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.

The Union Hospital Association (NPI 1871606921)

The Union Hospital Association is a rural acute care hospital provider located in Dover, Ohio. This profile covers 0 Medicare and 316 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	The Union Hospital Association
Address	659 Boulevard
City	Dover
State	OH
ZIP	44622
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	August 15, 2006

Payer Source	Total Paid
Medicaid	$20.2M
Medicare	$0

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

316 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.	45,420	$70	$3.4M
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.	42,880	$80	$3.2M
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.	28,170	$100	$2.8M
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.	4,200	$270	$1.1M
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…	12,210	$70	$805.8K
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.	13,830	$50	$622.4K
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.	2,280	$240	$539.2K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	9,660	$50	$521.4K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	3,850	$120	$473.8K
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…	4,280	$110	$462.1K

Showing 1–10 of 316

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

The Union Hospital Association — 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

316 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	52	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.	86	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.	63	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.	72	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.	67	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…	34	140	1,130	$90	$1.1M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	59	80	910	$110	$884.9K
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.	117	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.	103	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.	29	230	2,200	$100	$530.1K

Showing 1–10 of 316

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Partners Physician Group	OH	Surgery Physician	$0	$28.5M
Sandeep Anreddy	FL	Cardiovascular Disease Physician	$537.1K	$0
William Swoger	OH	Pulmonary Disease Physician	$161.6K	$0
Jeffrey Prem	OH	Vascular Surgery Physician	$132.4K	$0
Mathew Miller	OH	Vascular Surgery Physician	$129.1K	$0
Ataul Qureshi	OH	Advanced Heart Failure and Transplant Cardiology Physician	$114.4K	$0
John Paulowski	OH	Interventional Cardiology Physician	$113.1K	$0
Vincent Sudimak	OH	Surgery Physician	$78.4K	$0
Sarah Shannon	WV	Family Nurse Practitioner	$21.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Springvale Health Centers, Inc	OH	Mental Health Counselor	$0	$13.6M
Smith Ambulance Service Inc	OH	Ambulance	$1M	$1.8M
Saleh Hatoum	OH	Radiation Oncology Physician	$760.2K	$0
Tuscarawas Valley Regional Cancer Center	OH	Special Hospital	$241.6K	$0
Lindsey Clark	OH	Dermatology Physician	$179.1K	$0
Javedul Haque	OH	Psychiatry Physician	$168.6K	$0
Michael Gigax	OH	Urology Physician	$122.6K	$0
Lee Sayner	OH	Foot & Ankle Surgery Podiatrist	$99.8K	$0
Andrew Miller	OH	Foot & Ankle Surgery Podiatrist	$73K	$0
Mrs Mobile Radiologic Service Ltd	OH	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$26K	$31.8K

The Union Hospital Association — Billing Profile & Reimbursement Data

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The Union Hospital Association — 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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