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.

Access Ohio, LLC (NPI 1194179150)

Field	Value
Entity Type	Organization
Organization	Access Ohio, LLC
Address	2611 Wayne Ave Bldg 64
City	Dayton
State	OH
ZIP	45420
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	April 15, 2016

Payer Source	Total Paid
Medicaid	$40.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	46,140	$380	$17.5M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	64,150	$250	$16M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	13,400	$120	$1.6M
T1002	Rn services, up to 15 minutes	21,390	$40	$855.7K
H0006	Alcohol and/or drug services; case management	18,470	$50	$849.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	19,850	$20	$337.4K
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.	6,960	$40	$299.5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	16,390	$10	$213K
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…	2,270	$80	$188.7K
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…	1,230	$100	$125.3K

Showing 1–10 of 61

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

Access Ohio, LLC — 2 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

61 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	7	60	8,280	$370	$5.8M
81226	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for cytochrome P450, family 2, subfamily D, polypeptide 6, also known as CYP2D6.	4	10	80	$40	$2.7M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1	20	3,200	$240	$2.1M
81225	The lab analyst performs the technical lab test to detect the presence of common changes in the gene for cytochrome P450, family 2, subfamily C, polypeptide 19, also known as CYP2C19.	4	10	90	$30	$2M
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…	316	610	1,350	$150	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	246	840	240	$90	$1.8M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	8	80	910	$110	$884.9K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	29	50	310	$110	$817.2K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	278	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…	740	2,640	620	$90	$408.2K

Showing 1–10 of 61

Nearby Providers

Other providers in the same ZIP code as Access Ohio, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Hospice Of Dayton, Inc.	OH	Community Based Hospice Care Agency	$0	$71M
Alliance Physicians Inc	OH	Family Medicine Physician	$0	$38.9M
Ohio Pediatrics, Inc.	OH	Pediatrics Physician	$0	$7.4M
Greater Dayton Surgery Center LLC	OH	Ambulatory Surgical Clinic/Center	$1.1M	$0
Paul Nitz	OH	Orthopaedic Surgery Physician	$196.8K	$0
Jeffrey Hoskins	OH	Orthopaedic Surgery Physician	$137.7K	$0
Kevin Paley	OH	Orthopaedic Surgery Physician	$123.2K	$0
Melissa Rammel	OH	Physician Assistant	$64K	$0
David Seymour	OH	Physical Medicine & Rehabilitation Physician	$44.8K	$0

Access Ohio, LLC — Billing Profile & Reimbursement Data

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Access Ohio, LLC — Billing Profile & Reimbursement Data

Sign up for Access Ohio, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References