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.

Rfs Charitable Foundation (NPI 1093118580)

Field	Value
Entity Type	Organization
Organization	Rfs Charitable Foundation
Address	830 N Summit St Ste 2
City	Toledo
State	OH
ZIP	43604
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 29, 2014

Payer Source	Total Paid
Medicaid	$49.6M
Medicare	$0

Key Findings

RFS CHARITABLE FOUNDATION is effectively a single-payer Medicaid provider with no Medicare billing on file; lifetime Medicare revenue is listed as none while lifetime Medicaid revenue is $49.6M, indicating the organization’s operations and reimbursement exposure are concentrated entirely in Medicaid. This payer concentration implies business risk and growth opportunities are tied to Medicaid policy and rates rather than Medicare markets.

Revenue is highly concentrated in a very small set of procedure categories: the precomputed top three Medicaid codes by revenue account for 94.0% of the provider’s total Medicaid revenue. That extreme concentration suggests the organization’s service mix and capacity are built around a narrow set of service lines rather than a broad portfolio of outpatient medical services.

H2019 is the dominant revenue driver: 377.1K claims generating $33.6M and making up 67.7% of the provider’s Medicaid revenue. H2019’s description (Therapeutic behavioral services, per 15 minutes) and the provider’s very high state ranking (#8 of 840; 99th percentile, described as an extreme outlier) indicate RFS CHARITABLE FOUNDATION is a major regional provider of intensive, time-based therapeutic behavioral services and operates at volumes far above typical in-state peers.

90837 and H0036 are the second and third largest contributors, together accounting for an additional 26.4% of Medicaid revenue ($7.2M and $5.9M respectively). 90837 (long psychotherapy sessions) ranks #29 of 2643 providers in-state (99th percentile, extreme outlier) and H0036 (community psychiatric supportive treatment, per 15 minutes) ranks #16 of 735 (98th percentile, notably above typical), which together show the organization also maintains very large capacity for psychotherapy and community psychiatric support services in-state.

Operationally, the code mix (H2019, 90837, H0036 plus smaller volumes of 90834/90832) indicates a service model focused on behavioral health therapy delivered in repeated, time-based units—both long psychotherapy sessions and frequent 15-minute therapeutic/support contacts. The presence of large claim counts for both time-based community treatments and extended psychotherapy sessions suggests RFS serves a high-volume, clinically intensive Medicaid population and likely organizes staffing and workflows around frequent, scheduled therapeutic encounters.

Competitive standing in-state is strong and specialized: for its top codes RFS ranks in the 98–99th percentile and is explicitly labeled an extreme outlier for H2019 and 90837, which positions the organization as a dominant provider of these specific behavioral health services within Ohio. For several lower-revenue codes (e.g., 90832, H2020, 99213) the provider’s ranks are more typical or modest, indicating dominance is concentrated in a few specialty services rather than across the entire outpatient behavioral health space.

The provider has an established tenure: its NPI was enumerated on 2014-09-29 (~12 years ago), indicating long-term presence in the Medicaid market and sufficient time to scale the high-volume service lines visible in the claims mix. That tenure supports the plausibility of the very large cumulative claim counts for time-based behavioral services.

Smaller-ticket and low-revenue codes are present but collectively immaterial: beyond the top three codes, individual codes such as 90834, 90832, 99213 and others each account for small fractions of revenue (examples include $1.3M for 90834 and $954.5K for 90832) and rank variably among in-state peers. These secondary services likely complement the core therapeutic offerings but do not materially change the provider’s revenue profile, which remains overwhelmingly driven by the top three codes.

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
H2019	Therapeutic behavioral services, per 15 minutes	377,100	$90	$33.6M
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…	71,750	$100	$7.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	115,360	$50	$5.9M
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…	18,390	$70	$1.3M
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…	18,010	$50	$954.5K
H2020	Therapeutic behavioral services, per diem	1,120	$190	$216.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,190	$80	$168.3K
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…	1,640	$80	$131K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,150	$110	$120.2K
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…	550	$120	$65.3K

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

Rfs Charitable Foundation — 5 of 13 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
H2019	Therapeutic behavioral services, per 15 minutes	8	840	240	$90	$1.8M
H2020	Therapeutic behavioral services, per diem	157	310	1,190	$150	$1.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	16	740	480	$60	$669.5K
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…	29	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…	2,164	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…	1,745	5,080	560	$40	$323.9K
H0005	Alcohol and/or drug services; group counseling by a clinician	468	490	940	$50	$271.1K
T1002	Rn services, up to 15 minutes	261	290	620	$50	$192.8K
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…	32	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…	62	1,320	450	$40	$139.1K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Rfs Charitable Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health Physicians-north LLC	OH	Family Medicine Physician	$0	$42.1M
Promedica Central Physicians	OH	Family Medicine Physician	$0	$40.9M
Pathology Laboratories, Inc.	OH	Clinical Medical Laboratory	$3.1M	$25M
Primary Care Solutions Of Ohio Incorporated	OH	Community/Behavioral Health Agency	$0	$17.6M
A Renewed Mind	OH	Community/Behavioral Health Agency	$0	$15.3M
Promedica Central Corporation Of Michigan	OH	Family Medicine Physician	$0	$14.2M
A Renewed Mind	OH	Community/Behavioral Health Agency	$0	$13.4M
Mercy Health Physicians North Specialty Care LLC	OH	Surgery Physician	$0	$13.1M
Mercy Health - Life Flight Network LLC	OH	Ambulance	$3.3M	$3.2M
Lucas County Auditor	OH	Ambulance	$811.6K	$4.6M

Rfs Charitable Foundation — Billing Profile & Reimbursement Data

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Rfs Charitable Foundation — 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

Nearby Providers

Frequently Asked Questions

References