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.

Ohio Valley Physicians Inc (NPI 1750776068)

Ohio Valley Physicians Inc is a substance abuse rehabilitation facility provider located in South Point, Ohio. This profile covers 0 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Ohio Valley Physicians Inc
Address	335 Township Road 1026
City	South Point
State	OH
ZIP	45680
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	April 2, 2015

Payer Source	Total Paid
Medicaid	$12.9M
Medicare	$0

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	25,690	$240	$6.1M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	12,920	$380	$4.9M
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…	12,240	$70	$893.2K
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…	7,120	$50	$355.8K
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…	1,810	$100	$180.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	7,030	$30	$175.8K
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	8,380	$20	$167.7K
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…	780	$110	$84.6K
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…	410	$70	$27.7K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	940	$30	$26.3K

Showing 1–10 of 21

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

Ohio Valley Physicians Inc — 0 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

21 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	22	60	8,280	$370	$5.8M
H2036	Alcohol and/or other drug treatment program, per diem	47	130	13,910	$220	$5.2M
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…	825	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…	1,975	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…	549	5,080	560	$40	$323.9K
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.	198	700	210	$60	$154.1K
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…	590	1,320	290	$50	$148.6K
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…	149	1,320	450	$40	$139.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	788	1,610	220	$50	$98.6K
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	13	110	370	$20	$87.4K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohio Valley Physicians Inc	WV	Family Medicine Physician	$0	$43M
Ohio Valley Physicians Inc	WV	Community/Behavioral Health Agency	$0	$22.8M
Ohio Valley Physicians Inc	WV	Rural Health Clinic/Center	$0	$4.2M
Ohio Valley Physicians	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Ohio Valley Physicians, Inc	WV	Rural Health Clinic/Center	$0	$3.1M
Ohio Valley Physicians Inc	WV	Rural Health Clinic/Center	$0	$2.4M
Jonathan Hess	OH	Family Medicine Physician	$272.3K	$0
Robert Hess	WV	Family Medicine Physician	$187K	$0
Hussein Kashk	OH	Emergency Medicine Physician	$98.9K	$0
Brian Hornsby	WV	Internal Medicine Physician	$88.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Care Nursing Service, Inc.	OH	Home Health Agency	$0	$9.2M
Elisha Payne	OH	Family Nurse Practitioner	$361.1K	$0
Nicholas Weber	OH	Optometrist	$69.7K	$0
Cardiovascular Imaging Services, Inc.	OH	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$24K	$7.3K

Ohio Valley Physicians Inc — Billing Profile & Reimbursement Data

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Ohio Valley Physicians Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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