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.

Health Recovery Services, Inc (NPI 1881957587)

Field	Value
Entity Type	Organization
Organization	Health Recovery Services, Inc
Address	224 Columbus Rd
City	Athens
State	OH
ZIP	45701
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	June 19, 2012

Payer Source	Total Paid
Medicaid	$26.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	36,700	$260	$9.6M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	34,520	$120	$4.3M
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…	25,460	$90	$2.2M
S5000	Prescription drug, generic	13,420	$110	$1.5M
S5001	Prescription drug, brand name	10,520	$130	$1.3M
H0006	Alcohol and/or drug services; case management	32,660	$40	$1.2M
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…	15,400	$80	$1.2M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	27,580	$40	$1.1M
T1003	Lpn/lvn services, up to 15 minutes	29,500	$30	$855.4K
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…	15,080	$50	$708.8K

Showing 1–10 of 27

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

Health Recovery Services, Inc — 4 of 25 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5000	Prescription drug, generic	7	20	2,720	$150	$7.7M
H2036	Alcohol and/or other drug treatment program, per diem	32	130	13,910	$220	$5.2M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	9	40	2,350	$140	$4.4M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	41	120	7,190	$30	$2.6M
S5001	Prescription drug, brand name	3	10	2,720	$50	$1.5M
J0574	Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine	29	40	5,650	$20	$435.4K
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…	115	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…	860	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…	446	5,080	560	$40	$323.9K
H0006	Alcohol and/or drug services; case management	26	710	520	$50	$307.3K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as Health Recovery Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopewell Health Centers Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$45.6M
Sheltering Arms Hospital Foundation, Inc.	OH	General Acute Care Hospital	$0	$26.9M
Anew Behavioral Health, LLC	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.9M
Hopewell Health Centers, Inc.	OH	Federally Qualified Health Center (FQHC)	$0	$10.5M
Pinnacle Treatment Centers Oh-xvi, LLC	OH	Methadone Clinic	$88.1K	$5.1M
Athens County	OH	Ambulance	$581.9K	$2.1M
Ronald Gordineer	OH	Psychiatry Physician	$229.9K	$1.6M
Chase Scarbrough	OH	Dermatology Physician	$416.6K	$0
Kathleen Nemer	OH	MOHS-Micrographic Surgery Physician	$397.1K	$2.6K
Athens Surgery Center Ltd	OH	Ambulatory Surgical Clinic/Center	$254.2K	$0

Health Recovery Services, Inc — Billing Profile & Reimbursement Data

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Health Recovery Services, Inc — 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