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I just reviewed the 2026 Medicare Revenue Report Card for Ohio. Key findings: - Overall Grade: F - Estimated Missed Revenue: $512K - Low adoption of care management programs (CCM, RPM, BHI, AWV) The data comes directly from CMS public records — every medical practice can see exactly how much revenue they're leaving on the table. See the full Ohio report card:
https://npixray.com/reports/states/ohio
Total Providers
48K
in Ohio
Total Medicare Payment
$2459.6M
Avg Payment / Provider
$51K
Est. Missed Revenue
$512K
across all providers
Care Management Program Adoption
How Ohio providers compare to the national average in adopting revenue-generating care management programs.
CCM
Chronic Care Management
$62/patient/mo potential revenue
RPM
Remote Patient Monitoring
$120/patient/mo potential revenue
BHI
Behavioral Health Integration
$50/patient/mo potential revenue
AWV
Annual Wellness Visits
$175/visit potential revenue
Ohio Trend Signals
Revenue per Provider
$51,408
-35.5% vs benchmark · national avg $79,744
Provider Market Share
4.1% of US
+100.0% vs benchmark · 47,844 providers
CCM Adoption
0.0%
-100.0% vs benchmark · national 2.4%
RPM Adoption
0.0%
-100.0% vs benchmark · national 1.1%
AWV Completion
0.0%
-100.0% vs benchmark · national 7.8%
E&M Coding Distribution
How Ohio providers distribute evaluation and management visits compared to the national benchmark. Higher 99214/99215 rates indicate thorough documentation and appropriate complexity coding.
99213
Level 3
33.0%
National: 31.2%
99214
Level 4
34.0%
National: 56.4%
99215
Level 5
33.0%
National: 9.3%
Top Specialties in Ohio
| Specialty | Providers | Avg Payment |
|---|---|---|
| Nurse Practitioner | 9,691 | $19K |
| Internal Medicine | 3,419 | $53K |
| Physician Assistant | 3,310 | $18K |
| Family Practice | 3,206 | $38K |
| Emergency Medicine | 2,104 | $37K |
| Certified Registered Nurse Anesthetist (CRNA) | 1,802 | $8K |
| Physical Therapist in Private Practice | 1,510 | $37K |
| Mass Immunizer Roster Biller | 1,424 | $45K |
| Optometry | 1,294 | $21K |
| Anesthesiology | 1,224 | $16K |
| Chiropractic | 1,153 | $13K |
| Diagnostic Radiology | 1,118 | $74K |
| Ambulance Service Provider | 833 | $178K |
| Orthopedic Surgery | 822 | $81K |
| General Surgery | 774 | $27K |
| Obstetrics & Gynecology | 754 | $10K |
| Cardiology | 715 | $94K |
| Podiatry | 705 | $60K |
| Hospitalist | 704 | $41K |
| Neurology | 631 | $49K |
City Report Cards in Ohio
Cleveland
Columbus
Cincinnati
Toledo
Dayton
Akron
Canton
Youngstown
Lima
Kettering
Westerville
Beachwood
Dublin
Westlake
Chillicothe
Warren
Zanesville
Mansfield
Marietta
Springfield
Top 20 Providers in Ohio
Highest-volume Medicare providers by total payment.
| Provider | Patients | Medicare $ |
|---|---|---|
| Laboratory Corporation Of America Holdings | 307,791 | $56.9M |
| Assurex Health, Inc. | 18,119 | $27.3M |
| Aura Genetics Of Ohio, Llc | 129,322 | $17.9M |
| American Health Mw, Llc | 61,924 | $15.0M |
| Cleveland Heartlab Inc | 28,799 | $9.1M |
| University Hospitals Laboratory Services Foundation | 54,582 | $8.4M |
| Compunet Clinical Laboratories Llc | 41,176 | $7.7M |
| Preventive Diagnostics Inc | 17,188 | $6.2M |
| Scott PendergastM.D. | 961 | $6.0M |
| Cems Of Ohio Inc | 8,592 | $5.2M |
| David MillerM.D. | 1,241 | $4.8M |
| Raymond WawrowskiPA-C | 51 | $4.7M |
| Beacon Orthopaedics Surgery Center, Llc | 353 | $4.5M |
| Rgh Enterprises, Llc | 2,646 | $4.4M |
| The Urology Center Llc | 1,254 | $4.3M |
| Ohio Medical Transportation, Inc. | 717 | $4.3M |
| Cei Physicians Psc Llc | 1,495 | $4.1M |
| Brittney StatlerM.D. | 1,328 | $3.7M |
| James OsherM.D. | 1,176 | $3.7M |
| Llewelyn RaoMD | 1,391 | $3.7M |
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