascular Disease Physician	$288.4K	$2.2K

Health Partners Of Western Ohio — 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