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.

Premier Physicians Centers, Inc. (NPI 1780634279)

Premier Physicians Centers, Inc. is a internal medicine physician provider located in Westlake, Ohio. This profile covers 0 Medicare and 243 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	Premier Physicians Centers, Inc.
Address	24500 Center Ridge Rd Ste 375
City	Westlake
State	OH
ZIP	44145
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

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

243 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	50,810	$50	$2.3M
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…	41,250	$30	$1.2M
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…	17,670	$50	$812.7K
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…	51,490	$20	$772.3K
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…	23,110	$20	$485.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	6,380	$40	$242.4K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	17,590	$10	$228.6K
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…	3,710	$50	$174.5K
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…	4,970	$40	$174K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	6,590	$20	$158.2K

Showing 1–10 of 243

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

Premier Physicians Centers, Inc. — 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

243 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	91	4,510	500	$60	$377.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	72	100	1,000	$120	$357.1K
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.	119	270	8,700	$10	$353.7K
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…	172	5,080	560	$40	$323.9K
99391	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…	308	430	560	$60	$303.2K
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…	211	480	450	$70	$292.9K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	42	40	700	$280	$287.1K
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…	130	240	2,610	$10	$239.7K
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…	55	330	630	$80	$231.5K
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…	267	840	1,040	$50	$220.1K

Showing 1–10 of 243

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Isam Diab	OH	Rheumatology Physician	$1.2M	$0
Bassam Haddad	OH	Rheumatology Physician	$322.1K	$0
Babu Eapen	OH	Pulmonary Disease Physician	$316.8K	$0
Arif Usmani	OH	Anatomic Pathology & Clinical Pathology Physician	$233.9K	$0
Gasan Nemr	OH	Internal Medicine Physician	$230.7K	$0
Muhammed Zahra	OH	Cardiovascular Disease Physician	$215.5K	$0
Jayantilal Bhimani	OH	Internal Medicine Physician	$197K	$0
Suresh Mahajan	OH	Gastroenterology Physician	$194.1K	$0
Basem Haddad	OH	Pulmonary Disease Physician	$189.5K	$0
Abdullah Alghamdi	OH	Critical Care Medicine (Internal Medicine) Physician	$168.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospitals St. John Medical Center	OH	General Acute Care Hospital	$0	$11.8M
Avn Enterprises Inc.	OH	In Home Supportive Care Agency	$0	$9.3M
North Shore Endoscopy Center	OH	Gastroenterology Physician	$1.1M	$574.2K
City Of Westlake	OH	Ambulance	$554.6K	$451.3K
Mihir Shah	OH	MOHS-Micrographic Surgery Physician	$730.4K	$0
Patrick Killian	OH	MOHS-Micrographic Surgery Physician	$616.1K	$0
Mousab Tabbaa	OH	Gastroenterology Physician	$555.5K	$0
Emile Sabbagh	OH	Internal Medicine Physician	$413.7K	$0
Darrell White	OH	Ophthalmology Physician	$278.6K	$0
Kimberly Harris	OH	Gastroenterology Physician	$244.7K	$0

Premier Physicians Centers, Inc. — Billing Profile & Reimbursement Data

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Premier Physicians Centers, Inc. — 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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