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.

Integrated Services For Behavioral Health (NPI 1073578431)

Field	Value
Entity Type	Organization
Organization	Integrated Services For Behavioral Health
Address	1950 Mount Saint Marys Dr
City	Nelsonville
State	OH
ZIP	45764
Taxonomy	Clinical Social Worker
NPI Enumerated	April 19, 2006

Payer Source	Total Paid
Medicaid	$131.7M
Medicare	$0

Key Findings

INTEGRATED SERVICES FOR BEHAVIORAL HEALTH reports no Medicare billing on file and $131.7M in Medicaid revenue, making it effectively a single‑payer (Medicaid) billing operation in the available data. The NPI was enumerated 2006-04-19 (~20 years ago), indicating roughly two decades of enrollment and an established presence in the Medicaid market.

Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 86.5% of the provider’s Medicaid revenue, with H2019 alone representing 67.9% of Medicaid dollars. Those top three codes are H2019 ($89.5M), 90837 ($17.9M), and T2022 ($6.6M), which together drive the vast majority of the provider’s billing activity.

The mix is characteristic of a high-volume behavioral health and psychotherapy operator: H2019 (Therapeutic behavioral services, per 15 minutes) has 778K claims and $89.5M in revenue, and 90837 (long psychotherapy) has 182.8K claims and $17.9M in revenue, while related codes H2017, H0036, and H2020 also appear in the top 25. This combination of per‑15‑minute therapeutic codes, per‑diem therapeutic codes, and high-volume psychotherapy sessions points to intensive, session‑based community behavioral health services and ongoing outpatient mental health care as core lines of business.

On competitive standing within Ohio, the practice is a clear statewide outlier for its two largest lines: H2019 ranks #4 of 840 providers in-state and is labeled an "extreme outlier," and 90837 ranks #4 of 2643 providers in-state and is also an "extreme outlier." Those ranks and percentiles indicate the provider operates at a scale for these services that far exceeds typical state volumes and places it among the dominant statewide providers for therapeutic behavioral services and long psychotherapy sessions.

Case management appears as an important but less dominant offering: T2022 (Case management, per month) generated $6.6M from 13.3K claims and ranks #5 of 36 providers in-state (89th percentile, characterized as typical/unremarkable volume). This suggests an established monthly case‑management program that contributes meaningful revenue without the same extraordinary statewide dominance seen for H2019 and 90837.

Beyond the top three, the provider shows high volumes across several supporting codes that reflect outpatient evaluation-and-management and prolonged-service activity: for example, 99214 appears with 27.5K claims and $2.9M in revenue (rank #183 of 4514, 96th percentile), and 99354 is an outlier (rank #2 of 153, 99th percentile) among add‑on/prolonged service codes. The presence of 90791 (psychiatric evaluation) and multiple psychotherapy codes (90832, 90834, 90846/90847) demonstrates a broad clinical footprint covering intake, psychotherapy of varying durations, family work, and prolonged or higher‑intensity encounters.

The raw claim volumes underline the operational scale required to support this output: 778K claims for H2019 and 182.8K claims for 90837 indicate a very high throughput of short‑interval therapeutic sessions and long psychotherapy encounters respectively. Those counts imply a large, workforce‑intensive delivery model and likely multi‑site or extensive community‑based programming to sustain the observed claim volumes.

The provider’s extreme reliance on a very small set of codes creates concentration risk: with the top three codes accounting for 86.5% of Medicaid revenue and H2019 alone making up 67.9%, any policy, rate, or coverage changes affecting therapeutic behavioral services or long psychotherapy could materially affect overall revenue. For analysts, monitoring payer contract terms, utilization rules for H2019/H2020, and authorization or documentation policies for 90837 will be critical to assessing future revenue stability.

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	778,000	$120	$89.5M
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…	182,780	$100	$17.9M
T2022	Case management, per month	13,260	$500	$6.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	42,510	$90	$3.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	61,140	$50	$3.1M
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…	27,540	$110	$2.9M
H2020	Therapeutic behavioral services, per diem	15,950	$180	$2.9M
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…	14,530	$70	$1M
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…	14,600	$50	$744.8K
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…	9,740	$70	$662.3K

Showing 1–10 of 34

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

Integrated Services For Behavioral Health — 6 of 25 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	4	840	240	$90	$1.8M
T2022	Case management, per month	5	40	700	$150	$1.8M
H2020	Therapeutic behavioral services, per diem	53	310	1,190	$150	$1.5M
T2023	Targeted case management; per month	18	20	1,050	$380	$1.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	41	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	12	240	1,090	$50	$509.2K
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…	4	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…	183	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…	467	5,080	560	$40	$323.9K
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…	30	140	140	$160	$266.4K

Showing 1–10 of 34

Related Providers

Other providers that share a Tax Identification Number (TIN) with Integrated Services For Behavioral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emily Ash-parsons	WV	Clinical Social Worker	$19.1K	$0

Integrated Services For Behavioral Health — Billing Profile & Reimbursement Data

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Integrated Services For Behavioral Health — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References