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.

Mercy Health Youngstown LLC (NPI 1790868982)

Field	Value
Entity Type	Organization
Organization	Mercy Health Youngstown LLC
Address	8401 Market St
City	Youngstown
State	OH
ZIP	44512
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicaid	$36.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

362 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	48,620	$120	$6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	38,570	$120	$4.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	33,830	$110	$3.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	26,270	$130	$3.4M
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.	9,890	$260	$2.6M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	9,460	$230	$2.2M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	5,560	$310	$1.7M
G0378	Hospital observation service, per hour	9,990	$90	$889.2K
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.	2,740	$240	$651.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	6,310	$100	$605.6K

Showing 1–10 of 362

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

Mercy Health Youngstown LLC — 0 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

362 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	25	150	4,030	$100	$5.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	78	170	4,660	$300	$2.6M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	90	480	4,510	$90	$1.8M
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.	57	660	460	$90	$1.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	76	580	510	$100	$1.3M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	60	140	1,130	$90	$1.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	17	30	520	$820	$994.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	64	80	100	$860	$719.1K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	39	290	1,380	$90	$635.2K
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.	31	280	1,110	$110	$605.7K

Showing 1–10 of 362

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mercy Health Youngstown LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health Youngstown LLC	OH	General Acute Care Hospital	$0	$63.7M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Mercy Health Youngstown LLC	OH	General Acute Care Hospital	$0	$43.6M
Mercy Health Physicians North Specialty Care LLC	OH	Surgery Physician	$0	$13.1M
Mercy Health Physicians Youngstown Specialty Care LLC	OH	Surgery Physician	$0	$11.8M
Jonathan Wiesen	VA	Internal Medicine Physician	$2.4M	$0
Dinesh Sundarakumar	TX	Diagnostic Radiology Physician	$916K	$0
Reema Taneja	OH	Internal Medicine Physician	$360.9K	$5.1K
William Woods	OH	Orthopaedic Surgery Physician	$357K	$0
Shaju Shamsuddin	OH	Radiation Oncology Physician	$333.9K	$0

Nearby Providers

Other providers in the same ZIP code as Mercy Health Youngstown LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southerncare, Inc.	OH	Community Based Hospice Care Agency	$0	$42.5M
The Surgery Center At Southwoods, LLC	OH	Special Hospital	$0	$20.2M
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

Mercy Health Youngstown 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

Related Providers

Nearby Providers

Frequently Asked Questions

References