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.

Cadence Care Network (NPI 1558339762)

Field	Value
Entity Type	Organization
Organization	Cadence Care Network
Address	165 E Park Ave
City	Niles
State	OH
ZIP	44446
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	March 14, 2006

Payer Source	Total Paid
Medicaid	$15M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	75,930	$100	$7.4M
T2022	Case management, per month	5,100	$490	$2.5M
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…	21,640	$100	$2.1M
T2023	Targeted case management; per month	880	$1,070	$935.6K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	11,220	$50	$605.8K
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…	7,390	$50	$391.8K
S5150	Unskilled respite care, not hospice; per 15 minutes	2,280	$150	$341.7K
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…	4,840	$70	$333.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,060	$100	$109.8K
H2015	Comprehensive community support services, per 15 minutes	700	$160	$109.2K

Showing 1–10 of 22

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

Cadence Care Network — 2 of 18 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	53	840	240	$90	$1.8M
T2022	Case management, per month	14	40	700	$150	$1.8M
T2023	Targeted case management; per month	15	20	1,050	$380	$1.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	137	740	480	$60	$669.5K
H2015	Comprehensive community support services, per 15 minutes	7	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…	131	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…	3,383	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…	3,798	5,080	560	$40	$323.9K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	45	140	140	$160	$266.4K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	55	70	210	$170	$244.7K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Cadence Care Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Day Recovery LLC	OH	Substance Abuse Rehabilitation Facility	$0	$65.9M
Clinic Medical Services Company	OH	Diagnostic Radiology Physician	$410.1K	$0
Ramy Fahim	OH	Foot & Ankle Surgery Podiatrist	$111.7K	$0
Joey Annichine	OH	Family Nurse Practitioner	$17.9K	$0

Cadence Care Network — Billing Profile & Reimbursement Data

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Cadence Care Network — 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