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.

Positive Education Program (NPI 1528035631)

Field	Value
Entity Type	Organization
Organization	Positive Education Program
Address	3100 Euclid Ave
City	Cleveland
State	OH
ZIP	44115
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	March 7, 2006

Payer Source	Total Paid
Medicaid	$12.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	33,510	$100	$3.3M
H2020	Therapeutic behavioral services, per diem	24,960	$100	$2.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	40,810	$50	$2.2M
T2022	Case management, per month	5,030	$420	$2.1M
T2023	Targeted case management; per month	1,440	$770	$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…	5,140	$110	$571K
H2012	Behavioral health day treatment, per hour	11,220	$30	$325.4K
H2000	Comprehensive multidisciplinary evaluation	1,710	$180	$308.3K
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…	2,150	$90	$193.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	610	$100	$60.6K

Showing 1–10 of 25

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

Positive Education Program — 2 of 20 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	101	840	240	$90	$1.8M
T2022	Case management, per month	15	40	700	$150	$1.8M
H2020	Therapeutic behavioral services, per diem	35	310	1,190	$150	$1.5M
T2023	Targeted case management; per month	8	20	1,050	$380	$1.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	57	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	91	240	1,090	$50	$509.2K
H2015	Comprehensive community support services, per 15 minutes	15	20	320	$160	$507.2K
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…	758	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…	766	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…	3,233	5,080	560	$40	$323.9K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Positive Education Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Vincent Charity Medical Center	OH	General Acute Care Hospital	$0	$22.3M
Life Solutions South	OH	Community/Behavioral Health Agency	$0	$18M
Bureau Of Drug Abuse,cleveland Treatment Center,inc.	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.5M
Spectrum Home Health Care, LLC	OH	Home Health Agency	$0	$9.1M
William Wiley	OH	Ophthalmology Physician	$489.5K	$0
Pushkar Kanade	OH	Internal Medicine Physician	$392.4K	$0
Houssam Mhanna	OH	Internal Medicine Physician	$311.8K	$0
Muhammed Zahra	OH	Cardiovascular Disease Physician	$215.5K	$0
Imraan Haniff	OH	Emergency Medicine Physician	$201.9K	$0
Thomas Chester	OH	Optometrist	$104.2K	$73.7K

Positive Education Program — Billing Profile & Reimbursement Data

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Positive Education Program — Billing Profile & Reimbursement Data

Sign up for Positive Education Program — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References