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.

Eden Counseling Centers LLC (NPI 1760839096)

Field	Value
Entity Type	Organization
Organization	Eden Counseling Centers LLC
Address	360 S Grant Ave
City	Columbus
State	OH
ZIP	43215
Taxonomy	Addiction Psychiatry Physician
NPI Enumerated	May 17, 2016

Payer Source	Total Paid
Medicaid	$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.

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	36,360	$140	$5.1M
H0005	Alcohol and/or drug services; group counseling by a clinician	8,990	$80	$719.4K
H0006	Alcohol and/or drug services; case management	12,480	$40	$511.6K
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…	4,710	$110	$508.5K
T1002	Rn services, up to 15 minutes	9,020	$50	$405.8K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	21,350	$10	$277.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	2,770	$50	$146.6K
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…	1,500	$70	$109.3K
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…	740	$100	$70.9K
T1003	Lpn/lvn services, up to 15 minutes	3,400	$20	$64.6K

Showing 1–10 of 18

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

Eden Counseling Centers LLC — 0 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	57	610	1,350	$150	$1.9M
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…	1,236	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…	807	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…	1,822	5,080	560	$40	$323.9K
H0006	Alcohol and/or drug services; case management	89	710	520	$50	$307.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	88	490	940	$50	$271.1K
H0038	Self‑help/peer services, per 15 minutes	94	230	560	$60	$194.2K
T1002	Rn services, up to 15 minutes	43	290	620	$50	$192.8K
T1003	Lpn/lvn services, up to 15 minutes	69	240	960	$30	$155.6K
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…	1,286	1,320	290	$50	$148.6K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Eden Counseling Centers LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	General Acute Care Hospital	$0	$215.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Southeast, Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.8M
Mid-ohio Emergency Services, LLC	OH	Emergency Medicine Physician	$0	$38.5M
Nationwide Children's Hospital	OH	Home Infusion Agency	$0	$22.4M
Ohio Emergency Professionals Inc	OH	Emergency Medicine Physician	$0	$21.5M
Premier Care Of Ohio, LLC	OH	Methadone Clinic	$0	$18.2M
Nationwide Children's Hospital Homecare	OH	Home Health Agency	$0	$17.5M
Forward Health LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$12.1M
Nationwide Children's Hospital	OH	Dental Clinic/Center	$0	$11.1M

Eden Counseling Centers LLC — Billing Profile & Reimbursement Data

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Eden Counseling Centers LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References