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.

Memorial Hospital (NPI 1851338149)

Memorial Hospital is a general acute care hospital provider located in Fremont, Ohio. This profile covers 0 Medicare and 223 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	Memorial Hospital
Address	715 South Taft Avenue
City	Fremont
State	OH
ZIP	43420
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

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

223 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.	24,110	$100	$2.4M
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.	11,950	$110	$1.3M
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.	3,690	$270	$997.1K
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.	5,640	$110	$620.8K
0241U	N/A	4,150	$110	$435.6K
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.	4,390	$90	$394.8K
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…	5,460	$70	$371.2K
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.	1,390	$230	$317.4K
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.	1,440	$220	$313.5K
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…	5,120	$50	$276.5K

Showing 1–10 of 223

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

Memorial Hospital — 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

223 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	119	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.	92	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.	118	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.	179	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.	182	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…	62	140	1,130	$90	$1.1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	38	40	100	$850	$680.6K
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.	139	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.	128	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.	75	230	2,200	$100	$530.1K

Showing 1–10 of 223

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Hogan	OH	Pain Medicine (Anesthesiology) Physician	$150.8K	$0
John Ranker	OH	Internal Medicine Physician	$131.9K	$0
Mohamad Hatahet	OH	Nephrology Physician	$119.5K	$0
Ahmed Harhash	VT	Interventional Cardiology Physician	$114.1K	$0
Megan Verhoff	OH	Physician Assistant	$97.5K	$0
Jonathon Gruneich	NY	Anesthesiology Physician	$48.4K	$0
Ajay Malik	OH	Anesthesiology Physician	$46.7K	$0
Janice Rettig	OH	Nurse Practitioner	$26.4K	$0
Adam Haas	OH	Anesthesiology Physician	$17.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Life Enhancement Services Of Ohio, LLC	OH	Community/Behavioral Health Agency	$0	$18.2M
In Home Health LLC	OH	Community Based Hospice Care Agency	$0	$17.1M
Great Lakes Recovery Center LLC	OH	Substance Abuse Rehabilitation Facility	$0	$16.5M
Community And Rural Health Services, Inc.	OH	Federally Qualified Health Center (FQHC)	$0	$8.4M
Sandusky County Office Of Auditor	OH	Ambulance	$597.3K	$1M
William Vancise	OH	Radiation Oncology Physician	$317.7K	$0
Charles Valone	OH	Internal Medicine Physician	$280.9K	$0
Liberty Portable X-ray Ohio LLC	OH	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$41.1K	$197.8K
Susan Smith	OH	Ophthalmology Physician	$185.1K	$0
David Defrance	OH	Family Medicine Physician	$162.1K	$0

Memorial Hospital — Billing Profile & Reimbursement Data

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Memorial Hospital — 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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