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.

Phoenix Rising Behavioral Healthcare And Recovery Inc (NPI 1891737292)

Field	Value
Entity Type	Organization
Organization	Phoenix Rising Behavioral Healthcare And Recovery Inc
Address	624 Market Ave N
City	Canton
State	OH
ZIP	44702
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 11, 2006

Payer Source	Total Paid
Medicaid	$29M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	87,960	$120	$10.7M
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…	83,350	$90	$7.7M
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…	72,930	$90	$6.3M
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	19,000	$50	$855.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	6,040	$90	$568K
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…	4,180	$110	$476.7K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	8,350	$60	$475.7K
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…	7,530	$60	$444.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	4,340	$70	$321K
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.	18,140	$20	$308.4K

Showing 1–10 of 17

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

Phoenix Rising Behavioral Healthcare And Recovery Inc — 6 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	44	840	240	$90	$1.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	164	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	127	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…	27	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…	57	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…	1,043	5,080	560	$40	$323.9K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	81	140	140	$160	$266.4K
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.	18	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…	109	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…	160	1,320	450	$40	$139.1K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Phoenix Rising Behavioral Healthcare And Recovery Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kirtan Patel	OH	Psychiatry Physician	$37.6K	$0

Nearby Providers

Other providers in the same ZIP code as Phoenix Rising Behavioral Healthcare And Recovery Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Youth Advocate Program, Inc	OH	Community/Behavioral Health Agency	$0	$55.4M
Commquest Services, Inc.	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$45.3M
Commquest Services, Inc.	OH	Multi-Specialty Clinic/Center	$0	$18.2M
City Of Canton	OH	Land Ambulance	$318.8K	$4.6M
Justin Lonca	OH	Gerontology Nurse Practitioner	$357.1K	$0
James Franz	OH	Family Medicine Physician	$315.1K	$0
Richard Jones	OH	Internal Medicine Physician	$265.6K	$0
Paul Scheatzle	OH	Physical Medicine & Rehabilitation Physician	$216.8K	$0
Erin Metcalf	OH	Gerontology Nurse Practitioner	$204.3K	$0
Timothy Griffiths	OH	Nurse Practitioner	$183.4K	$0

Phoenix Rising Behavioral Healthcare And Recovery Inc — Billing Profile & Reimbursement Data

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Phoenix Rising Behavioral Healthcare And Recovery 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

Related Providers

Nearby Providers

Frequently Asked Questions

References