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.

Evolve Behavioral Health LLC. (NPI 1255819504)

Field	Value
Entity Type	Organization
Organization	Evolve Behavioral Health LLC.
Address	5788 Ridge Rd Ste 3
City	Parma
State	OH
ZIP	44129
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	July 30, 2018

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	21,450	$160	$3.5M
H0038	Self‑help/peer services, per 15 minutes	16,460	$170	$2.9M
H0006	Alcohol and/or drug services; case management	12,930	$50	$659.5K
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…	5,110	$90	$475.1K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	6,610	$10	$86K
H0005	Alcohol and/or drug services; group counseling by a clinician	400	$100	$38.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	310	$100	$31.3K
T1002	Rn services, up to 15 minutes	170	$110	$18.5K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	1,560	$10	$12.5K
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…	120	$50	$5.7K

Showing 1–10 of 13

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

Evolve Behavioral Health LLC. — 1 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	91	610	1,350	$150	$1.9M
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…	411	2,640	620	$90	$408.2K
H0006	Alcohol and/or drug services; case management	87	710	520	$50	$307.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	284	490	940	$50	$271.1K
H0038	Self‑help/peer services, per 15 minutes	9	230	560	$60	$194.2K
T1002	Rn services, up to 15 minutes	199	290	620	$50	$192.8K
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…	1,257	1,320	290	$50	$148.6K
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…	940	1,320	450	$40	$139.1K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	152	640	660	$10	$117.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	217	250	340	$50	$105.1K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Evolve Behavioral Health LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Buckeye Homecare Services Inc.	OH	Home Health Agency	$0	$19.1M
Parma Community General Hospital Association	OH	General Acute Care Hospital	$0	$15.7M
Mcintyre Center Inc.	OH	Community/Behavioral Health Agency	$0	$13.9M
City Of Parma	OH	Land Ambulance	$662.7K	$1.9M
Tiffany Colston	OH	Adult Health Nurse Practitioner	$517.6K	$0
Hailey Brogan	OH	Family Nurse Practitioner	$505K	$0
Muneeb Ilyas	OH	Dermatology Physician	$445.6K	$0
Basel Altaqi	OH	Pulmonary Disease Physician	$329.4K	$0
Raju Modi	OH	Cardiovascular Disease Physician	$187.7K	$0
Tim Sidor	OH	Urology Physician	$165.5K	$0

Evolve Behavioral Health LLC. — Billing Profile & Reimbursement Data

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Evolve Behavioral Health LLC. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References