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.

Cleveland Clinic Health System - East Region (NPI 1902858152)

Field	Value
Entity Type	Organization
Organization	Cleveland Clinic Health System - East Region
Address	6780 Mayfield Rd
City	Mayfield Hts
State	OH
ZIP	44124
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$32.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

427 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.	27,930	$130	$3.5M
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.	26,590	$130	$3.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	34,180	$100	$3.5M
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.	9,310	$340	$3.2M
0241U	N/A	14,000	$150	$2.1M
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.	15,620	$120	$1.9M
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.	3,910	$250	$986.1K
G0378	Hospital observation service, per hour	10,260	$80	$769.1K
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.	3,130	$220	$694.4K
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.	5,270	$120	$616.5K

Showing 1–10 of 427

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

Cleveland Clinic Health System - East Region — 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

427 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	29	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.	47	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.	105	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.	149	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.	75	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…	56	140	1,130	$90	$1.1M
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.	86	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.	79	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.	60	230	2,200	$100	$530.1K
G0378	Hospital observation service, per hour	28	160	2,840	$80	$529.2K

Showing 1–10 of 427

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cleveland Clinic Health System - East Region, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cleveland Clinic Health System - East Region	OH	General Acute Care Hospital	$0	$40.6M
Cleveland Clinic Health System - East Region	OH	General Acute Care Hospital	$0	$31.5M
Artan Kaso	MN	Internal Medicine Physician	$850.6K	$0
Clinic Medical Services Company	OH	Diagnostic Radiology Physician	$410.1K	$0
Christopher Mitchell	OH	Physician Assistant	$290K	$0
Udit Agarwal	ND	Cardiovascular Disease Physician	$174.4K	$0
Umar Rashid	NY	Interventional Cardiology Physician	$90.3K	$0
Grant Pierson	MO	Pulmonary Disease Physician	$84.2K	$0
Daniel Hurst	MT	Emergency Medicine Physician	$67K	$0
Alexander Bules	MT	Hospitalist Physician	$66.2K	$0

Nearby Providers

Other providers in the same ZIP code as Cleveland Clinic Health System - East Region, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
M & Y Care, LLC	OH	Home Health Agency	$0	$55.5M
Harmony Home Care Skilled Services Inc.	OH	Home Health Agency	$0	$37.5M
Mr Homecare Of Cleveland Oh Inc	OH	Home Health Agency	$0	$34.6M
Bhc Services, Inc.	OH	Home Health Agency	$0	$21.1M
Shalom Adult Health Center,llc	OH	Adult Day Care Clinic/Center	$0	$8.9M
Robert Hostoffer	OH	Allergy & Immunology Physician	$3.5M	$0
Haig Tcheurekdjian	OH	Allergy & Immunology Physician	$2.9M	$0
Northern Ohio Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$1.3M	$0
Mayfield Heights City	OH	Ambulance	$256.2K	$518.3K
Justin Woodhouse	OH	MOHS-Micrographic Surgery Physician	$521.6K	$0

Cleveland Clinic Health System - East Region — Billing Profile & Reimbursement Data

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Cleveland Clinic Health System - East Region — 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