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.

Eastway Corporation (NPI 1811920556)

Field	Value
Entity Type	Organization
Organization	Eastway Corporation
Address	600 Wayne Ave
City	Dayton
State	OH
ZIP	45410
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicaid	$63.5M
Medicare	$0

Key Findings

EASTWAY CORPORATION is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is $63.5M. The absence of Medicare activity combined with sizable Medicaid receipts indicates the organization’s clinical and revenue footprint is concentrated entirely in the Medicaid market.

Revenue is highly concentrated in a small set of time‑ and program‑based behavioral codes: the precomputed top three Medicaid codes account for 72.8% of total Medicaid revenue, driven by H2019 (44.9%, $28.5M), H2020 (20.5%, $13M), and H0036 (7.4%, $4.7M). This concentration signals that a few service lines dominate the provider’s billing and financial profile.

The code mix points to an operation built around intensive, time‑based behavioral services and community psychiatric supports. High revenues in H2019 (therapeutic behavioral services, per 15 minutes) and H2020 (therapeutic behavioral services, per diem), together with meaningful H0036 volume (community psychiatric supportive treatment, per 15 minutes) and H2017 (psychosocial rehabilitation, per 15 minutes), suggest EASTWAY runs high‑volume behavioral intervention programs, day/per‑diem treatment modalities, and community‑based supportive care.

EASTWAY is a statewide volume leader for its top behavioral codes: H2019 ranks #9 of 840 providers in‑state (99th percentile; extreme outlier) and H2020 ranks #8 of 305 providers in‑state (98th percentile; extreme outlier), while H0036 ranks #12 of 735 (99th percentile; notably above typical). These ranks indicate EASTWAY is a dominant or near‑dominant provider in Ohio for those specific Medicaid service types, well above typical state volumes.

The provider’s operational footprint is reflected in very large claim counts for time‑based services: H2019 (375K claims), H2017 (134.6K claims), H0036 (123.5K claims), and H2020 (84.6K claims). Such high per‑service claim volumes—many billed per 15 minutes or per diem—are consistent with programs that deliver frequent, sustained direct care and day‑program capacity rather than infrequent office visits.

Despite the heavy concentration in behavioral programs, EASTWAY also bills standard outpatient E/M and psychotherapy codes at meaningful levels: 99214 accounts for $3.5M (36.5K claims, 5.5% of Medicaid revenue; ranks #135 of 4514, 97th percentile; labeled typical), and 99215 accounts for $2.4M (21K claims, 3.8% of Medicaid revenue; ranks #16 of 1034, 99th percentile; extreme outlier). This mix indicates the organization supplements its programmatic behavioral services with regular evaluation and management encounters and longer psychotherapy sessions (90837: $4.4M, 55.8K claims, 6.9% of revenue).

Given the revenue concentration and extreme outlier status on core therapeutic codes, payers and contracting teams should treat H2019 and H2020 as primary levers for utilization and network negotiations. The combination of dominant state ranking and large per‑15‑minute/per‑diem volumes means changes in authorization, rate, or program design for those codes could materially affect EASTWAY’s Medicaid revenue base.

EASTWAY’s NPI has been enumerated since 2006-07-08 (~20 years ago), indicating long tenure in the market; coupled with its high statewide ranks on multiple behavioral codes, this longevity supports an established operational presence and experience delivering the intensive Medicaid behavioral services that drive its revenue profile.

Medicaid: Complete Services Breakdown

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
H2019	Therapeutic behavioral services, per 15 minutes	375,040	$80	$28.5M
H2020	Therapeutic behavioral services, per diem	84,570	$150	$13M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	123,550	$40	$4.7M
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…	55,810	$80	$4.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	134,630	$30	$3.8M
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…	36,510	$100	$3.5M
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…	21,040	$120	$2.4M
H0040	Assertive community treatment program, per diem	7,280	$180	$1.3M
H2012	Behavioral health day treatment, per hour	27,660	$20	$553.1K
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…	5,850	$60	$362.8K

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

Eastway Corporation — 8 of 21 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
H0040	Assertive community treatment program, per diem	10	20	3,770	$260	$2.8M
H2019	Therapeutic behavioral services, per 15 minutes	9	840	240	$90	$1.8M
H2020	Therapeutic behavioral services, per diem	8	310	1,190	$150	$1.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	12	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	4	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…	42	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…	135	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…	904	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.	519	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…	138	1,320	290	$50	$148.6K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eastway Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allison Pallard	OH	Clinical Social Worker	$8.8K	$0

Nearby Providers

Other providers in the same ZIP code as Eastway Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nova Behavioral Health, Inc.	OH	Substance Abuse Rehabilitation Facility	$0	$28.2M

Eastway Corporation — Billing Profile & Reimbursement Data

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Eastway Corporation — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References