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.

Harbor (NPI 1366526782)

Field	Value
Entity Type	Organization
Organization	Harbor
Address	3909 Woodley Rd
City	Toledo
State	OH
ZIP	43606
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 24, 2006

Payer Source	Total Paid
Medicaid	$77.4M
Medicare	$0

Key Findings

HARBOR is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is $77.4M, indicating the organization’s scale and reliance on Medicaid as its primary funding source. This payer concentration shapes both service mix and financial exposure to Medicaid policy and rate changes.

Revenue is highly concentrated in a small set of services: the top three Medicaid codes account for 58.3% of total Medicaid revenue, led by H2019 ($18.9M, 24.4%), 90837 ($14.3M, 18.6%), and 99214 ($11.8M, 15.3%). That concentration suggests a business model focused around a few high-volume service lines.

The code mix points to an operation built around intensive psychotherapy and behavioral services: large volumes for 90837, 90833, 90834, H2019, H2020, and H0036 indicate long psychotherapy sessions, therapeutic behavioral services (per 15 minutes and per diem), and community psychiatric supportive treatment as core offerings. These codes collectively portray HARBOR as a community mental health clinic delivering both direct psychotherapy and structured behavioral supports.

HARBOR is a major competitive presence in Ohio for several high-revenue services: 90837 ranks #6 of 2643 providers in-state (100th percentile; extreme outlier), 90833 ranks #2 of 510 providers in-state (100th percentile; extreme outlier), and 99214 ranks #31 of 4514 providers in-state (99th percentile; extreme outlier). Those standings indicate the provider operates at volumes far above typical state peers for long psychotherapy and higher-complexity E&M visits.

Several additional codes further reinforce statewide prominence in community-based care: H2019 ranks #20 of 840 providers in-state (98th percentile; notably above typical state volume) and H0036 ranks #7 of 735 providers in-state (99th percentile; extreme outlier), signaling strong delivery of therapeutic behavioral services and face-to-face community psychiatric support. By contrast, some care-management codes like T2022 ($5.1M) rank #6 of 36 providers in-state (86th percentile; typical, unremarkable volume), showing a mix of exceptional and more typical statewide positioning across service lines.

Operational risk is concentrated because a majority of Medicaid revenue is tied to a few services and to a single payer: the top three codes represent 58.3% of Medicaid revenue and there is no Medicare book of business. This concentration creates sensitivity to utilization shifts, coding policy changes, or Medicaid reimbursement adjustments affecting those high-volume codes.

HARBOR also shows notable capacity for psychiatric evaluation and testing: 90791 ($1.1M) ranks #9 of 1263 providers in-state (99th percentile; extreme outlier) and 96101 ($108.7K) ranks #2 of 196 providers in-state (99th percentile; extreme outlier). Those rankings suggest a robust intake, diagnostic, and psychological testing capability as part of its clinical workflow.

The provider is an established local operator with long tenure: the NPI was enumerated on 2006-10-24 (~20 years ago), and the cumulative Medicaid revenue of $77.4M combined with multiple top-percentile code rankings indicate sustained, sizable operations in Toledo, OH and a well-entrenched role in the state’s behavioral health service network.

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	198,530	$100	$18.9M
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…	164,770	$90	$14.3M
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…	128,380	$90	$11.8M
H2020	Therapeutic behavioral services, per diem	50,620	$120	$6.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	142,330	$40	$5.1M
T2022	Case management, per month	9,760	$520	$5.1M
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…	54,150	$60	$3.4M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	12,000	$250	$3M
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…	48,200	$50	$2.4M
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…	26,370	$60	$1.6M

Showing 1–10 of 47

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

Harbor — 12 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	86	130	13,910	$220	$5.2M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	3	10	12,000	$270	$3.1M
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…	406	610	1,350	$150	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	20	840	240	$90	$1.8M
T2022	Case management, per month	6	40	700	$150	$1.8M
H2020	Therapeutic behavioral services, per diem	14	310	1,190	$150	$1.5M
T2023	Targeted case management; per month	19	20	1,050	$380	$1.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	7	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	29	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…	6	2,640	620	$90	$408.2K

Showing 1–10 of 47

Related Providers

Other providers that share a Tax Identification Number (TIN) with Harbor, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harbor	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.4M
Irfan Ahmed	OH	Psychiatry Physician	$185.7K	$52.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Toledo Hospital	OH	General Acute Care Hospital	$0	$151.2M
Emergency Physicians Of Northwest Ohio Inc.	OH	Emergency Medicine Physician	$0	$32.6M
Maxim Healthcare Services, Inc.	OH	Home Health Agency	$0	$22.2M
Pharmacy Counter, LLC	OH	Durable Medical Equipment & Medical Supplies	$0	$19.7M
Empowered For Excellence Behavioral Health Ohio	OH	Community/Behavioral Health Agency	$0	$13.4M
Empowered For Excellence Behavioral Health Ohio	OH	Community/Behavioral Health Agency	$0	$11.1M
A Better Life 2 Embrace LLC (a.b.l.e.) LLC	OH	Community/Behavioral Health Agency	$0	$9.9M
Toledo Radiological Associates, Inc.	OH	Diagnostic Radiology Physician	$0	$9.4M
Prime Hha, LLC	OH	Home Health Agency	$0	$9.1M
Mohammed Abusamieh	OH	Rheumatology Physician	$1.1M	$0

Harbor — Billing Profile & Reimbursement Data

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Harbor — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References