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    OpenPayerNPI Medicare & MedicaidMeridian Behavioral Healthcare, Inc.
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    Meridian Behavioral Healthcare, Inc. — Billing Profile & Reimbursement Data

    NPI 1134287154 · Gainesville, FL · Community/Behavioral Health Agency

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    Meridian Behavioral Healthcare, Inc. is a community/behavioral health agency provider located in Gainesville, Florida. This profile covers 1 Medicare and 20 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)

    FieldValue
    Entity TypeOrganization
    OrganizationMeridian Behavioral Healthcare, Inc.
    Address4300 Sw 13th St
    CityGainesville
    StateFL
    ZIP32608
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedDecember 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$29.9M
    Medicare$169K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…770$220$169.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G2067930570$230$145.7K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2019Therapeutic behavioral services, per 15 minutes158,770$50$8.4M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)78,420$70$5.3M
    T1015Clinic visit/encounter, all-inclusive152,810$30$5M
    H2017Psychosocial rehabilitation services, per 15 minutes31,810$100$3.1M
    H0032Mental health service plan development by non-physician31,970$70$2.3M
    H0031Mental health assessment, by non-physician38,430$60$2.1M
    T1017Targeted case management, each 15 minutes24,870$40$1M
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…26,500$30$688.9K
    H2000Comprehensive multidisciplinary evaluation3,150$160$488.6K
    99221The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…4,310$100$426.7K

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Florida median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1017Targeted case management, each 15 minutes1635607,680$50$1.5M
    H2017Psychosocial rehabilitation services, per 15 minutes1079804,890$100$1.3M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)7906,500$60$1.2M
    H2019Therapeutic behavioral services, per 15 minutes111,8801,010$70$544.5K
    T1015Clinic visit/encounter, all-inclusive3680680$50$308.4K
    99213The 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…8985,930460$40$169.3K
    H2000Comprehensive multidisciplinary evaluation33400110$150$162.7K
    99214The 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…4,2356,380430$50$139.3K
    H0032Mental health service plan development by non-physician81,130110$60$91.7K
    H0031Mental health assessment, by non-physician101,160210$40$87.3K

    Showing 1–10 of 20

    Nearby Providers

    Other providers in the same ZIP code as Meridian Behavioral Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shands Teaching Hospital And Clinics IncFLEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$17.7M
    Florida Clinical Practice Association IncFLClinical Medical Laboratory$2.7M$3.1M
    Jacqueline RussoFLAnatomic Pathology & Clinical Pathology Physician$2.7M$0
    Victoria BirdFLUrology Physician$297.4K$0
    Ravi PatelFLFamily Medicine Physician$230.5K$0
    Kathleen TelusmaFLFoot & Ankle Surgery Podiatrist$157K$0
    M. MoyFLUrology Physician$131.4K$0
    Amit BadiyeFLInterventional Cardiology Physician$90.7K$0
    Michael LazarowiczFLVascular & Interventional Radiology Physician$60.2K$0
    Arturo TorresFLCritical Care Medicine (Anesthesiology) Physician$16.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Meridian Behavioral Healthcare, Inc. — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Meridian Behavioral Healthcare, Inc. — 10 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida