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.

Lake Hospital System Inc (NPI 1972689172)

Key Findings

Field	Value
Entity Type	Organization
Organization	Lake Hospital System Inc
Address	36000 Euclid Ave
City	Willoughby
State	OH
ZIP	44094
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$56.5M
Medicare	$0

This provider has no Medicare billing on file and reports Total Medicaid revenue: $56.5M, meaning its public-payer footprint is effectively single-payer (Medicaid) in the claims data. That concentration implies revenue and access are closely tied to state Medicaid policy, reimbursement levels, and managed-care contracting rather than Medicare-related lines of business.

Revenue concentration is high: the top three Medicaid codes account for 45.3% of the provider's Medicaid revenue. Those top drivers are 99213 ($10.5M, 21.8%), 99214 ($6M, 12.4%), and 99283 ($5.3M, 11.1%), indicating the bulk of dollars flow from evaluation-and-management office/outpatient visits and lower-acuity emergency department visits.

The code mix points to a combined ambulatory and emergency operation: very large volumes of E/M outpatient visits (99213 with 96.5K claims and 99214 with 53.6K claims) alongside substantial ED activity (99283, 99284, 99285). This pattern is consistent with a General Acute Care Hospital that functions as both a community outpatient clinic hub and an emergency care provider for Medicaid patients.

For ambulatory primary care, 99213 is a standout: 96.5K claims generating $10.5M (21.8% of Medicaid revenue) and ranking #60 of 5077 in-state (99th percentile; notably above typical state volume). By contrast, 99214 also shows high absolute volume (53.6K claims, $6M) and ranks in the 98th percentile (#86 of 4514) but is described as typical volume for that code, suggesting particularly strong low-to-moderate complexity outpatient throughput rather than an unusual intensity mix.

Emergency department acuity is meaningful across levels: high-acuity visits (99285) produced $4.8M on 36.8K claims and rank #51 of 581 in-state (91st percentile), while moderate- and lower-acuity ED codes 99284 and 99283 also contribute multi-million-dollar revenue. The distribution across 99283/99284/99285 indicates the hospital manages a broad range of ED complexity for Medicaid patients and supports downstream services such as imaging and infusions.

Ancillary services supporting ED and outpatient care are material: IV/infusion codes like 96361 ($4.1M, 15.3K claims, 82nd percentile) and 96360/96365 appear among top-revenue codes, and imaging codes such as 70450 ($1.5M) and 74177 ($1M) show routine CT utilization. Several lab/testing codes (U0004, 87631, 87591) also appear in the top 25, signaling an active on-site laboratory and diagnostic capacity that complements urgent and outpatient care pathways.

Preventive and pediatric services are a visible component of the mix: 99391 (12.5K claims, $1.3M, 94th percentile), 99392, 99393 and related well-patient visit codes are present in the top revenue list. This indicates the hospital also sustains primary-preventive care and pediatric well visits for Medicaid populations in addition to its ED and acute outpatient work.

The provider has an established enrollment history (NPI enumerated 2006-10-31, ~20 years ago), which, combined with the high Medicaid concentration and code-level rank patterns, indicates a long-standing presence in the state Medicaid market. That longevity supports market relationships and scale, but the reliance on Medicaid (with no Medicare billing on file) creates exposure to Medicaid-specific reimbursement and utilization shifts that could materially affect revenue.

Medicaid: Complete Services Breakdown

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

456 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…	96,460	$110	$10.5M
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…	53,580	$110	$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.	45,260	$120	$5.3M
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.	36,840	$130	$4.8M
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.	36,380	$130	$4.7M
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.	15,350	$270	$4.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	25,290	$70	$1.8M
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.	6,070	$250	$1.5M
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…	12,520	$100	$1.3M
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…	10,500	$100	$1.1M

Showing 1–10 of 456

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

Lake Hospital System Inc — 2 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

456 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	34	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.	30	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.	64	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.	89	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.	51	580	510	$100	$1.3M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	19	50	310	$110	$817.2K
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.	65	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.	71	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.	132	230	2,200	$100	$530.1K
G0378	Hospital observation service, per hour	79	160	2,840	$80	$529.2K

Showing 1–10 of 456

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospitals Ahuja Medical Center, Inc	OH	General Acute Care Hospital	$0	$21.1M
University Hospitals Home Care Services Inc	OH	Home Health Agency	$0	$7.7M
Lake Hospital System Inc	OH	Family Medicine Physician	$0	$6.9M
Razieh Mohseni	OH	Internal Medicine Physician	$219.4K	$0
Maria Lopez Whitney	FL	Physician Assistant	$70.7K	$0
Hassan Aboumerhi	IL	Anesthesiology Physician	$70.1K	$0
Patrick Mcintyre	OH	Pain Medicine (Anesthesiology) Physician	$59.4K	$0
Kristen Parsell	OH	Adult Health Nurse Practitioner	$46.7K	$0
Lisa Bean	OH	Family Nurse Practitioner	$40.7K	$1.1K
Gregory Kezele	OH	Phlebology Physician	$39.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Signature Health, Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$47.9M
Signature Health Inc.	OH	Federally Qualified Health Center (FQHC)	$0	$41.8M
Signature Health, Inc	OH	Mental Health Counselor	$0	$13.5M
City Of Willoughby	OH	Ambulance	$256.9K	$658K
Syed Ashraf	OH	Internal Medicine Physician	$275.1K	$0
Jamal Azem	OH	Nephrology Physician	$256.1K	$230
Victor Bello	OH	Ophthalmology Physician	$199.8K	$0
Ohio Cvs Stores LLC	OH	Pharmacy	$187.5K	$0
Melissa Reigle	OH	Urology Physician	$179.9K	$0
Matthew Keum	OH	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$171.5K	$0

Lake Hospital System Inc — 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