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.

Trihealth H LLC (NPI 1811215742)

Trihealth H LLC is a obstetrics physician provider located in Cincinnati, Ohio. This profile covers 0 Medicare and 148 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	Trihealth H LLC
Address	375 Dixmyth Ave
City	Cincinnati
State	OH
ZIP	45220
Taxonomy	Obstetrics Physician
NPI Enumerated	May 17, 2010

Payer Source	Total Paid
Medicaid	$12.5M
Medicare	$0

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

148 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	105,470	$40	$4.2M
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…	54,440	$40	$2.4M
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…	30,150	$20	$633K
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…	17,830	$30	$517.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	6,910	$50	$324.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	43,410	$10	$303.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	8,140	$40	$284.9K
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…	4,850	$60	$281.4K
99204	The provider sees a new 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 provider…	3,850	$70	$269.7K
99203	The provider sees a new 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 provider…	5,200	$50	$244.4K

Showing 1–10 of 148

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

Trihealth H LLC — 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

148 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	47	60	250	$730	$707.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,217	2,640	620	$90	$408.2K
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…	85	4,510	500	$60	$377.8K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	24	30	1,060	$120	$372K
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…	56	5,080	560	$40	$323.9K
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.	169	280	570	$250	$276.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	25	190	430	$70	$258.6K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	26	90	770	$100	$250.1K
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…	38	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…	183	840	1,040	$50	$220.1K

Showing 1–10 of 148

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trihealth G LLC	OH	Internal Medicine Physician	$0	$31M
Peter Fried	OH	Radiation Oncology Physician	$904.7K	$0
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Gregory Delorenzo	OH	Rheumatology Physician	$377.9K	$0
Timothy Schoonover	OH	Neurology Physician	$356.8K	$0
Gang Cheng	CA	Allergy & Immunology (Internal Medicine) Physician	$339.7K	$0
Jennifer Walker	OH	MOHS-Micrographic Surgery Physician	$312K	$0
Elizabeth Levick	OH	Radiation Oncology Physician	$306.2K	$0
Peter Piampiano	TN	Diagnostic Radiology Physician	$254.4K	$20.1K
Gaurang Gandhi	OH	Clinical Cardiac Electrophysiology Physician	$250.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Good Samaritan Hospital Of Cincinnati, Ohio	OH	General Acute Care Hospital	$0	$85.6M
The Crossroads Center	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$21.1M
Robert Hutchins	OH	Ophthalmology Physician	$1.6M	$0
David Huelsman	OH	Diagnostic Radiology Physician	$135.9K	$0
Stephen Whitlatch	OH	Specialist	$115.7K	$0
Christine Smith	OH	Physical Medicine & Rehabilitation Physician	$100.1K	$0
David Dow	OH	Diagnostic Radiology Physician	$95.1K	$0
Sean Lewis	OH	Otolaryngology Physician	$91.2K	$0
Galen Chun	OH	Diagnostic Radiology Physician	$88K	$0
Robert Raines	OH	Orthopaedic Foot and Ankle Surgery Physician	$84.9K	$0

Trihealth H LLC — Billing Profile & Reimbursement Data

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Trihealth H 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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