The Phosphorus Index (PI) has been the cornerstone for phosphorus (P)-based management and planning over the past twenty years, yet field-scale evaluation of many state PIs has been limited. In this study, P loads measured in surface runoff and tile discharge from 40 agricultural fields in Ohio with prevailing management practices were used to evaluate the Ohio PI. Annual P loads were highly variable among fields (dissolved reactive P: 0.03-4.51 kg ha, total P: 0.03-6.88 kg ha). Both measured annual dissolved reactive P ( = 0.36, < 0.001) and total P ( = 0.25, < 0.001) loads were significantly related to Ohio PI score. The relationship between measured load and PI score substantially improved when averaged annual field values were used (dissolved reactive P: = 0.71, total P: = 0.73), indicating that the Ohio PI should be utilized to evaluate average annual risk of P loss, rather than as an annual risk tool. Comparison between the Ohio PI and other established local and national metrics resulted in large differences in potential P management recommendations for the monitored fields. In the near term, revision of Ohio PI risk categories and management recommendations using local P loading thresholds is needed. To meet the minimum criteria for state PI tools, future research efforts should focus on using measured field data (i) to incorporate new input factors (i.e., P application timing and leaching potential) into the Ohio PI, and (ii) to calibrate and validate the Ohio PI to provide better P risk assessments and management recommendations.