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.

First Step Recovery Center (NPI 1477004810)

Field	Value
Entity Type	Organization
Organization	First Step Recovery Center
Address	1653 Brice Rd
City	Reynoldsburg
State	OH
ZIP	43068
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	October 20, 2016

Payer Source	Total Paid
Medicaid	$39M
Medicare	$0

Medicaid: Complete Services Breakdown

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

56 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…	94,650	$170	$15.6M
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…	76,200	$80	$5.9M
H0005	Alcohol and/or drug services; group counseling by a clinician	108,440	$50	$5.1M
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…	36,480	$50	$1.9M
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	112,200	$10	$1.6M
T1003	Lpn/lvn services, up to 15 minutes	58,920	$20	$1.4M
H0006	Alcohol and/or drug services; case management	25,560	$50	$1.2M
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…	12,410	$90	$1.1M
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…	6,280	$110	$716.4K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	4,240	$130	$568.4K

Showing 1–10 of 56

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

First Step Recovery Center — 6 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

56 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…	15	610	1,350	$150	$1.9M
H0014	Alcohol and/or drug services; ambulatory detoxification	29	40	780	$260	$1.1M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	20	80	910	$110	$884.9K
H0012	Behavioral health day treatment, per hour	10	30	650	$340	$476.3K
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…	204	2,640	620	$90	$408.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	119	340	2,260	$30	$398.2K
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…	674	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…	74	5,080	560	$40	$323.9K
H0006	Alcohol and/or drug services; case management	37	710	520	$50	$307.3K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	12	70	560	$70	$292.9K

Showing 1–10 of 56

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vernon Reynolds	OH	Anesthesiology Physician	$28.5K	$0
James Guenther	OH	Addiction Medicine (Internal Medicine) Physician	$13.4K	$0
Mario Bianconi	OH	Family Nurse Practitioner	$7.1K	$0

Nearby Providers

Other providers in the same ZIP code as First Step Recovery Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Serenity Home Health Agency, LLC	OH	Home Health Agency	$0	$74.5M
Intra-national Home Care, LLC	OH	In Home Supportive Care Agency	$0	$60.2M
Medina Home Healthcare LLC	OH	Home Health Agency	$0	$21.7M
Ivory Home Health Services Inc.	OH	Home Health Agency	$0	$20.3M
24-seven Home Health Care LLC	OH	Home Health Agency	$0	$19.6M
Almis Home Healthcare, LLC	OH	Home Health Agency	$0	$18.8M
Lbs International Inc Dba Friendly Care Agency	OH	Home Health Agency	$0	$15.2M
Nina's Health Care Services	OH	Home Health Agency	$0	$14.4M
Friendly Care, Inc	OH	Home Health Agency	$0	$12.5M
Ultimate Home Healthcare Services, Inc.	OH	Home Health Agency	$0	$11.7M

First Step Recovery Center — Billing Profile & Reimbursement Data

Sign up for First Step Recovery Center — Billing Profile & Reimbursement Data policy alerts

First Step Recovery Center — Billing Profile & Reimbursement Data

Sign up for First Step Recovery Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References