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.

Clermont Recovery Center, Inc. (NPI 1043277759)

Field	Value
Entity Type	Organization
Organization	Clermont Recovery Center, Inc.
Address	1088 Wasserman Way
City	Batavia
State	OH
ZIP	45103
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	April 27, 2006

Payer Source	Total Paid
Medicaid	$29M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	57,040	$200	$11.3M
S5000	Prescription drug, generic	87,240	$80	$7.2M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	28,920	$110	$3.2M
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…	13,910	$120	$1.6M
H0006	Alcohol and/or drug services; case management	24,710	$60	$1.4M
H0005	Alcohol and/or drug services; group counseling by a clinician	22,310	$60	$1.3M
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…	7,570	$100	$726.6K
T1002	Rn services, up to 15 minutes	12,680	$40	$545.3K
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…	6,070	$80	$467.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	7,580	$60	$417K

Showing 1–10 of 21

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

Clermont Recovery Center, Inc. — 1 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5000	Prescription drug, generic	4	20	2,720	$150	$7.7M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	6	40	2,350	$140	$4.4M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	68	610	1,350	$150	$1.9M
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…	301	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…	356	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…	886	5,080	560	$40	$323.9K
H0006	Alcohol and/or drug services; case management	39	710	520	$50	$307.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	34	490	940	$50	$271.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	140	140	140	$160	$266.4K
H0038	Self‑help/peer services, per 15 minutes	147	230	560	$60	$194.2K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Clermont Recovery Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health - Clermont Hospital LLC	OH	General Acute Care Hospital	$0	$25.9M
Cathryn Jenkins	OH	Adult Health Nurse Practitioner	$131.8K	$0
Brent Kinder	OH	Pulmonary Disease Physician	$43.3K	$0
Scott Sinner	OH	Infectious Disease Physician	$42K	$0

Clermont Recovery Center, Inc. — Billing Profile & Reimbursement Data

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Clermont Recovery Center, 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

Nearby Providers

Frequently Asked Questions

References