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    OpenPayerNPI Medicare & MedicaidPrimary Care Solutions Of Ohio Incorporated
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    Primary Care Solutions Of Ohio Incorporated — Billing Profile & Reimbursement Data

    NPI 1811379845 · Toledo, OH · Community/Behavioral Health Agency

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    Primary Care Solutions Of Ohio Incorporated is a community/behavioral health agency provider located in Toledo, Ohio. This profile covers 0 Medicare and 9 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
    OrganizationPrimary Care Solutions Of Ohio Incorporated
    Address500 Madison Ave
    CityToledo
    StateOH
    ZIP43604
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJune 25, 2015

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

    Payer SourceTotal Paid
    Medicaid$17.6M
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes95,330$100$9.1M
    H2020Therapeutic behavioral services, per diem46,450$160$7.4M
    H2019Therapeutic behavioral services, per 15 minutes10,200$70$713.6K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.2,490$110$261.1K
    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…1,810$70$130.4K
    H2017Psychosocial rehabilitation services, per 15 minutes390$70$27K
    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…210$60$13.4K
    H0004Behavioral health counseling and therapy, per 15 minutes30$70$1.9K
    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…30$30$860

    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

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2019Therapeutic behavioral services, per 15 minutes167840240$90$1.8M
    H2020Therapeutic behavioral services, per diem153101,190$150$1.5M
    H0036Community psychiatric supportive treatment, face-to-face, per 15 minutes24740480$60$669.5K
    H2017Psychosocial rehabilitation services, per 15 minutes1392401,090$50$509.2K
    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…8242,640620$90$408.2K
    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…7171,320290$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…1,1521,320450$40$139.1K
    H0004Behavioral health counseling and therapy, per 15 minutes225250340$50$105.1K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.881,260130$110$84.7K

    Nearby Providers

    Other providers in the same ZIP code as Primary Care Solutions Of Ohio Incorporated, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rfs Charitable FoundationOHCommunity/Behavioral Health Agency$0$49.6M
    Mercy Health Physicians-north LLCOHFamily Medicine Physician$0$42.1M
    Promedica Central PhysiciansOHFamily Medicine Physician$0$40.9M
    Pathology Laboratories, Inc.OHClinical Medical Laboratory$3.1M$25M
    A Renewed MindOHCommunity/Behavioral Health Agency$0$15.3M
    Promedica Central Corporation Of MichiganOHFamily Medicine Physician$0$14.2M
    A Renewed MindOHCommunity/Behavioral Health Agency$0$13.4M
    Mercy Health Physicians North Specialty Care LLCOHSurgery Physician$0$13.1M
    Mercy Health - Life Flight Network LLCOHAmbulance$3.3M$3.2M
    Lucas County AuditorOHAmbulance$811.6K$4.6M

    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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Primary Care Solutions Of Ohio Incorporated — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio