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NPI 1407115298 · Youngstown, OH · Methadone Clinic
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Meridian Healthcare is a methadone clinic provider located in Youngstown, Ohio. This profile covers 3 Medicare and 42 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 | Meridian Healthcare |
| Address | 527 N Meridian Rd |
| City | Youngstown |
| State | OH |
| ZIP | 44509 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | May 14, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $67.5M |
| Medicare | $99K |
MERIDIAN HEALTHCARE is heavily Medicaid-dependent: reported Medicaid revenue is $67.5M versus total Medicare revenue of $99K, indicating the provider operates with an overwhelmingly Medicaid-funded patient base and is effectively a single-payer provider in scale. This skew suggests operational focus and commercial strategy are aligned to Medicaid-managed care and fee-for-service Medicaid flows rather than Medicare populations.
The provider’s code mix and top revenue drivers identify it as an opioid treatment program (OTP) offering medication-assisted treatment and allied services. Medicare top codes include G2067, G2068, and G2077 (weekly methadone and buprenorphine bundles plus periodic assessment), while Medicaid top codes H0020, H2036, and T1502 reflect large-scale methadone administration, per-diem treatment, and medication administration—together supporting an integrated dispensing, counseling, and monitoring model.
Medicare revenue is highly concentrated: the provider’s top three Medicare codes account for 100.0% of its total Medicare revenue, with G2067 alone comprising the largest share of the Medicare line. Despite that concentration, the provider’s Medicare volume is modest in national context for core OTP codes (for example, G2067 ranks #708 of 830 nationally, in the 15th percentile), indicating a limited Medicare footprint.
Medicaid revenue is also concentrated but more distributed: the top three Medicaid codes (H0020, H2036, T1502) account for 60.1% of Medicaid revenue, with H0020 representing a single large line at 29.2% of Medicaid revenue and H2036 and T1502 together adding another substantive share. This concentration underscores that methadone administration and facility-level treatment days plus on-site medication administration are the core revenue-generating services for the practice.
Competitive standing within Ohio is strong for medication dispensing and on-site administration: H0020 ranks #7 of 117 in-state at the 95th percentile and T1502 ranks #3 of 42 in-state at the 95th percentile, described in the source as “notably above typical” and “typical, unremarkable” volumes respectively but high-ranking. Those ranks position the provider as a major in-state supplier of methadone administration and medication administration services, even if some other service lines are more typical in-state.
The provider shows multiple extreme outlier signals within Medicaid for ancillary services that support an OTP model: S5001 (prescription drug, brand name) is a 100th-percentile extreme outlier in-state and H0048 (drug testing collection) is at the 99th percentile and also labeled an extreme outlier. High ranks for 90832 (psychotherapy, 98th percentile, extreme outlier) further indicate that intensive counseling, brand medication dispensing, and frequent toxicology testing are distinguishing operational features of the practice.
By contrast, the provider’s national Medicare positioning is modest to low: G2068 ranks #12 of 13 (8th percentile) and G2077 ranks #203 of 352 (42nd percentile), signaling that while it bills the full suite of OTP weekly bundles and assessments to Medicare, its scale there is limited relative to national peers. The combination of high Medicaid scale and low Medicare presence implies the organization’s competitive strength is primarily local/state Medicaid markets rather than national Medicare networks.
MERIDIAN HEALTHCARE’s NPI has been enumerated since 2012-05-14 (~14 years ago), indicating an established operating history in YOUNGSTOWN, OH. The long tenure combined with concentrated Medicaid volume and multiple extreme outlier code ranks suggests sustained specialization in OTP services and a stable clinical footprint focused on medication dispensing, testing, and counseling within the state Medicaid system.
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 |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 350 | $200 | $68.5K |
| G2068 | Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if… | 120 | $230 | $26.8K |
| 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… | 40 | $100 | $3.6K |
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.
42 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 503,190 | $40 | $19.6M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 51,170 | $220 | $11.3M |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 126,250 | $80 | $9.5M |
| S5001 | Prescription drug, brand name | 303,470 | $20 | $6.1M |
| S5000 | Prescription drug, generic | 157,190 | $20 | $3.8M |
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 8,530 | $360 | $3.1M |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 171,870 | $10 | $2.4M |
| 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… | 17,670 | $110 | $2M |
| 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… | 39,130 | $50 | $1.9M |
| 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… | 25,080 | $70 | $1.9M |
Showing 1–10 of 42
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
42 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| S5000 | Prescription drug, generic | 3 | 20 | 2,720 | $150 | $7.7M |
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 29 | 60 | 8,280 | $370 | $5.8M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 20 | 130 | 13,910 | $220 | $5.2M |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 3 | 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) | 7 | 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… | 173 | 610 | 1,350 | $150 | $1.9M |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | 36 | 50 | 3,790 | $140 | $1.5M |
| S5001 | Prescription drug, brand name | 1 | 10 | 2,720 | $50 | $1.5M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 2 | 40 | 5,650 | $20 | $435.4K |
| 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… | 737 | 2,640 | 620 | $90 | $408.2K |
Showing 1–10 of 42
Other providers in the same ZIP code as Meridian Healthcare, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Thompson Enterprises Inc. | OH | Community/Behavioral Health Agency | $0 | $17.9M |
| John Kunkel | OH | Podiatrist | $70.7K | $243K |
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