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.

Miami Valley Emergency Specialists, LLC (NPI 1821189085)

Field	Value
Entity Type	Organization
Organization	Miami Valley Emergency Specialists, LLC
Address	1 Wyoming St
City	Dayton
State	OH
ZIP	45409
Taxonomy	Emergency Medicine Physician
NPI Enumerated	September 27, 2006

Payer Source	Total Paid
Medicaid	$29.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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.	280,600	$50	$14.3M
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.	200,610	$70	$14M
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.	41,710	$30	$1.3M
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	1,030	$10	$6.2K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	1,150	$1	$3.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	50	$50	$2.6K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	10	$1	$50
99053	The provider renders overnight services at a 24 hour facility.	300	$0	$0

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

Miami Valley Emergency Specialists, LLC — 2 of 7 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	72	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.	4	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.	5	580	510	$100	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	213	260	280	$50	$120.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	203	420	920	$10	$75.4K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	215	380	1,970	$1	$72K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	6	10	30	$1	$110
99053	The provider renders overnight services at a 24 hour facility.	36	70	410	$1	$20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Miami Valley Emergency Specialists, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephanie Winslow	AP (Armed Forces Pacific)	Emergency Medicine Physician	$23.3K	$69.6K

Nearby Providers

Other providers in the same ZIP code as Miami Valley Emergency Specialists, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Miami Valley Hospital	OH	General Acute Care Hospital	$0	$159M
Pediatrix Medical Group Of Ohio Corp	OH	Neonatal-Perinatal Medicine Physician	$0	$21.1M
Radiology Physicians Inc	OH	Diagnostic Radiology Physician	$0	$11.8M
Aliya Khan	OH	Rheumatology Physician	$1.6M	$0
Maria Thomas-john	OH	Rheumatology Physician	$1.2M	$0
Mark Marinella	OH	Medical Oncology Physician	$1.1M	$0
Mark Romer	OH	Hematology & Oncology Physician	$945.4K	$0
Burhan Yanes	OH	Hematology & Oncology Physician	$747.7K	$0
Shobha Wani	OH	Rheumatology Physician	$717.5K	$0
Douglas Einstein	OH	Radiation Oncology Physician	$689K	$0

Miami Valley Emergency Specialists, LLC — Billing Profile & Reimbursement Data

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Miami Valley Emergency Specialists, 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