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.

Blanchard Valley Medical Practice LLC (NPI 1962501627)

Blanchard Valley Medical Practice LLC is a family medicine physician provider located in Findlay, Ohio. This profile covers 0 Medicare and 92 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	Blanchard Valley Medical Practice LLC
Address	1900 South Main Street
City	Findlay
State	OH
ZIP	45840
Taxonomy	Family Medicine Physician
NPI Enumerated	September 21, 2006

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

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

92 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	110,350	$40	$4.3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	46,820	$50	$2.5M
90460	In 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.	27,620	$20	$524.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,130	$50	$493K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	7,760	$50	$372.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,110	$50	$270.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	4,070	$30	$130.1K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	4,380	$30	$122.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,950	$60	$115.2K
92558	In this procedure, the provider passes low intensity sounds through the ear and measures the reflected sound to analyze hearing deficiencies in newborn babies and small children who are not able to…	8,510	$10	$85.1K

Showing 1–10 of 92

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

Blanchard Valley Medical Practice LLC — 4 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

92 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.	347	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.	464	660	460	$90	$1.5M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	98	4,510	500	$60	$377.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	52	5,080	560	$40	$323.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	45	430	560	$60	$303.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	39	480	450	$70	$292.9K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	50	270	420	$90	$276K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	95	190	430	$70	$258.6K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	193	250	710	$110	$209K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	91	200	570	$90	$189.8K

Showing 1–10 of 92

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Douglas Yoder	OH	Surgery Physician	$98.5K	$0
Pamela Reed	OH	Interventional Cardiology Physician	$81.7K	$0
Nicholas Pottkotter	OH	Family Nurse Practitioner	$66.4K	$0
Jennifer Stull	OH	Family Medicine Physician	$57.6K	$0
Cala Kelley	OH	Nurse Practitioner	$52.6K	$0
Rebecca Link	OH	Family Nurse Practitioner	$31.6K	$0
Jodi Bollenbacher	OH	Medical Physician Assistant	$30.3K	$0
Lorie Thomas-schultz	OH	Obstetrics & Gynecology Physician	$27.9K	$0
Morgan Rodriguez	OH	Nurse Practitioner	$27.8K	$0
Danielle Castle	OH	Family Nurse Practitioner	$15.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Med1care, LLC	OH	Home Health Agency	$0	$43.7M
Blanchard Valley Regional Health Center	OH	General Acute Care Hospital	$0	$24.7M
Blanchard Valley Home Care Services LLC	OH	Community Based Hospice Care Agency	$0	$8.3M
Hanco Emergency Medical Services, LLC	OH	Land Ambulance	$889.1K	$2.5M
Findlay Surgery Center Ltd	OH	Ambulatory Surgical Clinic/Center	$1.2M	$22.2K
Nwo Surgery Center LLC	OH	Ambulatory Surgical Clinic/Center	$862.7K	$0
Benahili Iboaya	OH	Nephrology Physician	$667.6K	$0
Stephen Orr	OH	Ophthalmology Physician	$563.6K	$0
Sean Logan	OH	Neurological Surgery Physician	$459.1K	$0
Blanchard Valley Medical Associates, Inc	OH	Clinical Medical Laboratory	$340.1K	$0

Blanchard Valley Medical Practice LLC — Billing Profile & Reimbursement Data

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Blanchard Valley Medical Practice LLC — 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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