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.

Lima-urban Minority Alcoholism And Drug Abuse Outreach Program., Inc (NPI 1629144050)

Field	Value
Entity Type	Organization
Organization	Lima-urban Minority Alcoholism And Drug Abuse Outreach Program., Inc
Address	311 E Market St Fl 3
City	Lima
State	OH
ZIP	45801
Taxonomy	Community Health Clinic/Center
NPI Enumerated	November 28, 2006

Payer Source	Total Paid
Medicaid	$14.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

56 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	39,220	$250	$9.7M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	3,090	$330	$1M
H0006	Alcohol and/or drug services; case management	20,620	$40	$783.4K
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…	7,980	$80	$606.3K
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1,770	$190	$328.8K
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.	13,470	$20	$323.3K
82542	The lab analyst performs the technical lab test to evaluate the specimen for the presence or amount of a nondrug analyte by using column chromatography and possibly mass spectrometry.	10,960	$20	$197.4K
T1003	Lpn/lvn services, up to 15 minutes	8,730	$20	$183.3K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	12,510	$10	$137.6K
80299	Use 80299 to report therapeutic drug quantitation procedures that do not have a specific code.	11,230	$10	$101.1K

Showing 1–10 of 56

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

Lima-urban Minority Alcoholism And Drug Abuse Outreach Program., Inc — 1 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

56 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	41	60	8,280	$370	$5.8M
H2036	Alcohol and/or other drug treatment program, per diem	30	130	13,910	$220	$5.2M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	14	20	3,200	$240	$2.1M
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…	170	610	1,350	$150	$1.9M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	13	50	310	$110	$817.2K
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…	1,423	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.	56	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…	2,638	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…	2,287	5,080	560	$40	$323.9K
H0006	Alcohol and/or drug services; case management	58	710	520	$50	$307.3K

Showing 1–10 of 56

Nearby Providers

Other providers in the same ZIP code as Lima-urban Minority Alcoholism And Drug Abuse Outreach Program., Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health-st Ritas Medical Center LLC	OH	General Acute Care Hospital	$0	$48.1M
Health Partners Of Western Ohio	OH	Federally Qualified Health Center (FQHC)	$0	$14.6M
Health Partners Of Western Ohio	OH	Federally Qualified Health Center (FQHC)	$0	$11.4M
Mercy Health Physicians Lima, LLC	OH	Family Medicine Physician	$0	$9.1M
Specialized Alternatives For Families And Youth Of Ohio, Inc.	OH	Community/Behavioral Health Agency	$0	$6.9M
Bryan Gray	OH	Dermatology Physician	$2.4M	$499.2K
New Vision Medical Laboratories, LLC	OH	Clinical Medical Laboratory	$889.8K	$1.5M
Vivian Hobayan	OH	Specialist	$1.7M	$0
Michael Heaphy	OH	Dermatology Physician	$660.9K	$0
Zoheir Abdelbaki	OH	Nuclear Cardiology Physician	$478.7K	$0

Lima-urban Minority Alcoholism And Drug Abuse Outreach Program., Inc — Billing Profile & Reimbursement Data

Sign up for Lima-urban Minority Alcoholism And Drug Abuse Outreach Program., Inc — Billing Profile & Reimbursement Data policy alerts

Lima-urban Minority Alcoholism And Drug Abuse Outreach Program., Inc — Billing Profile & Reimbursement Data

Sign up for Lima-urban Minority Alcoholism And Drug Abuse Outreach Program., Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References