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 1790020733)

Field	Value
Entity Type	Organization
Organization	Health Partners Of Western Ohio
Address	228 S Main St
City	Bryan
State	OH
ZIP	43506
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 3, 2012

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

93 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	64,860	$80	$5.4M
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…	31,640	$20	$601.1K
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…	26,470	$20	$529.4K
D1351	Sealant - per tooth	15,130	$10	$105.9K
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…	2,870	$40	$103.1K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1,800	$50	$93.5K
D1354	N/A	14,510	$10	$87.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	14,880	$10	$74.4K
D1120	Prophylaxis–child	9,370	$10	$65.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,840	$20	$62.4K

Showing 1–10 of 93

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

93 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	47	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…	73	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…	1,102	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…	230	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…	353	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.	446	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.	419	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…	868	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.	129	290	180	$50	$147.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	183	920	510	$70	$144K

Showing 1–10 of 93

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	$11.4M
Health Partners Of Western Ohio	OH	Federally Qualified Health Center (FQHC)	$0	$7.9M

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
Community Hospitals And Wellness Centers	OH	General Acute Care Hospital	$0	$7.3M
Williams County Office Of Auditor	OH	Land Ambulance	$676.8K	$585.3K
Philip Lowry	OH	Hematology & Oncology Physician	$792.4K	$1.1K
Jennifer Weber	OH	Family Medicine Physician	$270.3K	$0
Melissa Williams	OH	Dermatology Physician	$163.6K	$0
Randy Peters	OH	Optometrist	$106.1K	$510
Holli Zeedyk	OH	Family Nurse Practitioner	$80K	$0
David Cooley	OH	Gastroenterology Physician	$72.1K	$0
Damoder Kesireddy	OH	Interventional Cardiology Physician	$57.6K	$0
John Ewonus	OH	Diagnostic Radiology Physician	$48.2K	$0

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