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NPI 1366992224 · Cincinnati, OH · Substance Use Disorder Rehabilitation Clinic/Center
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Decoach Team LLC is a substance use disorder rehabilitation clinic/center provider located in Cincinnati, Ohio. This profile covers 3 Medicare and 41 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 | Decoach Team LLC |
| Address | 100 Crowne Point Pl |
| City | Cincinnati |
| State | OH |
| ZIP | 45241 |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| NPI Enumerated | October 4, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $48.2M |
| Medicare | $73.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2068 | Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if… | 150 | $270 | $38.8K |
| G2079 | Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary… | 260 | $80 | $20.1K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 130 | $110 | $14.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
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.
41 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… | 90,380 | $170 | $15.2M |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 23,070 | $190 | $4.4M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 15,010 | $290 | $4.3M |
| 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… | 30,810 | $110 | $3.4M |
| T1002 | Rn services, up to 15 minutes | 52,370 | $60 | $2.9M |
| 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… | 25,960 | $100 | $2.5M |
| S5000 | Prescription drug, generic | 17,740 | $140 | $2.5M |
| S5001 | Prescription drug, brand name | 9,770 | $250 | $2.4M |
| H0006 | Alcohol and/or drug services; case management | 44,860 | $50 | $2.3M |
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 3,930 | $400 | $1.6M |
Showing 1–10 of 41
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
41 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| S5000 | Prescription drug, generic | 6 | 20 | 2,720 | $150 | $7.7M |
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 39 | 60 | 8,280 | $370 | $5.8M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 64 | 130 | 13,910 | $220 | $5.2M |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 11 | 40 | 2,350 | $140 | $4.4M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 82 | 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… | 18 | 610 | 1,350 | $150 | $1.9M |
| H2019 | Therapeutic behavioral services, per 15 minutes | 817 | 840 | 240 | $90 | $1.8M |
| S5001 | Prescription drug, brand name | 4 | 10 | 2,720 | $50 | $1.5M |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 342 | 740 | 480 | $60 | $669.5K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 11 | 40 | 5,650 | $20 | $435.4K |
Showing 1–10 of 41
Other providers in the same ZIP code as Decoach Team LLC, ranked by combined Medicare and Medicaid revenue.
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