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NPI 1134278518 · Cincinnati, OH · Adolescent and Children Mental Health Clinic/Center
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The Children's Home Of Cincinnati Ohio, Inc is a adolescent and children mental health clinic/center provider located in Cincinnati, Ohio. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | The Children's Home Of Cincinnati Ohio, Inc |
| Address | 5050 Madison Rd |
| City | Cincinnati |
| State | OH |
| ZIP | 45227 |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| NPI Enumerated | January 9, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $57.7M |
| Medicare | $0 |
THE CHILDREN'S HOME OF CINCINNATI OHIO, INC reports no Medicare billing on file and $57.7M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid) operation at scale. The absence of Medicare activity means the provider’s revenue and utilization profile is driven entirely by state Medicaid policy and managed care contracts rather than Medicare fee schedules or Medicare patient demand.
Revenue is highly concentrated: the precomputed top three Medicaid codes account for 82.1% of the provider’s total Medicaid revenue, with H2020 contributing $17.3M (29.9%), H2019 contributing $16.4M (28.5%), and 90837 contributing $13.7M (23.7%). This concentration indicates that a small set of behavioral health services dominates the organization’s Medicaid receipts.
The code mix is clinically focused on intensive behavioral health and psychotherapy for children and adolescents: large volumes of H2020 (therapeutic behavioral services, per diem) and H2019 (therapeutic behavioral services, per 15 minutes) together with high-volume 90837 (long psychotherapy sessions) point to an operational model centered on time‑based therapeutic interventions and sustained psychotherapy. The simultaneous prominence of per‑diem and per‑15‑minute codes suggests the provider delivers both day/episodic service blocks and many time‑tracked individual therapy encounters.
Competitive standing within the state is unusually strong for its core codes. H2020 ranks #4 of 305 providers in-state (99th percentile; extreme outlier) and 90837 ranks #10 of 2643 providers in-state (100th percentile; extreme outlier), while H2019 ranks #21 of 840 providers (98th percentile; notably above typical state volume), indicating this provider is a dominant statewide supplier for multiple behavioral‑health service lines.
The provider also shows exceptional utilization of psychotherapy intensity add‑ons: 90785 appears 106.3K times with $1.2M revenue (2.0% of Medicaid revenue) and ranks #3 of 445 providers in-state (100th percentile; extreme outlier). Frequent use of 90785 alongside high volumes of 90837 suggests sessions are often billed with increased work intensity, reinforcing a picture of clinically intensive service delivery.
While behavioral codes dominate revenue, the organization also bills standard outpatient evaluation and management services at meaningful volumes: 99214 accounts for 22.5K claims and $2.6M (4.5% of Medicaid revenue) and 99213 accounts for 12.5K claims and $1M (1.8% of Medicaid revenue). These E/M volumes (with 99214 at the 95th percentile statewide) indicate integrated medical management and outpatient follow‑up alongside psychotherapy and behavioral interventions.
Operational scale is reflected in claim counts across top codes (e.g., 191K claims for H2019, 123.2K claims for H2020, 136.7K claims for 90837), implying a high‑throughput behavioral health model serving a large pediatric/adolescent caseload. High absolute claim volumes combined with the revenue concentration in a few codes point to an efficiently scaled program focused on reimbursable therapy modalities.
The provider has a long tenure in the market, with its NPI enumerated on 2007-01-09 (~19 years ago). That longevity, together with extreme outlier rankings for multiple behavioral codes, supports characterization of the organization as an established, specialty behavioral‑health provider within Ohio’s Medicaid ecosystem and signals concentrated exposure to Medicaid reimbursement and policy changes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H2020 | Therapeutic behavioral services, per diem | 123,250 | $140 | $17.3M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 191,040 | $90 | $16.4M |
| 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… | 136,650 | $100 | $13.7M |
| 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… | 48,580 | $70 | $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… | 22,450 | $120 | $2.6M |
| 90785 | This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service. | 106,310 | $10 | $1.2M |
| 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… | 12,530 | $80 | $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… | 14,760 | $50 | $752.6K |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 16,930 | $40 | $626.3K |
| 99215 | The provider sees an established 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… | 1,580 | $140 | $212.9K |
Showing 1–10 of 24
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
24 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, per 15 minutes | 21 | 840 | 240 | $90 | $1.8M |
| H2020 | Therapeutic behavioral services, per diem | 4 | 310 | 1,190 | $150 | $1.5M |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 115 | 740 | 480 | $60 | $669.5K |
| 90899 | Use 90899 to report psychiatric services or procedures that do not have a specific code. | 3 | 10 | 2,450 | $130 | $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… | 10 | 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… | 219 | 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… | 540 | 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… | 19 | 140 | 140 | $160 | $266.4K |
| 90846 | A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family. | 26 | 70 | 210 | $170 | $244.7K |
| 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… | 62 | 80 | 430 | $120 | $173.9K |
Showing 1–10 of 24
Other providers in the same ZIP code as The Children's Home Of Cincinnati Ohio, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Transitions Behavioral Health | OH | Community/Behavioral Health Agency | $0 | $8.7M |
| In Home Health LLC | OH | Community Based Hospice Care Agency | $0 | $8.2M |
| Haroon Chaudhry | OH | Ophthalmology Physician | $2.4M | $0 |
| Slobodan Stanisic | OH | Hematology & Oncology Physician | $1.4M | $0 |
| Hisham Arar | OH | Ophthalmology Physician | $476.8K | $0 |
| Robert Cody | OH | Hematology & Oncology Physician | $427.3K | $0 |
| Brian Mannion | OH | Hematology & Oncology Physician | $341.1K | $0 |
| Susannah Becker | OH | Endocrinology, Diabetes & Metabolism Physician | $281.6K | $0 |
| Patrick Kirk | OH | Orthopaedic Surgery Physician | $257K | $0 |
| Edward Lim | OH | Orthopaedic Surgery Physician | $240.4K | $0 |
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