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.

Village Network (NPI 1124057914)

Field	Value
Entity Type	Organization
Organization	Village Network
Address	2000 Noble Dr
City	Wooster
State	OH
ZIP	44691
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	July 2, 2006

Payer Source	Total Paid
Medicaid	$62.3M
Medicare	$0

Key Findings

VILLAGE NETWORK is effectively a single-payer Medicaid provider: there is no Medicare billing on file while reported Medicaid revenue totals $62.3M. This concentration means its financial footprint and payer risk are almost entirely tied to Medicaid policy and utilization patterns.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes (H2020, 90837, H2019) account for 70.4% of the provider's Medicaid revenue. In particular H2020 alone represents $25.5M or 40.9% of Medicaid revenue, producing a dominant share of overall receipts.

The code mix indicates a behavioral health–focused operation. The top codes are H2020 (Therapeutic behavioral services, per diem), H2019 (Therapeutic behavioral services, per 15 minutes), and psychotherapy codes such as 90837; additional high-volume codes include H0036 (community psychiatric supportive treatment) and multiple psychotherapy CPTs, which together point to large-scale outpatient and community-based behavioral health programming.

VILLAGE NETWORK is a state-level leader on several behavioral-health codes. H2020 ranks #1 of 305 providers in-state (100th percentile; extreme outlier) and 90837 ranks #13 of 2643 providers in-state (100th percentile; extreme outlier), indicating dominant throughput for intensive therapeutic and psychotherapy services compared with peers. By contrast, H2019 ranks #38 of 840 (96th percentile) and is characterized as typical or unremarkable relative to state volumes.

Psychotherapy service volumes are unusually large across durations and intensities: 90832 shows 45.4K claims at $52 avg paid/claim and 90834 shows 33.6K claims at $65 avg paid/claim, and both rank #18 in-state at the 99th percentile (extreme outlier). The provider also reports 28.7K claims for 99214 ($109 avg paid/claim), highlighting substantial outpatient E/M activity that complements its therapy caseload.

Case management and monthly care coordination are material and relatively high-value revenue lines. T2022 (case management, per month) shows 7.2K claims at $460 avg paid/claim for $3.3M (5.3% of Medicaid revenue) and ranks #12 of 36 providers in-state (69th percentile), while T2023 (targeted case management) contributes $2.5M on 3K claims at $853 avg paid/claim and ranks #5 of 24 (83rd percentile); together these suggest ongoing, billable longitudinal care coordination capacity.

The provider’s revenue profile creates operational concentration risk because a single code (H2020) supplies 40.9% of Medicaid revenue and the top three codes supply 70.4% overall. Any reimbursement, regulatory, or utilization change affecting therapeutic behavioral services or high-volume psychotherapy would disproportionately impact VILLAGE NETWORK’s revenue base.

VILLAGE NETWORK’s NPI was enumerated on 2006-07-02 (~20 years ago), indicating long tenure in the market. Combined with its scale on several state-leading behavioral-health codes, this suggests an established Medicaid service footprint rather than a recent entrant or small specialty shop.

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2020	Therapeutic behavioral services, per diem	171,050	$150	$25.5M
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…	124,460	$90	$11.7M
H2019	Therapeutic behavioral services, per 15 minutes	101,550	$70	$6.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	76,110	$50	$3.5M
T2022	Case management, per month	7,230	$460	$3.3M
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…	28,710	$110	$3.1M
T2023	Targeted case management; per month	2,960	$850	$2.5M
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…	45,390	$50	$2.4M
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…	33,580	$70	$2.2M
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…	4,600	$80	$344.8K

Showing 1–10 of 36

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

Village Network — 8 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	38	840	240	$90	$1.8M
T2022	Case management, per month	12	40	700	$150	$1.8M
H2020	Therapeutic behavioral services, per diem	1	310	1,190	$150	$1.5M
T2023	Targeted case management; per month	5	20	1,050	$380	$1.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	32	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	208	240	1,090	$50	$509.2K
H2015	Comprehensive community support services, per 15 minutes	16	20	320	$160	$507.2K
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…	13	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…	175	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…	1,068	5,080	560	$40	$323.9K

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as Village Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prentke Romich Company	OH	Customized Equipment (DME)	$0	$186.7M
Christian Children's Home Of Ohio	OH	Adolescent and Children Mental Health Clinic/Center	$0	$18.6M
Lifecare Hospice	OH	Community Based Hospice Care Agency	$0	$16.3M
City Of Wooster	OH	General Acute Care Hospital	$0	$14M
Oneeighty, Inc.	OH	Community/Behavioral Health Agency	$0	$9.9M
Counseling Center Of Wayne & Holmes Counties	OH	Community/Behavioral Health Agency	$0	$8.6M
Wooster Clinic, LLC	OH	Multi-Specialty Clinic/Center	$0	$6.9M
City Of Wooster	OH	Land Ambulance	$269.5K	$852.9K
Wasc LLC	OH	Ambulatory Surgical Clinic/Center	$950.3K	$540
Wooster Ophthalmologists, Inc.	OH	Ambulatory Surgical Clinic/Center	$647.1K	$2.4K

Village Network — Billing Profile & Reimbursement Data

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Village Network — 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