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.

Greater Cincinnati Behavioral Health Services (NPI 1720251788)

Field	Value
Entity Type	Organization
Organization	Greater Cincinnati Behavioral Health Services
Address	1501 Madison Rd
City	Walnut Hills
State	OH
ZIP	45206
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 10, 2008

Payer Source	Total Paid
Medicaid	$100.4M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: it has no Medicare billing on file and reports $100.4M in lifetime Medicaid revenue. The absence of Medicare activity combined with substantial Medicaid receipts indicates the organization’s business model and revenue exposure are concentrated entirely in the Medicaid program.

Revenue is extremely concentrated in a very small set of services: the precomputed top three Medicaid codes account for 89.5% of total Medicaid revenue. H2019 alone contributes $77.7M (77.4% of the provider’s Medicaid revenue), while 90837 and H0036 add $7.8M (7.8%) and $4.3M (4.3%), respectively, leaving comparatively little revenue from all other codes.

The code mix reflects a behavioral-health service model built around high-volume, short-interval therapeutic and supportive encounters plus longer psychotherapy sessions. H2019 (Therapeutic behavioral services, per 15 minutes) and H0036 (Community psychiatric supportive treatment, per 15 minutes) are billed in per‑15‑minute increments—H2019 shows 971.6K claims at $80 avg paid/claim and H0036 shows 139.3K claims at $31 avg paid/claim—while 90837 (long psychotherapy) appears as a large psychotherapy line with 84.2K claims at $93 avg paid/claim. Together these patterns suggest operations focused on frequent, time-based therapeutic contacts with a complementary set of longer psychotherapy visits.

For competitive standing within the state this provider is a dominant outlier on its leading behavioral codes. H2019 ranks #3 of 840 providers in-state (100th percentile; extreme outlier), indicating volume far above typical state activity for that service. Similarly, 90837 ranks #20 of 2643 (99th percentile; extreme outlier) and H0036 ranks #8 of 735 (99th percentile; extreme outlier), showing the provider consistently operates at the top of peer distributions for its core services.

Although the top behavioral codes drive most revenue, the provider also bills standard outpatient evaluation-and-management and psychiatric evaluation codes at meaningful but smaller levels. For example, 99214 accounts for $3.4M (37.6K claims; 3.4% of Medicaid revenue) and ranks #130 of 4514 providers in-state (97th percentile; typical, unremarkable volume), and 90791 contributes $1.1M (11.2K claims; 1.1% of revenue) and ranks #11 of 1263 (99th percentile; extreme outlier). This mix indicates a core behavioral-service business supplemented by conventional outpatient E/M and diagnostic psychiatry activity.

The provider’s dependence on a few high-volume procedural codes creates concentrated reimbursement risk: with 89.5% of Medicaid revenue coming from the top three codes and Medicaid representing the organization’s sole reported payer, any programmatic, coverage, or rate changes affecting H2019, 90837, or H0036 would materially impact overall revenue. The large absolute dollar volumes ($77.7M, $7.8M, and $4.3M) amplify that sensitivity.

The provider is a long-tenured entity in the NPI registry, enumerated on 2008-04-10 (~18 years ago), which supports the interpretation that these high-volume billing patterns reflect an established operating model rather than a newly formed practice. High claim counts—e.g., 971.6K claims for H2019 and 84.2K claims for 90837—underscore operational scale and sustained service delivery over time.

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
H2019	Therapeutic behavioral services, per 15 minutes	971,570	$80	$77.7M
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…	84,170	$90	$7.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	139,290	$30	$4.3M
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…	37,590	$90	$3.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	39,670	$60	$2.4M
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…	24,880	$70	$1.6M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	11,210	$100	$1.1M
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…	6,780	$120	$806.9K
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…	8,680	$70	$564.4K
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…	5,770	$50	$276.9K

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

Greater Cincinnati Behavioral Health Services — 6 of 20 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
S5000	Prescription drug, generic	20	20	2,720	$150	$7.7M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	40	40	2,350	$140	$4.4M
H2019	Therapeutic behavioral services, per 15 minutes	3	840	240	$90	$1.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	8	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	14	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…	20	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…	130	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…	295	5,080	560	$40	$323.9K
T1002	Rn services, up to 15 minutes	269	290	620	$50	$192.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	462	700	210	$60	$154.1K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Greater Cincinnati Behavioral Health Services, 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
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
Talbert House	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$38M
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

Greater Cincinnati Behavioral Health Services — Billing Profile & Reimbursement Data

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Greater Cincinnati Behavioral Health Services — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References