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.

Riverside Recovery Services LLC (NPI 1518356708)

Field	Value
Entity Type	Organization
Organization	Riverside Recovery Services LLC
Address	201 W High St Ste B
City	Mount Vernon
State	OH
ZIP	43050
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 12, 2015

Payer Source	Total Paid
Medicaid	$28.7M
Medicare	$0

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
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…	112,100	$120	$13.8M
H0006	Alcohol and/or drug services; case management	267,970	$40	$10.7M
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…	19,340	$80	$1.6M
H0005	Alcohol and/or drug services; group counseling by a clinician	30,640	$50	$1.6M
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	31,950	$10	$447.2K
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…	6,940	$50	$319.4K
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…	1,090	$60	$61K
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	140	$380	$54.6K
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	240	$230	$53.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	370	$90	$34.7K

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.

Claims Volume vs. Ohio Distribution

Riverside Recovery Services LLC — 3 of 16 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

16 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	54	60	8,280	$370	$5.8M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	19	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…	11	610	1,350	$150	$1.9M
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…	144	2,640	620	$90	$408.2K
H0006	Alcohol and/or drug services; case management	2	710	520	$50	$307.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	18	490	940	$50	$271.1K
H0038	Self‑help/peer services, per 15 minutes	137	230	560	$60	$194.2K
T1002	Rn services, up to 15 minutes	248	290	620	$50	$192.8K
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…	49	80	430	$120	$173.9K
T1003	Lpn/lvn services, up to 15 minutes	159	240	960	$30	$155.6K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Riverside Recovery Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Knox Community Hospital	OH	General Acute Care Hospital	$0	$29.3M
Peoplefirst Homecare & Hospice Of Ohio, LLC	OH	Community Based Hospice Care Agency	$0	$19.9M
City Of Mount Vernon City Auditor	OH	Land Ambulance	$452.9K	$810.8K
Jed Henry	OH	Urology Physician	$256.3K	$0
Frederick Carroll	OH	Internal Medicine Physician	$188.8K	$0
Deborah Reeder	OH	Ophthalmology Physician	$148.5K	$270
Michael Fracassa	OH	Podiatrist	$101.1K	$0
Gangaram Rasa	OH	Cardiovascular Disease Physician	$99.1K	$960
Gregory Johnson	OH	Psychologist	$74K	$0
Michael Heuman	OH	Surgery Physician	$66K	$0

Riverside Recovery Services LLC — Billing Profile & Reimbursement Data

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Riverside Recovery Services LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References