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.

Akron General Medical Center (NPI 1821035940)

Field	Value
Entity Type	Organization
Organization	Akron General Medical Center
Address	1 Akron General Ave
City	Akron
State	OH
ZIP	44307
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$98.9M
Medicare	$0

Key Findings

AKRON GENERAL MEDICAL CENTER shows an effectively single‑payer Medicaid footprint with $98.9M in lifetime Medicaid revenue and no Medicare billing on file; this makes Medicaid the sole observed public program driving its recorded reimbursement and operational scale on our platform. The absence of Medicare billing suggests the profile available here reflects state‑level Medicaid activity rather than a mixed Medicare/Medicaid payer mix.

Revenue concentration is moderately high: the top three Medicaid codes by revenue account for 45.4% of the provider’s total Medicaid revenue, indicating that a small set of outpatient and emergency services disproportionately drive Medicaid receipts. That concentration suggests that changes to reimbursement or utilization for those codes would materially affect overall Medicaid revenue.

Service‑line mix is heavily weighted toward outpatient clinic and emergency care based on the largest individual code, G0463 (hospital outpatient clinic visit), which generated $16.6M (22.4% of Medicaid revenue), plus three high‑volume ED E/M codes (99285, 99283, 99284) that together contribute substantial additional revenue. This combination is consistent with a hospital operating a busy outpatient clinic and emergency department as primary access points for Medicaid patients, and with significant resource use in infusion and imaging given high revenue shares for codes like 96361 and several CT codes.

The provider is a long‑standing facility: its NPI was enumerated on 2006-05-31 (~20 years ago), indicating two decades of recorded activity under this identifier and suggesting established presence in the local care network. Tenure supports interpretation of current volumes as steady-state operational patterns rather than a short‑term anomaly.

Competitive standing across in‑state Medicaid peers is mixed: for G0463 the provider ranks #10 of 151 (94th percentile), which places it among higher‑volume hospitals for outpatient clinic visits in the state but described as "typical, unremarkable volume" relative to peers. ED E/M codes show similarly high state percentiles (99285 at 96th, 99283 at 92nd, 99284 at 93rd) that indicate consistently above‑median emergency department activity statewide, though the profile is characterized as typical rather than uniquely dominant.

There are notable above‑typical volumes on several ancillary service codes which imply operational strengths beyond baseline ED/clinic visits: 97110 (therapeutic exercise) ranks #16 of 841 (98th percentile) and 96366 (additional‑hour IV infusion) ranks #10 of 145 (94th percentile), both labeled as notably above typical state volume. These signals point to strong outpatient rehab and infusion service lines that likely supplement emergency and clinic care for Medicaid patients.

High‑cost drug and infusion activity is present but not overwhelmingly concentrated: J9271 (pembrolizumab) produced $3.4M (4.5% of Medicaid revenue) and ranks #11 of 22 (52nd percentile), while J1569 (immune globulin) generated $1.6M (2.2%) and ranks #5 of 10 (56th percentile). These placements indicate the hospital provides specialty infusion/oncology services but is not a clear statewide leader in these high‑cost drug categories.

Imaging and observation services contribute meaningfully to the revenue mix: CT head without contrast 70450 ($2.3M, 3.1%) and abdomen/pelvis with contrast 74177 ($2.2M, 2.9%) appear among the top codes, and G0378 (hospital observation, per hour) also ranks in the top codes. This supports an interpretation that diagnostic imaging and short‑term observation are routine components of the hospital’s Medicaid case mix and revenue base.

Medicaid: Complete Services Breakdown

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

666 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	180,300	$90	$16.6M
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.	65,690	$140	$9.3M
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.	65,600	$120	$7.7M
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.	59,870	$130	$7.7M
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.	21,650	$330	$7.2M
J9271	Injection, pembrolizumab, 1 mg	450	$7,520	$3.4M
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…	36,470	$80	$2.8M
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.	8,550	$270	$2.3M
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.	8,990	$240	$2.2M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	990	$1,650	$1.6M

Showing 1–10 of 666

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

Akron General Medical Center — 4 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

666 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	10	150	4,030	$100	$5.9M
J9271	Injection, pembrolizumab, 1 mg	11	20	360	$8,480	$5M
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.	14	170	4,660	$300	$2.6M
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	4	10	1,030	$1,520	$1.9M
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.	42	480	4,510	$90	$1.8M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	5	10	890	$1,920	$1.7M
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.	45	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.	25	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…	38	140	1,130	$90	$1.1M
J0585	Injection, onabotulinumtoxina, 1 unit	54	60	250	$730	$707.7K

Showing 1–10 of 666

Related Providers

Other providers that share a Tax Identification Number (TIN) with Akron General Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinic Medical Services Company	OH	Diagnostic Radiology Physician	$410.1K	$0
Montrose Sleep Center, LLC	OH	Physiological Laboratory	$45.4K	$0
Stephen Ferber	OH	Psychiatry Physician	$15.3K	$80
Susan Jakubek	OH	Physician Assistant	$10.2K	$0
Alicia Gant	OH	Adult Health Nurse Practitioner	$4.7K	$0

Nearby Providers

Other providers in the same ZIP code as Akron General Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital Medical Center Of Akron	OH	Home Infusion Agency	$0	$14.6M
Thomas Hood	OH	Certified Registered Nurse Anesthetist	$228.2K	$0
Aaron Yunker	OH	Urology Physician	$162.7K	$0
Yahya Kurdi	OH	Internal Medicine Physician	$161.5K	$0
Roshan Razik	OH	Gastroenterology Physician	$156K	$0
Eric Speakman	OH	Anatomic Pathology & Clinical Pathology Physician	$114.5K	$0
Michelle Bryan	OH	Surgery Physician	$67.3K	$0
Daniel Gorman	OH	Neuroradiology Physician	$65.9K	$0
Mohit Gupta	OH	Internal Medicine Physician	$59.1K	$0
Erik Lichtenberger	OH	Surgery Physician	$55.1K	$560

Akron General Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References