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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. States
  3. Pennsylvania vs Ohio

Pennsylvania vs Ohio Medicare Spending

Side-by-side comparison of Medicare provider payments between Pennsylvania and Ohio

Pennsylvania
Ohio
Total Medicare Payments
$34.5B
$24.8B
↑ 39.1% difference
Total Providers
535.3K
430.3K
↑ 24.4% difference
Avg Payment per Provider
$64.4K
$57.6K
↑ 11.8% difference
Markup Ratio
3.48x
3.69x
↓ 5.9% difference
Total Services
982.5M
692.5M
↑ 41.9% difference
Avg Payment per Service
$72.13
$101.53
↓ 29.0% difference

Key Insights

  • •Pennsylvania has $9.7B more in total Medicare payments than Ohio.
  • •Providers in Pennsylvania average $6.8K more per provider than Ohio.
  • •Ohio has a higher markup ratio (3.69x vs 3.48x), meaning providers charge more relative to what Medicare pays.

Flagged Providers in Pennsylvania

Pentec Health Inc
Pharmacy
$4.4M
Risk: 80
Cardionet, Llc
Independent Diagnostic Testing Facility (IDTF)
$11.0M
Risk: 79
Quest Diagnostics Of Pennsylvania, Inc.
Clinical Laboratory
$11.3M
Risk: 78
Scot Paris
General Surgery
$1.0M
Risk: 77
Health Network Laboratories, Llc
Clinical Laboratory
$12.5M
Risk: 75

Flagged Providers in Ohio

Laboratory Corporation Of America Holdings
Clinical Laboratory
$56.9M
Risk: 85
Rgh Enterprises, Llc
All Other Suppliers
$4.4M
Risk: 75
Cleveland Heartlab Inc
Clinical Laboratory
$9.1M
Risk: 74
The Cleveland Clinic Foundation
Clinic or Group Practice
$144.0K
Risk: 71
Pathology Laboratories, Inc.
Clinical Laboratory
$3.1M
Risk: 66

Explore Individual States

View PennsylvaniaView Ohio

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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