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.

Partners Physician Group (NPI 1841239274)

Partners Physician Group is a surgery physician provider located in Akron, Ohio. This profile covers 0 Medicare and 181 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	Partners Physician Group
Address	224 W Exchange St
City	Akron
State	OH
ZIP	44302
Taxonomy	Surgery Physician
NPI Enumerated	June 4, 2006

Payer Source	Total Paid
Medicaid	$28.5M
Medicare	$0

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

181 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	90,620	$70	$6.6M
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.	106,000	$50	$5.5M
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…	127,590	$40	$5.4M
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…	129,110	$30	$4.4M
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…	40,790	$20	$815.8K
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.	23,760	$30	$689.1K
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…	12,030	$30	$409K
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…	6,380	$60	$408.1K
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…	6,770	$60	$399.2K
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…	12,510	$30	$362.8K

Showing 1–10 of 181

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

Partners Physician Group — 10 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

181 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.	120	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.	23	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.	16	580	510	$100	$1.3M
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.	211	230	2,200	$100	$530.1K
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…	352	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…	32	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…	40	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.	61	280	570	$250	$276.5K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	33	40	330	$250	$273.7K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	39	190	430	$70	$258.6K

Showing 1–10 of 181

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Cleveland Clinic Foundation	OH	General Acute Care Hospital	$0	$864.1M
Lester E Cox Medical Centers	MO	General Acute Care Hospital	$0	$112.3M
University Hospitals Medical Group Inc	OH	Multi-Specialty Clinic/Center	$0	$107.5M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Cleveland Clinic Mercy Hospital	OH	General Acute Care Hospital	$0	$86.8M
University Primary Care Practices Inc	OH	Internal Medicine Physician	$0	$78.7M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Lester E Cox Medical Centers	MO	Land Ambulance	$0	$25.8M
Quick Med Urgent Care LLC	OH	Urgent Care Clinic/Center	$0	$21.8M
The Union Hospital Association	OH	Rural Acute Care Hospital	$0	$20.2M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Of Greater Ohio	OH	Ambulatory Family Planning Facility	$0	$8.6M
Locust Dental Group Jeffrey S Rosenthal Dds Inc	OH	Dental Clinic/Center	$0	$7.9M
Joseph Khabbaza	OH	Pulmonary Disease Physician	$107.4K	$0
Jonathan Streit	OH	Orthopaedic Surgery Physician	$99.5K	$0
Sergey Vitebskiy	OH	Clinical Cardiac Electrophysiology Physician	$63K	$0
Robert Schweikert	OH	Clinical Cardiac Electrophysiology Physician	$62.2K	$0
Indiresha Iyer	OH	Clinical Cardiac Electrophysiology Physician	$61.1K	$0
Anmar Kanaa'n	OH	Cardiovascular Disease Physician	$46.3K	$0
Anthony Cucci	OH	Pulmonary Disease Physician	$37.3K	$0
Jeffery Courson	OH	Clinical Cardiac Electrophysiology Physician	$29.2K	$0

Partners Physician Group — Billing Profile & Reimbursement Data

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Partners Physician Group — 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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