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.

Talbert House (NPI 1619900834)

Field	Value
Entity Type	Organization
Organization	Talbert House
Address	2621 Victory Pkwy
City	Cincinnati
State	OH
ZIP	45206
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$38M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	202,380	$80	$16.8M
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…	95,650	$90	$8.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	86,640	$30	$2.9M
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…	23,450	$90	$2.1M
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…	34,460	$60	$2M
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…	31,230	$60	$1.9M
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…	40,570	$50	$1.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	14,700	$40	$587.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,880	$80	$306.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	25,080	$10	$225.7K

Showing 1–10 of 32

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

Talbert House — 8 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	20	20	3,200	$240	$2.1M
H2019	Therapeutic behavioral services, per 15 minutes	19	840	240	$90	$1.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	26	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	39	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…	15	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…	213	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…	212	5,080	560	$40	$323.9K
H0006	Alcohol and/or drug services; case management	320	710	520	$50	$307.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	359	490	940	$50	$271.1K
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…	25	140	140	$160	$266.4K

Showing 1–10 of 32

Nearby Providers

Other providers in the same ZIP code as Talbert House, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brightview, LLC	OH	Addiction Medicine (Internal Medicine) Physician	$2.3M	$501.1M
Greater Cincinnati Behavioral Health Services	OH	Community/Behavioral Health Agency	$0	$100.4M
Children's Hospital Medical Center	OH	Home Infusion Therapy Pharmacy	$0	$57M
Children's Hospital Medical Center	OH	Durable Medical Equipment & Medical Supplies	$0	$51.1M
Children's Hospital Medical Center	OH	Home Health Agency	$0	$19.2M
Lighthouse Youth Services Inc.	OH	Mental Health Counselor	$0	$18.9M
Talbert House, Inc	OH	Substance Abuse Rehabilitation Facility	$0	$13.9M
First Step Home, Inc.	OH	Substance Abuse Rehabilitation Facility	$0	$9.9M
Emmanuel Rivera	OH	Geriatric Medicine (Family Medicine) Physician	$62.5K	$0

Talbert House — Billing Profile & Reimbursement Data

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Talbert House — 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