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.

Southern Hope Recovery Center LLC (NPI 1871150961)

Field	Value
Entity Type	Organization
Organization	Southern Hope Recovery Center LLC
Address	817 3rd Avenue
City	Chesapeake
State	OH
ZIP	45619
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	May 23, 2019

Payer Source	Total Paid
Medicaid	$14.4M
Medicare	$0

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 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…	59,120	$160	$9.2M
H0006	Alcohol and/or drug services; case management	51,590	$80	$3.9M
T1002	Rn services, up to 15 minutes	4,010	$170	$685.2K
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…	3,980	$100	$389.9K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	6,370	$10	$89.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	920	$70	$68.2K
H0005	Alcohol and/or drug services; group counseling by a clinician	1,450	$40	$56.4K
H0038	Self‑help/peer services, per 15 minutes	80	$80	$6K
H0001	Alcohol and/or drug assessment	40	$80	$3.2K

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

Southern Hope Recovery Center LLC — 2 of 9 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

9 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…	30	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…	500	2,640	620	$90	$408.2K
H0006	Alcohol and/or drug services; case management	12	710	520	$50	$307.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	208	490	940	$50	$271.1K
H0038	Self‑help/peer services, per 15 minutes	191	230	560	$60	$194.2K
T1002	Rn services, up to 15 minutes	71	290	620	$50	$192.8K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	155	640	660	$10	$117.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	75	250	340	$50	$105.1K
H0001	Alcohol and/or drug assessment	58	100	60	$60	$19.6K

Southern Hope Recovery Center LLC — Billing Profile & Reimbursement Data

Sign up for Southern Hope Recovery Center LLC — Billing Profile & Reimbursement Data policy alerts

Southern Hope Recovery Center LLC — Billing Profile & Reimbursement Data

Sign up for Southern Hope Recovery Center LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References