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    OpenPayerNPI Medicare & MedicaidHavens Of Ohio LLC
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    Havens Of Ohio LLC — Billing Profile & Reimbursement Data

    NPI 1700290301 · Dayton, OH · Substance Abuse Rehabilitation Facility

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    Havens Of Ohio LLC is a substance abuse rehabilitation facility provider located in Dayton, Ohio. This profile covers 0 Medicare and 19 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
    OrganizationHavens Of Ohio LLC
    Address1 Elizabeth Pl
    CityDayton
    StateOH
    ZIP45417
    TaxonomySubstance Abuse Rehabilitation Facility
    NPI EnumeratedJune 12, 2014

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

    Payer SourceTotal Paid
    Medicaid$85.9M
    Medicare$0

    Key Findings

    HAVENS OF OHIO LLC is effectively a Medicaid-focused provider: lifetime Medicaid revenue is $85.9M and there is none (no Medicare billing on file), indicating that its entire documented billing footprint in this dataset is driven by Medicaid payer activity. This concentration on a single public payer implies exposure to state Medicaid policy and reimbursement changes rather than Medicare dynamics.

    Revenue is extremely concentrated in three service codes: H2036 ($32.6M, 38.0%), H0011 ($29.6M, 34.5%), and H0015 ($20.1M, 23.4%), which together account for 95.8% of the provider’s total Medicaid revenue. This top-three concentration shows the business is heavily dependent on a small set of program-oriented payments rather than a broad mix of low-dollar clinical charges.

    The code mix points to a substance-use disorder (SUD) treatment operation that runs a continuum of care: H2036 (per diem alcohol and/or other drug treatment program), H0011 (acute detoxification residential inpatient), and H0015 (intensive outpatient program) dominate billing, suggesting the provider operates both residential detox/inpatient services and structured intensive outpatient programs. That profile is consistent with a facility-centered SUD treatment model that bills per-diem residential care plus IOP episodes as its primary revenue drivers.

    On competitive standing within Ohio, HAVENS of OHIO is a dominant statewide player for certain SUD per-diem volumes: H2036 ranks #2 of 131 providers in-state (99th percentile; extreme outlier), H0011 ranks #3 of 60 providers (97th percentile; notably above typical state volume), and H0015 ranks #14 of 608 providers (98th percentile; notably above typical state volume). Those ranks indicate this provider is far above typical state volume for its highest-revenue codes and functions as a major provider in those service lines.

    Beyond the three revenue leaders, the provider bills ancillary behavioral-health and support services that supplement core SUD care but represent small shares of revenue: psychotherapy code 90837 generated $715.7K and ranks #310 of 2643 providers in-state (88th percentile), case management H0006 generated $579.9K (rank #90 of 714, 88th percentile), and self-help/peer services H0038 generated $180K (rank #32 of 226, 86th percentile). These items indicate on-site counseling, care coordination, and peer supports accompany the primary residential and IOP programs but do not materially shift the revenue mix.

    The presence of medication-assisted treatment is evident but limited in scale: J2315 (naltrexone, depot) accounts for $335.6K of revenue across 279 claims and ranks #18 of 57 providers in-state (70th percentile). This suggests the provider offers injectable MAT for some patients but that MAT billing is a small adjunct to the dominant residential and IOP services.

    HAVENS of OHIO has an established enrollment history (NPI enumerated 2014-06-12, ~12 years ago), which combined with $85.9M in Medicaid revenue signals a sizable and sustained state-level footprint in substance abuse rehabilitation. The longevity plus high percentile ranks on key codes imply operational scale and specialization rather than a recent entrant with transient volumes.

    Outside its top-three revenue drivers, other billed services are typical in volume and low in revenue: H0010 ($865.5K, rank #11 of 22, 52th percentile), H0048 ($103.8K, rank #141 of 644, 78th percentile), and 90834 ($67.6K, rank #396 of 1316, 70th percentile) all generate modest sums relative to the $85.9M total. In sum, the provider’s billing profile reflects a focused SUD treatment operator with a narrow set of high-revenue program codes and a broad set of ancillary, lower-revenue behavioral-health services.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2036Alcohol and/or other drug treatment program, per diem153,970$210$32.6M
    H0011Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem76,320$390$29.6M
    H0015Alcohol 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…100,500$200$20.1M
    H0010Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)3,490$250$865.5K
    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…7,230$100$715.7K
    H0006Alcohol and/or drug services; case management12,340$50$579.9K
    T1002Rn services, up to 15 minutes13,350$40$507.3K
    J2315Injection, naltrexone, depot form, 1 mg280$1,200$335.6K
    H0038Self‑help/peer services, per 15 minutes5,810$30$180K
    H0005Alcohol and/or drug services; group counseling by a clinician2,680$60$147.5K

    Showing 1–10 of 19

    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

    19 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0011Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem3608,280$370$5.8M
    H2036Alcohol and/or other drug treatment program, per diem213013,910$220$5.2M
    H0010Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)11203,200$240$2.1M
    H0015Alcohol 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…146101,350$150$1.9M
    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…3102,640620$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…3,4244,510500$60$377.8K
    99213The 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…3,5795,080560$40$323.9K
    H0006Alcohol and/or drug services; case management90710520$50$307.3K
    H0005Alcohol and/or drug services; group counseling by a clinician169490940$50$271.1K
    J2315Injection, naltrexone, depot form, 1 mg1860110$600$245.7K

    Showing 1–10 of 19

    Nearby Providers

    Other providers in the same ZIP code as Havens Of Ohio LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Future Home Health CareOHHome Health Agency$0$34.2M
    Samaritan Behavioral Health, Inc.OHMental Health Clinic/Center (Including Community Mental Health Center)$0$26.9M
    Celina GroupOHHome Health Aide$0$9.1M
    Five Rivers Health CentersOHFederally Qualified Health Center (FQHC)$0$7.9M
    Kettering Transportation Services LLCOHLand Ambulance$2.4M$5.5M
    Samaritan Behavioral Health, Inc.OHCommunity/Behavioral Health Agency$0$7.1M
    Srinivas ErragollaOHPain Medicine (Physical Medicine & Rehabilitation) Physician$196.3K$0
    Jinyun WuOHInternal Medicine Physician$189.7K$700
    Saad KanaanOHNeurology Physician$90.2K$0
    Phillip HeyseOHSurgery Physician$35K$0

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Ohio Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Havens Of Ohio LLC — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio