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.

Access Counseling Services LLC (NPI 1073884524)

Field	Value
Entity Type	Organization
Organization	Access Counseling Services LLC
Address	4464 S Dixie Hwy
City	Middletown
State	OH
ZIP	45005
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 14, 2012

Payer Source	Total Paid
Medicaid	$30.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	108,640	$90	$9.9M
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…	76,830	$100	$7.6M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	77,880	$50	$4M
H2019	Therapeutic behavioral services, per 15 minutes	31,610	$90	$2.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	29,850	$50	$1.6M
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…	19,790	$70	$1.3M
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…	13,930	$70	$961.4K
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…	12,180	$50	$621K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	9,460	$50	$454.2K
99205	The provider sees a new 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 provider…	2,420	$190	$450.5K

Showing 1–10 of 31

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

Access Counseling Services LLC — 7 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	421	610	1,350	$150	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	105	840	240	$90	$1.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	29	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	20	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…	14	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…	61	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…	489	5,080	560	$40	$323.9K
H0005	Alcohol and/or drug services; group counseling by a clinician	392	490	940	$50	$271.1K
T1002	Rn services, up to 15 minutes	207	290	620	$50	$192.8K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	63	80	430	$120	$173.9K

Showing 1–10 of 31

Nearby Providers

Other providers in the same ZIP code as Access Counseling Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atrium Medical Center	OH	General Acute Care Hospital	$0	$27.5M
Cei Physicians Psc LLC	OH	Ambulatory Surgical Clinic/Center	$1.9M	$680.3K
Ryan Steinmetz	OH	Radiation Oncology Physician	$784.1K	$0
Praveena Cheruvu	OH	Radiation Oncology Physician	$726.2K	$0
Radhika Rajsheker	OH	Hematology & Oncology Physician	$632.1K	$0
Nkeiruka Okoye	OH	Hematology & Oncology Physician	$619K	$0
Motaz Hossein	OH	Internal Medicine Physician	$405.4K	$2.1K
Lotfi Mamlouk	OH	Internal Medicine Physician	$304.2K	$0
Ranjit Katneni	OH	Internal Medicine Physician	$301.2K	$0
Ashok Poluri	OH	Physical Medicine & Rehabilitation Physician	$243.5K	$0

Access Counseling Services LLC — Billing Profile & Reimbursement Data

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Access Counseling Services 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

Nearby Providers

Frequently Asked Questions

References