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.

University Hospitals St. John Medical Center (NPI 1841264868)

Field	Value
Entity Type	Organization
Organization	University Hospitals St. John Medical Center
Address	29000 Center Ridge Rd
City	Westlake
State	OH
ZIP	44145
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 15, 2006

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

232 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	20,390	$130	$2.5M
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.	12,550	$140	$1.8M
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.	12,790	$120	$1.6M
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.	2,920	$310	$890.6K
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.	2,860	$220	$624.4K
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.	2,640	$210	$561.7K
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…	2,390	$120	$289.7K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	960	$230	$219.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	27,180	$10	$217.4K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	4,040	$50	$210.1K

Showing 1–10 of 232

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

University Hospitals St. John Medical Center — 0 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

232 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	75	150	4,030	$100	$5.9M
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.	100	170	4,660	$300	$2.6M
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.	139	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.	174	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.	123	580	510	$100	$1.3M
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.	105	290	1,380	$90	$635.2K
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.	87	280	1,110	$110	$605.7K
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.	152	230	2,200	$100	$530.1K
G0378	Hospital observation service, per hour	94	160	2,840	$80	$529.2K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	102	180	1,760	$140	$494.1K

Showing 1–10 of 232

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Hospitals St. John Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospitals Cleveland Medical Center	OH	General Acute Care Hospital	$0	$156.9M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
University Hospitals Cleveland Medical Center	OH	Children's Hospital	$0	$76.7M
David Smullen	WI	Diagnostic Radiology Physician	$75.5K	$0
Patricia Rudler	OH	Acute Care Nurse Practitioner	$74.6K	$0
Jennifer Root	OH	Acute Care Nurse Practitioner	$36.4K	$5.1K
Paula Ogrocki	OH	Clinical Neuropsychologist	$12K	$0
Jennifer Legros	OH	Adult Health Nurse Practitioner	$10.8K	$0
Jiayi Tao	OH	Physician Assistant	$6.1K	$0
Jacquelyn Mccloskey	OH	Physician Assistant	$4.3K	$0

Nearby Providers

Other providers in the same ZIP code as University Hospitals St. John Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Avn Enterprises Inc.	OH	In Home Supportive Care Agency	$0	$9.3M
Premier Physicians Centers, Inc.	OH	Internal Medicine Physician	$0	$8.5M
North Shore Endoscopy Center	OH	Gastroenterology Physician	$1.1M	$574.2K
City Of Westlake	OH	Ambulance	$554.6K	$451.3K
Mihir Shah	OH	MOHS-Micrographic Surgery Physician	$730.4K	$0
Patrick Killian	OH	MOHS-Micrographic Surgery Physician	$616.1K	$0
Mousab Tabbaa	OH	Gastroenterology Physician	$555.5K	$0
Emile Sabbagh	OH	Internal Medicine Physician	$413.7K	$0
Bassam Haddad	OH	Rheumatology Physician	$322.1K	$0
Darrell White	OH	Ophthalmology Physician	$278.6K	$0

University Hospitals St. John Medical Center — Billing Profile & Reimbursement Data

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University Hospitals St. John Medical Center — 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