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.

Pax Treatment Centers LLC (NPI 1609351477)

Field	Value
Entity Type	Organization
Organization	Pax Treatment Centers LLC
Address	4302 Roosevelt Blvd
City	Middletown
State	OH
ZIP	45044
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	September 27, 2018

Payer Source	Total Paid
Medicaid	$7.1M
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
J0574	Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine	6,100	$260	$1.6M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	6,260	$220	$1.4M
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…	8,340	$130	$1.1M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	11,070	$90	$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…	6,850	$110	$760.8K
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…	9,930	$50	$496.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,190	$140	$165.9K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	12,760	$10	$165.8K
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…	1,220	$70	$90.3K
T1002	Rn services, up to 15 minutes	1,330	$60	$77.3K

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

Pax Treatment Centers LLC — 0 of 21 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
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	16	40	2,350	$140	$4.4M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	52	120	7,190	$30	$2.6M
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…	167	610	1,350	$150	$1.9M
J0574	Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine	17	40	5,650	$20	$435.4K
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…	1,712	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…	637	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…	1,972	5,080	560	$40	$323.9K
H0006	Alcohol and/or drug services; case management	414	710	520	$50	$307.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	214	490	940	$50	$271.1K
T1002	Rn services, up to 15 minutes	119	290	620	$50	$192.8K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Pax Treatment Centers LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Butler County Community Health Consortium, Inc.	OH	Federally Qualified Health Center (FQHC)	$0	$19.8M
City Of Middletown	OH	Land Ambulance	$485.6K	$2.9M
Liberty Endoscopy Center	OH	Ambulatory Surgical Clinic/Center	$669K	$633.3K
Dialysis Access Center Of Cincinnati, Inc.	OH	Ambulatory Surgical Clinic/Center	$463.2K	$197K
Sandeep Gupta	OH	Clinical Cardiac Electrophysiology Physician	$304K	$0
Kristin Titko	OH	Podiatrist	$139.9K	$0
Omer Hurlburt	OH	Family Medicine Physician	$132.8K	$0
Thomas O'brien	OH	Advanced Heart Failure and Transplant Cardiology Physician	$107.9K	$0
Daniel Butler	OH	Surgery Physician	$90.6K	$0
Sameep Kadakia	OH	Otolaryngology Physician	$53.7K	$0

Pax Treatment Centers LLC — Billing Profile & Reimbursement Data

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Pax Treatment Centers 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