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.

Portage Trail Care Center, Inc (NPI 1851497986)

Field	Value
Entity Type	Organization
Organization	Portage Trail Care Center, Inc
Address	45 Cathedral Ln
City	Cuyahoga Falls
State	OH
ZIP	44223
Taxonomy	Assisted Living Facility
NPI Enumerated	September 16, 2006

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	4,540	$1,700	$7.7M

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

Portage Trail Care Center, Inc — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	24	210	630	$580	$1.3M

Nearby Providers

Other providers in the same ZIP code as Portage Trail Care Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Reserve Hospital, LLC	OH	General Acute Care Hospital	$0	$15.5M
Respiratory Support Services, LLC	OH	Sleep Disorder Diagnostic Clinic/Center	$16.1K	$1.6M
Rajiv Sahni	OH	Infectious Disease Physician	$345K	$610
Anurag Duggal	OH	Infectious Disease Physician	$217.3K	$0
Richard Lavi	OH	Allergy & Immunology Physician	$147.2K	$28K
Kathleen Shoemaker	OH	Internal Medicine Physician	$151.7K	$0
Damian Garcher	OH	Urology Physician	$96.9K	$17.7K
Joseph Iemma	OH	Internal Medicine Physician	$107.4K	$0
Jason Abdallah	OH	Gastroenterology Physician	$100.2K	$0
Nikhil Mally	OH	Emergency Medicine Physician	$98.9K	$0

Portage Trail Care Center, Inc — Billing Profile & Reimbursement Data

Sign up for Portage Trail Care Center, Inc — Billing Profile & Reimbursement Data policy alerts

Portage Trail Care Center, Inc — Billing Profile & Reimbursement Data

Sign up for Portage Trail Care Center, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References