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.

Fresh Start Behavioral Health Inc (NPI 1093350951)

Field	Value
Entity Type	Organization
Organization	Fresh Start Behavioral Health Inc
Address	6929 N Main St
City	Dayton
State	OH
ZIP	45415
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	November 14, 2019

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	44,440	$130	$5.8M
H0005	Alcohol and/or drug services; group counseling by a clinician	30,350	$30	$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…	4,260	$110	$472.9K
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…	3,820	$100	$362.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	11,620	$30	$313.7K
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…	3,920	$70	$282.2K
H0006	Alcohol and/or drug services; case management	4,520	$60	$248.5K
H2020	Therapeutic behavioral services, per diem	1,680	$120	$202.9K
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…	3,010	$60	$192.7K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	11,860	$10	$154.1K

Showing 1–10 of 22

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

Fresh Start Behavioral Health Inc — 2 of 22 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

22 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…	48	610	1,350	$150	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	407	840	240	$90	$1.8M
H2020	Therapeutic behavioral services, per diem	137	310	1,190	$150	$1.5M
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…	514	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.	268	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…	875	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…	1,186	5,080	560	$40	$323.9K
H0006	Alcohol and/or drug services; case management	153	710	520	$50	$307.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	20	490	940	$50	$271.1K
H0038	Self‑help/peer services, per 15 minutes	128	230	560	$60	$194.2K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Fresh Start Behavioral Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mahajan Therapeutics, LLC	OH	Community/Behavioral Health Agency	$0	$67M
The Cottages Of Clayton, Inc.	OH	Assisted Living Facility	$0	$8.9M
Endoscopy Center Of Dayton North LLC	OH	Ambulatory Surgical Clinic/Center	$588.5K	$771.2K
Gregory Rasp	OH	Radiation Oncology Physician	$769.8K	$0
Charles Bane	OH	Hematology & Oncology Physician	$749.1K	$0
Guy Savir	OH	Radiation Oncology Physician	$701.6K	$0
Trevor Bluemel	OH	Radiation Oncology Physician	$595.9K	$0
Roger Wood	OH	Hematology & Oncology Physician	$548K	$0
Shamim Jilani	OH	Medical Oncology Physician	$511.3K	$0
Mohammad Kabir	OH	Cardiovascular Disease Physician	$386.6K	$1.6K

Fresh Start Behavioral Health Inc — Billing Profile & Reimbursement Data

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Fresh Start Behavioral Health 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