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.

Hopewell Health Centers, Inc. (NPI 1023491511)

Hopewell Health Centers, Inc. is a federally qualified health center (fqhc) provider located in Athens, Ohio. This profile covers 0 Medicare and 36 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Hopewell Health Centers, Inc.
Address	90 Hospital Dr
City	Athens
State	OH
ZIP	45701
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 2, 2015

Payer Source	Total Paid
Medicaid	$10.5M
Medicare	$0

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	99,600	$70	$7.2M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	39,300	$30	$1M
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…	30,960	$30	$928.8K
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…	28,720	$20	$516.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	14,090	$20	$267.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,200	$40	$147K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	8,340	$20	$125.1K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	4,160	$30	$116.5K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	4,290	$20	$77.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,490	$40	$52.1K

Showing 1–10 of 36

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

Hopewell Health Centers, Inc. — 6 of 24 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	27	530	7,190	$70	$1.5M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	67	2,640	620	$90	$408.2K
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…	160	4,510	500	$60	$377.8K
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…	253	5,080	560	$40	$323.9K
J2315	Injection, naltrexone, depot form, 1 mg	39	60	110	$600	$245.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	481	700	210	$60	$154.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	46	1,320	290	$50	$148.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	122	1,320	450	$40	$139.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	150	1,030	180	$90	$127K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	369	1,610	220	$50	$98.6K

Showing 1–10 of 36

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopewell Health Centers Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$45.6M
Allison Pallard	OH	Clinical Social Worker	$8.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sheltering Arms Hospital Foundation, Inc.	OH	General Acute Care Hospital	$0	$26.9M
Health Recovery Services, Inc	OH	Addiction (Substance Use Disorder) Counselor	$0	$26.8M
Anew Behavioral Health, LLC	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.9M
Pinnacle Treatment Centers Oh-xvi, LLC	OH	Methadone Clinic	$88.1K	$5.1M
Athens County	OH	Ambulance	$581.9K	$2.1M
Ronald Gordineer	OH	Psychiatry Physician	$229.9K	$1.6M
Chase Scarbrough	OH	Dermatology Physician	$416.6K	$0
Kathleen Nemer	OH	MOHS-Micrographic Surgery Physician	$397.1K	$2.6K
Athens Surgery Center Ltd	OH	Ambulatory Surgical Clinic/Center	$254.2K	$0
Enrico Tan	OH	Podiatrist	$72.2K	$130.3K

Hopewell Health Centers, Inc. — Billing Profile & Reimbursement Data

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Hopewell Health Centers, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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