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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFirst Alliance Healthcare
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    First Alliance Healthcare — Billing Profile & Reimbursement Data

    NPI 1609361328 · Cleveland Heights, OH · Case Management Agency

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    First Alliance Healthcare is a case management agency provider located in Cleveland Heights, Ohio. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFirst Alliance Healthcare
    Address2490 Lee Blvd Ste 219
    CityCleveland Heights
    StateOH
    ZIP44118
    TaxonomyCase Management Agency
    NPI EnumeratedJune 25, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$20.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2019Therapeutic behavioral services, per 15 minutes90,300$160$14.7M
    H2017Psychosocial rehabilitation services, per 15 minutes26,990$140$3.7M
    90837In 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…21,340$100$2.1M
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.1,290$100$126.8K
    S9482Family stabilization services, per 15 minutes440$230$100.1K
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes210$120$25.2K
    99214The 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…190$100$19K
    S9485Crisis intervention mental health services, per diem20$530$7.9K
    S9484Crisis intervention mental health services, per hour40$150$5.4K
    90834In 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…40$70$2.7K

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Ohio median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9484Crisis intervention mental health services, per hour310170$930$2.1M
    H2019Therapeutic behavioral services, per 15 minutes41840240$90$1.8M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes453740480$60$669.5K
    H2017Psychosocial rehabilitation services, per 15 minutes222401,090$50$509.2K
    90837In 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…1332,640620$90$408.2K
    99214The 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…2,8684,510500$60$377.8K
    S9485Crisis intervention mental health services, per diem1110220$460$289.4K
    90834In 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…1,0841,320290$50$148.6K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.1581,260130$110$84.7K
    99204The provider sees a new 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 provider…1,2931,410120$70$65.7K

    Showing 1–10 of 11

    Nearby Providers

    Other providers in the same ZIP code as First Alliance Healthcare, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Horizon Health Services, LLCOHHome Health Agency$0$64.9M
    Bellefaire Jewish Children's BureauOHCommunity/Behavioral Health Agency$0$38.1M
    Noor Home Health CareOHHome Health Agency$0$14.1M
    Dr. Kates Premier Smiles Orthodontics Inc.OHOrthodontics and Dentofacial Orthopedics Dentistry$0$12.8M
    Xcel Healthcare Providers, Inc.OHHome Health Agency$0$12.6M
    A-1 Health Care IncOHHome Health Agency$0$10.9M
    A-1 Nursing Care Of Cleveland LLCOHHome Health Agency$0$9.1M
    Resource Alliance Home Care LLCOHHome Health Agency$0$8.7M
    Mark BrejtOHDiagnostic Radiology Physician$412.1K$0
    Michael DiamondOHPodiatrist$66.5K$128.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. Ohio Providers
    5 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    First Alliance Healthcare — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio