Medicare provider payments and utilization data for Ohio (OH)
Ohio received $24.8B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Ophthalmology, accounting for $198.3M in payments across 592 providers.
In 2023, 47.8K providers were actively billing Medicare in Ohio.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $2.4B | 69.9M | 37.6K | — |
| 2015 | $2.4B | 68.5M | 38.6K | -1.9% |
| 2016 | $2.6B | 74.0M | 40.2K | +9.4% |
| 2017 | $2.6B | 73.0M | 41.6K | +0.1% |
| 2018 | $2.6B | 71.8M | 42.9K | -0.7% |
| 2019 | $2.6B | 72.3M | 44.4K | +0.6% |
| 2020 | $2.3B | 63.0M | 44.4K | -12.8% |
| 2021 | $2.6B | 67.5M | 45.9K | +13.9% |
| 2022 | $2.4B | 64.1M | 46.9K | -8.3% |
| 2023 | $2.5B | 68.5M | 47.8K | +4.2% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $234.1M | 3.2M | 20.0K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $131.3M | 2.5M | 20.0K |
| J0178 | Injection, aflibercept, 1 mg | $75.8M | 112.3K | 104 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $70.0M | 1.2M | 8.1K |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $62.3M | 695.9K | 5.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $52.0M | 138.6K | 716 |
| 99285 | Emergency department visit with high level of medical decision making | $51.4M | 379.5K | 2.7K |
| 66984 | Removal of cataract with insertion of prosthetic lens | $49.6M | 437.7K | 534 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $42.3M | 328.2K | 5.6K |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $36.5M | 351.9K | 8.3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $34.9M | 367.4K | 4.7K |
| 99291 | Critical care, first 30-74 minutes | $32.1M | 195.4K | 3.1K |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $31.6M | 451.2K | 1.4K |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $29.5M | 275.3K | 5.0K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | $29.2M | 92.4K | 695 |
| A0425 | Ground mileage, per statute mile | $29.1M | 3.8M | 826 |
| 27447 | Replacement of knee joint, both sides of knee | $28.1M | 22.1K | 537 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | $26.1M | 2.3M | 1.1K |
| J9271 | Injection, pembrolizumab, 1 mg | $24.1M | 573.8K | 40 |
| 0345U | Genomic analysis panel of 15 genes for detection of abnormalities assocated with mental health disorders | $24.0M | 18.1K | 1 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Ophthalmology | $198.3M | 592 | $335.0K |
| Nurse Practitioner | $186.4M | 9.7K | $19.2K |
| Internal Medicine | $182.2M | 3.4K | $53.3K |
| Clinical Laboratory | $170.9M | 57 | $3.0M |
| Ambulance Service Provider | $148.2M | 833 | $177.9K |
| Ambulatory Surgical Center | $128.4M | 179 | $717.4K |
| Family Practice | $121.7M | 3.2K | $38.0K |
| Diagnostic Radiology | $82.8M | 1.1K | $74.1K |
| Emergency Medicine | $77.4M | 2.1K | $36.8K |
| Dermatology | $68.4M | 432 | $158.3K |
| Cardiology | $66.9M | 715 | $93.6K |
| Orthopedic Surgery | $66.3M | 822 | $80.7K |
| Mass Immunizer Roster Biller | $64.4M | 1.4K | $45.2K |
| Physician Assistant | $59.1M | 3.3K | $17.8K |
| Physical Therapist in Private Practice | $56.0M | 1.5K | $37.1K |
| Hematology-Oncology | $51.7M | 318 | $162.5K |
| Podiatry | $42.2M | 705 | $59.8K |
| Rheumatology | $40.5M | 183 | $221.4K |
| Radiation Oncology | $33.8M | 213 | $158.5K |
| Nephrology | $33.7M | 354 | $95.3K |
| Neurology | $30.9M | 631 | $49.0K |
| Urology | $30.6M | 346 | $88.6K |
| Hospitalist | $29.1M | 704 | $41.3K |
| Gastroenterology | $28.8M | 515 | $55.9K |
| Pathology | $27.9M | 496 | $56.2K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.