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.

Bloom Of Grace Rehab LLC (NPI 1558861120)

Field	Value
Entity Type	Organization
Organization	Bloom Of Grace Rehab LLC
Address	22 Clinton St
City	Bloomville
State	OH
ZIP	44818
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	February 20, 2018

Payer Source	Total Paid
Medicaid	$24.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	69,210	$190	$12.9M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	22,760	$360	$8.3M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	13,110	$230	$3M

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

Bloom Of Grace Rehab LLC — 0 of 3 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

3 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	14	60	8,280	$370	$5.8M
H2036	Alcohol and/or other drug treatment program, per diem	10	130	13,910	$220	$5.2M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	3	20	3,200	$240	$2.1M

Bloom Of Grace Rehab LLC — Billing Profile & Reimbursement Data

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Bloom Of Grace Rehab 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

Frequently Asked Questions

References