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.

Scioto County Counseling Center, Inc (NPI 1477814879)

Field	Value
Entity Type	Organization
Organization	Scioto County Counseling Center, Inc
Address	411 Court St
City	Portsmouth
State	OH
ZIP	45662
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	June 1, 2012

Payer Source	Total Paid
Medicaid	$166.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer: Medicare shows none (no Medicare billing on file) while Medicaid accounts for $166.5M in lifetime revenue, and the NPI was enumerated 2012-06-01 (~14 years ago), indicating a multi‑year operating history focused on Medicaid reimbursement. The absence of Medicare billing makes Medicaid the primary source of clinical volume and financial performance for this entity.

Revenue is highly concentrated in a small set of addiction treatment codes: the top three Medicaid codes account for 85.1% of total Medicaid revenue, led by H0015 ($104.8M, 62.9%), followed by H0011 ($24.4M, 14.7%) and H0006 ($12.4M, 7.5%). This concentration shows the business is heavily driven by a few SUD treatment services rather than a broad mix of outpatient medical care.

The code mix and descriptions point to a specialized substance use disorder treatment operation: H0015 (intensive outpatient), H0011 (acute detoxification inpatient), and H0006 (case management) together dominate revenue, indicating the provider delivers intensive outpatient programming, inpatient detox services, and care coordination for SUD patients. The presence of per‑diem H2036 and group counseling H0005 further supports a multi‑level SUD treatment model spanning residential and outpatient settings.

State competitive standing is dominant for several core services. The provider ranks #1 of 608 in-state for H0015 (100th percentile; extreme outlier) and #1 of 644 for H0048 (100th percentile; extreme outlier), while H0006 ranks #4 of 714 (100th percentile; extreme outlier) and H0011 ranks #4 of 60 (95th percentile; notably above typical state volume), indicating this organization is a major statewide player for intensive outpatient, case management, detox, and specimen collection services.

Operational throughput is large: the top activity codes show very high claim volumes (for example H0015 588.5K claims, H0006 210.5K claims, H0048 312.8K claims), which is consistent with a high-volume SUD treatment operation that processes frequent visits and testing. High claim counts for testing and short‑interval services suggest robust recurring engagement with a large Medicaid patient population.

Ancillary and behavioral health services are present but represent a much smaller share of revenue. Psychotherapy codes such as 90837 ($3.2M, 1.9%) and 90834 ($1.9M, 1.2%) appear in the mix alongside peer services H0038 ($314.6K) and nursing T1002/T1003, indicating the provider supplements addiction treatment with counseling, peer support, and nursing services rather than relying on psychotherapy as a primary revenue driver.

The provider demonstrates exceptional volume in specimen collection and testing: H0048 has 312.8K claims for $4.4M and ranks #1 of 644 in-state (100th percentile; extreme outlier). This pattern indicates a significant operational emphasis on drug testing logistics and specimen handling as a routine, high-frequency component of care delivery and monitoring in their SUD programs.

Concentration and single‑payer exposure create strategic sensitivity to Medicaid policy or rate changes. Because Medicaid is the exclusive billing source on file and 85.1% of Medicaid revenue comes from the top three SUD codes, changes to coverage, utilization management, or rate schedules for H0015/H0011/H0006 could materially impact this provider’s revenue base; analysts should treat this profile as high‑concentration, high‑payer‑dependence when modeling financial or network planning scenarios.

Medicaid: Complete Services Breakdown

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…	588,490	$180	$104.8M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	64,910	$380	$24.4M
H0006	Alcohol and/or drug services; case management	210,520	$60	$12.4M
H2036	Alcohol and/or other drug treatment program, per diem	52,810	$190	$10.2M
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	312,770	$10	$4.4M
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…	36,210	$90	$3.2M
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…	32,470	$60	$1.9M
H0005	Alcohol and/or drug services; group counseling by a clinician	20,850	$80	$1.6M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	2,910	$250	$729.4K
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…	7,580	$80	$606.2K

Showing 1–10 of 41

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

Scioto County Counseling Center, Inc — 7 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

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	4	60	8,280	$370	$5.8M
H2036	Alcohol and/or other drug treatment program, per diem	19	130	13,910	$220	$5.2M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	12	20	3,200	$240	$2.1M
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…	1	610	1,350	$150	$1.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	633	740	480	$60	$669.5K
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…	80	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.	130	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…	809	4,510	500	$60	$377.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	244	270	8,700	$10	$353.7K
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…	772	5,080	560	$40	$323.9K

Showing 1–10 of 41

Related Providers

Other providers that share a Tax Identification Number (TIN) with Scioto County Counseling Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scioto County Counseling Center, Inc.	OH	Mental Health Counselor	$0	$27.7M
Tiffany Newman	OH	Family Nurse Practitioner	$14.3K	$1.9K

Nearby Providers

Other providers in the same ZIP code as Scioto County Counseling Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Ohio Medical Center	OH	General Acute Care Hospital	$0	$144.9M
Phoenix Group Home, LLC	OH	Community/Behavioral Health Agency	$0	$98.8M
Mahajan Therapeutics, LLC	OH	Community/Behavioral Health Agency	$0	$33.9M
Amazing Grace Center Inc	OH	Methadone Clinic	$349.1K	$26.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Portsmouth Emergency Ambulance Service Inc	OH	Ambulance	$3.6M	$18.7M
Genesis Respiratory Services Inc	OH	Durable Medical Equipment & Medical Supplies	$0	$20.4M
Portsmouth Hospital Corporation	OH	General Acute Care Hospital	$0	$19.7M
Jay Hash LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$19.1M
Port45 Recovery LLC	OH	Addiction (Substance Use Disorder) Counselor	$0	$18.6M

Scioto County Counseling Center, Inc — Billing Profile & Reimbursement Data

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Scioto County Counseling Center, Inc — 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