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.

Ohiohealth Corporation (NPI 1972535052)

Key Findings

Field	Value
Entity Type	Organization
Organization	Ohiohealth Corporation
Address	5100 W Broad St
City	Columbus
State	OH
ZIP	43228
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$72.3M
Medicare	$0

OHIOHEALTH CORPORATION has no Medicare billing on file and reports $72.3M in lifetime Medicaid revenue, making it effectively a Medicaid-revenue–dependent provider in this dataset. Its NPI was enumerated on 2006-07-07 (≈20 years ago), indicating longstanding participation in public programs but current activity that is concentrated on Medicaid rather than Medicare.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 60.0% of the provider's total Medicaid revenue, driven by 96361 ($13.6M, 21.3%), 99283 ($12.5M, 19.6%), and 99284 ($12.2M, 19.1%). This concentration implies that a majority of Medicaid dollars flow through emergency/infusion- and ED-evaluation–related services rather than a broad mix of inpatient DRG or outpatient specialty codes.

The code mix points to an emergency-centric, acute-care operational profile: major revenue contributors are ED evaluation and management codes 99283, 99284, and 99285, alongside infusion/IV hydration codes such as 96361 and 96360 and observation G0378. These patterns indicate the hospital handles large volumes of ED visits with frequent IV fluid/medication administration and some observation-hour utilization, consistent with a General Acute Care Hospital focused on acute medical stabilization and short-stay services.

Competitive standing by code shows pockets of market leadership for infusion/IV services and several ED codes. 96361 ranks #5 of 165 in-state (98th percentile; notably above typical state volume), marking OHIOHEALTH as a major state provider for extended IV-fluid infusions, while 99283 ranks #30 of 484 (94th percentile; notably above typical state volume). 99284 ranks #40 of 655 (94th percentile) but is described as typical, unremarkable volume for that code, suggesting strong absolute volume but not an extreme outlier relative to some peers.

ED acuity mix is skewed toward lower-to-moderate complexity visits by revenue share: 99283 ($12.5M, 19.6%) and 99284 ($12.2M, 19.1%) together represent a large share of Medicaid revenue, with 99285 ($7.1M, 11.1%) and 99282 ($2.8M, 4.3%) also present. Several ED codes carry high in-state percentile placements (for example, 99282 is 95th percentile, 99285 is 90th percentile), indicating robust ED throughput across acuity levels rather than dominance only at one severity level.

Beyond ED and infusion services, the provider bills a range of diagnostic and procedural services that align with full-service hospital capabilities: CT imaging (70450, 74177, 71275), cardiac and vascular imaging (93306, 93976), endoscopy (43239, 45380), and specialty procedures such as 52356 (cystourethroscopy with lithotripsy) which ranks #2 of 12 in-state (91th percentile; notably above typical state volume). These codes are smaller contributors individually but collectively demonstrate capacity for inpatient/ED diagnostics and interventional procedures.

The Medicaid-only revenue profile implies payer-mix and reimbursement exposure: with no Medicare revenue on file, changes in Medicaid policy or rates could materially affect OHIOHEALTH’s financial footprint given that $72.3M is concentrated in a few codes (top three = 60.0%). Analysts should treat the provider as operationally dependent on high-volume ED and infusion encounters and monitor Medicaid rate and utilization trends for those specific codes when assessing financial or contracting risk.

Medicaid: Complete Services Breakdown

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

340 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	43,380	$310	$13.6M
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.	84,010	$150	$12.5M
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.	66,280	$180	$12.2M
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.	34,180	$210	$7.1M
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.	23,510	$120	$2.8M
G0378	Hospital observation service, per hour	25,170	$80	$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.	7,190	$250	$1.8M
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.	5,610	$290	$1.6M
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…	8,080	$150	$1.2M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,930	$550	$1.1M

Showing 1–10 of 340

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

Ohiohealth Corporation — 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

340 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	116	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.	5	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.	30	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.	40	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.	58	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…	117	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.	54	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.	57	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.	12	230	2,200	$100	$530.1K
G0378	Hospital observation service, per hour	12	160	2,840	$80	$529.2K

Showing 1–10 of 340

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cems Of Ohio Inc	OH	Ambulance	$5.2M	$13.6M
Central Ohio Specialty Care, LLC	OH	Durable Medical Equipment & Medical Supplies	$0	$12.6M
Emergency Medicine Physicians Of Franklin County, Ltd	OH	Emergency Medicine Physician	$0	$11.7M
Freedom Recovery LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.5M
Child Care Consultants	OH	Pediatrics Physician	$0	$8.3M
Roberta Watts	OH	Family Nurse Practitioner	$23.1K	$1.4M
George Youssef	OH	Interventional Cardiology Physician	$986.8K	$0
Mitesh Parekh	OH	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$207.2K	$0
Heather Childers	OH	Emergency Medicine Physician	$100.3K	$0
Faozan Narvel	OH	Family Medicine Physician	$85.9K	$0

Ohiohealth Corporation — Billing Profile & Reimbursement Data

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Ohiohealth Corporation — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$215.2M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$76.9M
Ohiohealth Corporation	OH	Clinical Medical Laboratory	$0	$44.3M
Ohiohealth Urgent Care LLC	OH	Urgent Care Clinic/Center	$0	$13.4M
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$11.8M
Jacqueline Nicholas	OH	Neurology Physician	$149.8K	$0
Joseph Hofmeister	OH	Hematology & Oncology Physician	$111.2K	$0
Brian Zeno	OH	Pulmonary Disease Physician	$73.2K	$0
Adam Halverson	WI	Orthopaedic Foot and Ankle Surgery Physician	$18.1K	$0