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.

Premier Care Of Ohio, LLC (NPI 1043641293)

Field	Value
Entity Type	Organization
Organization	Premier Care Of Ohio, LLC
Address	1380 Dublin Rd Ste 100
City	Columbus
State	OH
ZIP	43215
Taxonomy	Methadone Clinic
NPI Enumerated	December 12, 2013

Payer Source	Total Paid
Medicaid	$18.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	900,420	$20	$14.4M
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…	11,700	$120	$1.4M
T1002	Rn services, up to 15 minutes	22,780	$30	$706.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	10,130	$50	$496.5K
T1003	Lpn/lvn services, up to 15 minutes	15,500	$30	$403K
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…	4,330	$50	$199K
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…	2,840	$70	$198.7K
H0006	Alcohol and/or drug services; case management	5,740	$30	$172.3K
99204	The provider sees a new 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 provider…	940	$160	$153.2K
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…	370	$60	$23.4K

Showing 1–10 of 16

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

Premier Care Of Ohio, LLC — 2 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	2	120	7,190	$30	$2.6M
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…	2,447	2,640	620	$90	$408.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	70	340	2,260	$30	$398.2K
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…	409	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…	1,380	5,080	560	$40	$323.9K
H0006	Alcohol and/or drug services; case management	133	710	520	$50	$307.3K
T1002	Rn services, up to 15 minutes	10	290	620	$50	$192.8K
T1003	Lpn/lvn services, up to 15 minutes	20	240	960	$30	$155.6K
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.	301	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…	619	1,320	290	$50	$148.6K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Premier Care Of Ohio, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premier Care Of Ohio LLC	OH	Methadone Clinic	$225.8K	$13.1M
Premier Care Of Ohio LLC	OH	Community/Behavioral Health Agency	$92.6K	$198K
Premier Care Of Ohio LLC	OH	Community/Behavioral Health Agency	$104.5K	$51K

Nearby Providers

Other providers in the same ZIP code as Premier Care Of Ohio, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$215.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Southeast, Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.8M
Mid-ohio Emergency Services, LLC	OH	Emergency Medicine Physician	$0	$38.5M
Nationwide Children's Hospital	OH	Home Infusion Agency	$0	$22.4M
Ohio Emergency Professionals Inc	OH	Emergency Medicine Physician	$0	$21.5M
Nationwide Children's Hospital Homecare	OH	Home Health Agency	$0	$17.5M
Forward Health LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$12.1M
Nationwide Children's Hospital	OH	Dental Clinic/Center	$0	$11.1M
Sanctuary Home Health Care LLC	OH	Home Health Agency	$0	$10.7M

Premier Care Of Ohio, LLC — Billing Profile & Reimbursement Data

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Premier Care Of Ohio, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References