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.

Life Enhancement Services Of Ohio, LLC (NPI 1821400573)

Field	Value
Entity Type	Organization
Organization	Life Enhancement Services Of Ohio, LLC
Address	416 W State St
City	Fremont
State	OH
ZIP	43420
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 29, 2014

Payer Source	Total Paid
Medicaid	$18.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	103,650	$130	$13.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	39,430	$90	$3.5M
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…	7,230	$90	$679.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,330	$110	$355.8K
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…	960	$70	$64.3K
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…	1,020	$50	$48.1K
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…	690	$60	$39.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	300	$120	$35.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	100	$120	$12K
H2017	Psychosocial rehabilitation services, per 15 minutes	180	$50	$9K

Showing 1–10 of 11

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

Life Enhancement Services Of Ohio, LLC — 1 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	37	840	240	$90	$1.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	60	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	165	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…	311	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…	4,345	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…	2,137	5,080	560	$40	$323.9K
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…	478	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…	484	1,320	450	$40	$139.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	131	250	340	$50	$105.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	65	1,260	130	$110	$84.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Life Enhancement Services Of Ohio, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
In Home Health LLC	OH	Community Based Hospice Care Agency	$0	$17.1M
Great Lakes Recovery Center LLC	OH	Substance Abuse Rehabilitation Facility	$0	$16.5M
Memorial Hospital	OH	General Acute Care Hospital	$0	$11.4M
Community And Rural Health Services, Inc.	OH	Federally Qualified Health Center (FQHC)	$0	$8.4M
Sandusky County Office Of Auditor	OH	Ambulance	$597.3K	$1M
William Vancise	OH	Radiation Oncology Physician	$317.7K	$0
Charles Valone	OH	Internal Medicine Physician	$280.9K	$0
Liberty Portable X-ray Ohio LLC	OH	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$41.1K	$197.8K
Susan Smith	OH	Ophthalmology Physician	$185.1K	$0
David Defrance	OH	Family Medicine Physician	$162.1K	$0

Life Enhancement Services Of Ohio, LLC — Billing Profile & Reimbursement Data

Sign up for Life Enhancement Services Of Ohio, LLC — Billing Profile & Reimbursement Data policy alerts

Life Enhancement Services Of Ohio, LLC — Billing Profile & Reimbursement Data

Sign up for Life Enhancement Services Of Ohio, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References