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.

Emergency Services, Inc. (NPI 1952413031)

Field	Value
Entity Type	Organization
Organization	Emergency Services, Inc.
Address	2323 W 5th Ave Ste 225
City	Columbus
State	OH
ZIP	43204
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$12.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	123,420	$50	$6.5M
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.	60,330	$70	$4.3M
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.	37,130	$30	$1.2M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	23,450	$10	$117.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	800	$50	$41K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	120	$50	$6.4K
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.	300	$20	$5.4K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	10	$30	$350
99053	The provider renders overnight services at a 24 hour facility.	23,340	$0	$0
G8783	Normal blood pressure reading documented, follow-up not required	21,310	$0	$0

Showing 1–10 of 19

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

Emergency Services, Inc. — 2 of 8 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	80	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.	20	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.	28	580	510	$100	$1.3M
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.	169	230	2,200	$100	$530.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	93	260	280	$50	$120.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	56	450	720	$10	$67K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	91	100	230	$160	$50.9K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	5	10	60	$130	$17.8K
3210F	No Summary found for this code	3	10	90	$1	$140
99053	The provider renders overnight services at a 24 hour facility.	6	70	410	$1	$20

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Megan Giere	NC	Physician Assistant	$162.8K	$0
Justin Adkins	OH	Emergency Medicine Physician	$82.4K	$0
Sara Rush	OH	Physician Assistant	$20.3K	$0
Sharon Jorgenson	OH	Medical Physician Assistant	$14.9K	$0
Gregory Lafontaine	OH	Physician Assistant	$12.3K	$0
Luke Sejkora	NH	Physician Assistant	$8.4K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Supreme Touch Home Health Services Corp	OH	Home Health Agency	$0	$18.8M
Buckeye Clinic	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.4M
Patience Home Healthcare Service LLC	OH	Home Health Agency	$0	$12.6M
Ainecare, LLC	OH	Home Health Agency	$0	$11.1M
Simply Ez Of Columbus Ltd	OH	Home Delivered Meals	$0	$10.2M
Premierfirst Home Health Care	OH	Home Health Agency	$0	$8.6M
Columbus Neighborhood Health Center Inc	OH	Federally Qualified Health Center (FQHC)	$0	$7.8M
Bernice Ohene	OH	Psychiatric/Mental Health Nurse Practitioner	$47.9K	$0
Mohammad Mohammad	OH	Podiatrist	$42.9K	$430

Emergency Services, Inc. — Billing Profile & Reimbursement Data

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Emergency Services, Inc. — 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