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NPI 1215947809 · Toledo, OH · Community/Behavioral Health Agency
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Zepf Center is a community/behavioral health agency provider located in Toledo, Ohio. This profile covers 1 Medicare and 58 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 | Zepf Center |
| Address | 2005 Ashland Ave |
| City | Toledo |
| State | OH |
| ZIP | 43620 |
| Taxonomy | Community/Behavioral Health Agency |
| NPI Enumerated | August 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $60.8M |
| Medicare | $92.5K |
ZEPF CENTER is overwhelmingly Medicaid-focused: it reported $92.5K in lifetime Medicare revenue versus $60.8M in lifetime Medicaid revenue, so Medicaid accounts for the vast majority of its billing activity and financial footprint. In practical terms the organization functions as a Medicaid-dominant community behavioral health agency rather than a Medicare-driven outpatient provider.
Medicare activity is narrowly concentrated: the precomputed top-three Medicare codes account for 100.0% of its Medicare revenue, and the single listed Medicare driver, G2067, represents $92.3K (100.0% of Medicare revenue) and ranks #649 of 830 nationally (22th percentile). This pattern indicates ZEPF’s Medicare footprint is driven entirely by its role as a medicare-enrolled opioid treatment program rather than a broad set of outpatient services.
Medicaid revenue is also concentrated but across behavioral-health services: the precomputed top-three Medicaid codes account for 59.9% of Medicaid revenue, led by H2019 ($18M, 29.7%), 99214 ($10.7M, 17.7%), and 90837 ($7.6M, 12.6%). Together these codes show the organization generates most Medicaid dollars from therapeutic behavioral services, higher-complexity E&M visits, and long psychotherapy sessions, signaling a service mix centered on intensive outpatient behavioral health.
The detailed code mix points to a multi-modal behavioral health operation: high volumes of H2019 (therapeutic behavioral services), large counts of psychotherapy codes (90837, 90833, 90832, 90834), substantial E&M billing (99214, 99215, 99213), plus programmatic codes like S0281 (medical home) and H0040 (assertive community treatment). This combination suggests ZEPF delivers medication-assisted treatment, structured therapeutic services, care coordination/medical-home functions, and assertive community treatment rather than primarily brief primary-care visits.
ZEPF holds notable competitive positions within Ohio for specific program codes: S0281 ranks #1 of 5 in-state (100th percentile) with $7.1M, indicating a leading role in the medical home program; H2019 ranks #18 of 840 (98th percentile) and 99214 ranks #42 of 4514 (99th percentile, labeled an "extreme outlier"), showing unusually high state-level volume for core behavioral-health services. At the same time its national ranking on the Medicare MAT code G2067 is modest, so its dominance is concentrated in Medicaid/state-program lines rather than Medicare markets.
Multiple Medicaid codes are flagged as statistical outliers or notably above typical state volume: 99214 and 90837 are labeled "extreme outlier" (99th percentile), 90785 is an "extreme outlier" (98th percentile), and H2019 and H0036 are described as "notably above typical" (98th percentile). These labels point to consistently high utilization of higher-complexity visits and psychotherapy relative to peers, which is operationally meaningful for contracting, capacity planning, and program monitoring.
The provider appears operationally established: its NPI was enumerated on 2006-08-08 (~20 years ago), indicating long tenure in the community behavioral health market. That longevity aligns with the broad set of programmatic codes billed (medical home, ACT, therapeutic services), suggesting mature service lines rather than a newly developed practice.
For payers and analysts, the key implications are clear and actionable: because Medicaid drives almost all revenue and a handful of codes (precomputed top-three = 59.9% of Medicaid revenue) concentrate that revenue, oversight, contracting, and capacity discussions should prioritize H2019, 99214, 90837, and program codes like S0281 and H0040. Given S0281’s #1 in-state position and the extreme outlier status of several codes, ZEPF represents a major state-level behavioral health capacity node whose program-level performance and reimbursement arrangements merit focused review and strategic engagement.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 400 | $230 | $92.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G2067 | 7 | 20 | 360 | $230 | $96.4K |
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.
58 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, per 15 minutes | 213,950 | $80 | $18M |
| 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… | 110,320 | $100 | $10.7M |
| 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… | 82,620 | $90 | $7.6M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 22,140 | $320 | $7.1M |
| H0040 | Assertive community treatment program, per diem | 19,260 | $290 | $5.7M |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 115,580 | $40 | $4M |
| H2020 | Therapeutic behavioral services, per diem | 6,250 | $150 | $962K |
| 90833 | In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the… | 16,090 | $50 | $869.1K |
| 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… | 5,880 | $140 | $847.2K |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 16,710 | $50 | $785.2K |
Showing 1–10 of 58
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
58 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 | 51 | 60 | 8,280 | $370 | $5.8M |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 1 | 10 | 12,000 | $270 | $3.1M |
| H0040 | Assertive community treatment program, per diem | 5 | 20 | 3,770 | $260 | $2.8M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 67 | 120 | 7,190 | $30 | $2.6M |
| 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… | 371 | 610 | 1,350 | $150 | $1.9M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 18 | 840 | 240 | $90 | $1.8M |
| H2020 | Therapeutic behavioral services, per diem | 86 | 310 | 1,190 | $150 | $1.5M |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 15 | 740 | 480 | $60 | $669.5K |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 33 | 240 | 1,090 | $50 | $509.2K |
| 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… | 22 | 2,640 | 620 | $90 | $408.2K |
Showing 1–10 of 58
Other providers in the same ZIP code as Zepf Center, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Zepf Center | OH | Community/Behavioral Health Agency | $0 | $56.8M |
| Rodney Thomas | OH | Clinical Social Worker | $22K | $0 |
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