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.

Pike County Recovery Council Inc (NPI 1275589178)

Field	Value
Entity Type	Organization
Organization	Pike County Recovery Council Inc
Address	14572 Us Highway 23
City	Waverly
State	OH
ZIP	45690
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	May 25, 2006

Payer Source	Total Paid
Medicaid	$49.6M
Medicare	$0

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 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…	135,180	$140	$19.3M
H2036	Alcohol and/or other drug treatment program, per diem	85,290	$210	$17.6M
H0006	Alcohol and/or drug services; case management	157,280	$30	$4.7M
H0005	Alcohol and/or drug services; group counseling by a clinician	104,350	$40	$4.3M
T1003	Lpn/lvn services, up to 15 minutes	42,240	$30	$1.2M
T1002	Rn services, up to 15 minutes	23,330	$40	$933.3K
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…	6,960	$90	$619.4K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	20,890	$10	$292.4K
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	890	$260	$226.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,610	$80	$203.2K

Showing 1–10 of 20

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

Pike County Recovery Council Inc — 6 of 19 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	7	130	13,910	$220	$5.2M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	15	20	3,200	$240	$2.1M
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…	5	610	1,350	$150	$1.9M
H2020	Therapeutic behavioral services, per diem	283	310	1,190	$150	$1.5M
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…	320	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…	4,212	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…	4,657	5,080	560	$40	$323.9K
H0006	Alcohol and/or drug services; case management	7	710	520	$50	$307.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	3	490	940	$50	$271.1K
H0038	Self‑help/peer services, per 15 minutes	77	230	560	$60	$194.2K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Pike County Recovery Council Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pike Health Services, Inc	OH	Critical Access Hospital	$0	$9.2M
Community Action Committee Of Pike County	OH	Federally Qualified Health Center (FQHC)	$0	$7.3M
Sean Stiltner	OH	Family Medicine Physician	$243.3K	$0
Pike Co	OH	Public Health or Welfare Agency	$71.7K	$0

Pike County Recovery Council Inc — Billing Profile & Reimbursement Data

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Pike County Recovery Council Inc — 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