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    OpenPayerNPI Medicare & MedicaidForward Health LLC
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    Forward Health LLC — Billing Profile & Reimbursement Data

    NPI 1740858182 · Columbus, OH · Substance Use Disorder Rehabilitation Clinic/Center

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    Forward Health LLC is a substance use disorder rehabilitation clinic/center provider located in Columbus, Ohio. This profile covers 0 Medicare and 14 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
    OrganizationForward Health LLC
    Address211 S 5th St
    CityColumbus
    StateOH
    ZIP43215
    TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
    NPI EnumeratedJune 13, 2021

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

    Payer SourceTotal Paid
    Medicaid$12.1M
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…55,690$170$9.6M
    H0005Alcohol and/or drug services; group counseling by a clinician28,070$30$954.3K
    H0006Alcohol and/or drug services; case management6,020$60$348.9K
    H0038Self‑help/peer services, per 15 minutes5,600$50$296.9K
    T1002Rn services, up to 15 minutes7,050$40$281.9K
    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…2,970$90$269.9K
    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…1,400$60$86.6K
    H0048Alcohol and/or other drug testing: collection and handling only, specimens other than blood4,980$10$69.7K
    H2012Behavioral health day treatment, per hour1,710$20$37.5K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.320$100$33.1K

    Showing 1–10 of 14

    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

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…336101,350$150$1.9M
    H2020Therapeutic behavioral services, per diem2263101,190$150$1.5M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes582740480$60$669.5K
    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…6202,640620$90$408.2K
    H0006Alcohol and/or drug services; case management129710520$50$307.3K
    H0005Alcohol and/or drug services; group counseling by a clinician23490940$50$271.1K
    H0038Self‑help/peer services, per 15 minutes34230560$60$194.2K
    T1002Rn services, up to 15 minutes46290620$50$192.8K
    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…3361,320290$50$148.6K
    90832In 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…8831,320450$40$139.1K

    Showing 1–10 of 14

    Nearby Providers

    Other providers in the same ZIP code as Forward Health LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHGeneral Acute Care Hospital$0$215.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Southeast, IncOHMental Health Clinic/Center (Including Community Mental Health Center)$0$40.8M
    Mid-ohio Emergency Services, LLCOHEmergency Medicine Physician$0$38.5M
    Nationwide Children's HospitalOHHome Infusion Agency$0$22.4M
    Ohio Emergency Professionals IncOHEmergency Medicine Physician$0$21.5M
    Premier Care Of Ohio, LLCOHMethadone Clinic$0$18.2M
    Nationwide Children's Hospital HomecareOHHome Health Agency$0$17.5M
    Nationwide Children's HospitalOHDental Clinic/Center$0$11.1M
    Sanctuary Home Health Care LLCOHHome Health Agency$0$10.7M

    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
    2 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Forward Health LLC — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio