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.

Midwest Recovery Center LLC (NPI 1598242281)

Field	Value
Entity Type	Organization
Organization	Midwest Recovery Center LLC
Address	4747 Monroe St
City	Toledo
State	OH
ZIP	43623
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	July 25, 2018

Payer Source	Total Paid
Medicaid	$45.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 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…	213,450	$180	$37.6M
H0006	Alcohol and/or drug services; case management	38,300	$50	$1.7M
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.	33,250	$40	$1.4M
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…	7,630	$110	$808.8K
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…	6,100	$100	$597.6K
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…	7,610	$80	$593.9K
H0005	Alcohol and/or drug services; group counseling by a clinician	15,470	$40	$541.5K
T1003	Lpn/lvn services, up to 15 minutes	19,110	$30	$477.6K
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…	8,520	$50	$425.9K
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…	5,250	$70	$351.6K

Showing 1–10 of 30

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

Midwest Recovery Center LLC — 3 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	123	130	13,910	$220	$5.2M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	38	40	2,350	$140	$4.4M
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…	4	610	1,350	$150	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	297	840	240	$90	$1.8M
H2020	Therapeutic behavioral services, per diem	159	310	1,190	$150	$1.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	476	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	145	240	1,090	$50	$509.2K
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…	364	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.	17	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…	582	4,510	500	$60	$377.8K

Showing 1–10 of 30

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Choices Behavioral Health Care	OH	Community/Behavioral Health Agency	$0	$45.2M
Choices Behavioral Health Care	OH	Community/Behavioral Health Agency	$0	$20.7M
Team Recovery Ohio, LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$17.1M
Toledo Clinic Incorporated	OH	Surgery Physician	$0	$15.9M
Greater Toledo Urgent Cares, LLC.	OH	Emergency Medicine Physician	$0	$10.9M
Mercy Health - St Anne Hospital LLC	OH	General Acute Care Hospital	$0	$10.6M
Toledo Home Healthcare LLC	OH	Home Health Agency	$0	$7.8M
The Pediatric Center, Inc.	OH	Pediatrics Physician	$0	$7.4M
Toledo Clinic Incorporated	OH	Clinical Medical Laboratory	$2.1M	$2M
Toledo Clinic Incorporated	OH	Clinic/Center	$2.4M	$812.9K

Midwest Recovery Center LLC — Billing Profile & Reimbursement Data

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Midwest Recovery Center 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