Springvale Health Centers, Inc — Billing Profile & Reimbursement Data
NPI 1477508406 · Dover, OH · Mental Health Counselor
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Springvale Health Centers, Inc is a mental health counselor provider located in Dover, Ohio. This profile covers 0 Medicare and 16 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 | Springvale Health Centers, Inc |
| Address | 201 Hospital Dr |
| City | Dover |
| State | OH |
| ZIP | 44622 |
| Taxonomy | Mental Health Counselor |
| NPI Enumerated | May 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $13.6M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
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
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, per 15 minutes | 60,460 | $100 | $6.2M |
| 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… | 30,920 | $90 | $2.8M |
| 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… | 21,900 | $90 | $2M |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 10,530 | $40 | $421.3K |
| H2020 | Therapeutic behavioral services, per diem | 2,820 | $130 | $365.9K |
| 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… | 7,550 | $50 | $354.9K |
| 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… | 4,320 | $60 | $272.3K |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 10,170 | $30 | $254.1K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 1,200 | $200 | $241.4K |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 2,200 | $100 | $218.1K |
Showing 1–10 of 16
Medicaid: Competitive Analysis & Benchmarks
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
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, per 15 minutes | 67 | 840 | 240 | $90 | $1.8M |
| H2020 | Therapeutic behavioral services, per diem | 119 | 310 | 1,190 | $150 | $1.5M |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 141 | 740 | 480 | $60 | $669.5K |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 49 | 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… | 94 | 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… | 228 | 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… | 1,794 | 5,080 | 560 | $40 | $323.9K |
| 90839 | In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts… | 19 | 80 | 430 | $120 | $173.9K |
| 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… | 168 | 1,320 | 290 | $50 | $148.6K |
| 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… | 137 | 1,320 | 450 | $40 | $139.1K |
Showing 1–10 of 16
Nearby Providers
Other providers in the same ZIP code as Springvale Health Centers, Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Union Hospital Association | OH | Rural Acute Care Hospital | $0 | $20.2M |
| Smith Ambulance Service Inc | OH | Ambulance | $1M | $1.8M |
| Saleh Hatoum | OH | Radiation Oncology Physician | $760.2K | $0 |
| Tuscarawas Valley Regional Cancer Center | OH | Special Hospital | $241.6K | $0 |
| Lindsey Clark | OH | Dermatology Physician | $179.1K | $0 |
| Javedul Haque | OH | Psychiatry Physician | $168.6K | $0 |
| William Swoger | OH | Pulmonary Disease Physician | $161.6K | $0 |
| Michael Gigax | OH | Urology Physician | $122.6K | $0 |
| Lee Sayner | OH | Foot & Ankle Surgery Podiatrist | $99.8K | $0 |
| Andrew Miller | OH | Foot & Ankle Surgery Podiatrist | $73K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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