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 1811932288)

Field	Value
Entity Type	Organization
Organization	Health Partners Of Western Ohio
Address	441 E 8th St
City	Lima
State	OH
ZIP	45804
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 18, 2006

Payer Source	Total Paid
Medicaid	$21.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

141 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	135,750	$80	$11M
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…	85,550	$20	$1.6M
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…	65,300	$20	$1.2M
D1354	N/A	72,480	$10	$1M
D1351	Sealant - per tooth	54,700	$20	$929.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	56,440	$10	$620.8K
D1120	Prophylaxis–child	37,700	$20	$565.6K
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…	13,400	$30	$442.1K
D0120	Periodic oral evaluation - established patient	33,940	$10	$441.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	17,970	$20	$395.3K

Showing 1–10 of 141

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 — 18 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

141 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	11	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…	65	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…	370	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…	65	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…	66	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…	52	480	450	$70	$292.9K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	121	270	420	$90	$276K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	240	250	710	$110	$209K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	41	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.	416	700	210	$60	$154.1K

Showing 1–10 of 141

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	$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
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
Lima Memorial Joint Operating Company	OH	General Acute Care Hospital	$0	$28.4M
Family Resource Center Of Northwest Ohio Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17.9M
Lima Memorial Professional Corporation	OH	Specialist	$0	$8.5M
Melissa Kloeppel	OH	Family Nurse Practitioner	$360.4K	$0
Jeffery Mcmath	OH	Orthopaedic Surgery Physician	$324.8K	$0
Selvon St. Clair	OH	Orthopaedic Surgery of the Spine Physician	$314K	$0
Frank Fumich	OH	Orthopaedic Surgery of the Spine Physician	$302.7K	$0
James Patterson	OH	Adult Reconstructive Orthopaedic Surgery Physician	$285.4K	$0
Venkat Battula	OH	Cardiovascular Disease Physician	$269.5K	$0
Samir Patel	OH	Orthopaedic Hand Surgery Physician	$242.7K	$0

Health Partners Of Western Ohio — Billing Profile & Reimbursement Data

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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