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    OpenPayerNPI Medicare & MedicaidLicking County
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    Licking County — Billing Profile & Reimbursement Data

    NPI 1891763876 · Newark, OH · Public Health or Welfare Agency

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    Licking County is a public health or welfare agency provider located in Newark, Ohio. This profile covers 6 Medicare and 55 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLicking County
    Address675 Price Rd Ne
    CityNewark
    StateOH
    ZIP43055
    TaxonomyPublic Health or Welfare Agency
    NPI EnumeratedMarch 8, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$524.4K
    Medicare$31.4K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.90$130$11.4K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…160$70$11.3K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.90$40$3.5K
    G0008Administration of influenza virus vaccine160$20$3.4K
    0124AN/A50$40$1.8K
    91312N/A50$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913204971,25070$130$12.2K
    904801,1121,870110$40$4.5K
    906622603,24040$70$4.3K
    G00087365,28050$30$2.1K
    0124A8379020$40$1.1K
    9131211030$0$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    55 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.5,480$40$197.3K
    D1351Sealant - per tooth4,210$20$88.3K
    0001AN/A990$50$44.4K
    0002AN/A860$40$34.4K
    H1003Prenatal care, at-risk enhanced service; education1,460$10$20.4K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.1,060$20$18K
    0003AN/A210$80$17.7K
    H1002Prenatal care, at risk enhanced service; care coordination1,450$10$17.4K
    90632This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to an adult dosage.410$40$15.3K
    0071AN/A140$90$13.2K

    Showing 1–10 of 55

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Ohio median

    55 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.510700210$60$154.1K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.1867401,010$20$100.8K
    D1351Sealant - per tooth66530380$30$67.7K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients548780290$20$33K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…103190130$40$32.2K
    99401At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…128130110$50$32K
    H1002Prenatal care, at risk enhanced service; care coordination930700$10$27.8K
    H1000Prenatal care, at-risk assessment40140140$50$23K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.243060$40$18.7K
    0002AN/A2314080$40$18.4K

    Showing 1–10 of 55

    Nearby Providers

    Other providers in the same ZIP code as Licking County, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Licking Memorial HospitalOHGeneral Acute Care Hospital$0$55.9M
    Hospice Of Central OhioOHCommunity Based Hospice Care Agency$0$28M
    Licking Memorial Health ProfessionalsOHFamily Medicine Physician$0$23.9M
    Behavioral Healthcare Partners Of Central Ohio IncOHMental Health Clinic/Center (Including Community Mental Health Center)$0$14M
    City Of NewarkOHLand Ambulance$505.9K$2M
    Courtesy Ambulance, Inc.OHLand Ambulance$343.3K$1.8M
    Chuck ChoOHRadiation Oncology Physician$314.9K$0
    Thomas PetrykOHFamily Medicine Physician$274.7K$0
    Mark LawOHOphthalmology Physician$258.6K$490
    Shahin ShahinfarOHOphthalmology Physician$254.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Licking County — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Licking County — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio