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.

Maryhaven Inc. (NPI 1922368166)

Field	Value
Entity Type	Organization
Organization	Maryhaven Inc.
Address	1791 Alum Creek Dr
City	Columbus
State	OH
ZIP	43207
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 22, 2012

Payer Source	Total Paid
Medicaid	$90.9M
Medicare	$0

Key Findings

MARYHAVEN is effectively a Medicaid-centric provider: it reports $90.9M in total Medicaid revenue and has no Medicare billing on file, so its commercial footprint in Medicare is absent and its operational scale is concentrated in Medicaid-funded addiction services. This makes Medicaid the de facto single payer to evaluate when assessing its revenue and utilization patterns.

Revenue is highly concentrated in a few service lines: the top three Medicaid codes (H2036, H0011, H0015) account for 75.5% of the provider’s Medicaid revenue, with H2036 generating $32.9M (36.2%), H0011 generating $30.7M (33.8%), and H0015 generating $5.1M (5.6%). That concentration indicates a heavy dependence on per-diem and detox/intensive outpatient addiction services for the majority of billed dollars.

The code mix and taxonomy (Substance Abuse Rehabilitation Facility) show this is primarily a residential and outpatient addiction treatment operator. High-revenue, high-volume codes include H2036 (alcohol and/or other drug treatment program, per diem) and H0011 (acute detoxification residential), while H0015 (intensive outpatient) and H0020 (methadone administration) demonstrate that the provider also offers structured outpatient and medication-assisted treatment.

MARYHAVEN is a dominant statewide supplier for several core addiction service codes: it ranks #1 of 131 in-state for H2036 at the 100th percentile (extreme outlier) and ranks #2 of 60 for H0011 at the 98th percentile (extreme outlier). Those rankings indicate the provider is far above typical state volume for per-diem and residential detox services and should be treated as a major player in Ohio for those lines of business.

Several additional codes and percentiles point to a broad clinical mix beyond per-diem and residential detox. H0012 (sub-acute detoxification outpatient) also ranks #1 of 26 in-state at the 100th percentile and contributes $4.4M (4.8%), while behavioral health and support services such as 90832 ($1M, 96th percentile), 90853 ($485.5K, 98th percentile), and T1003 ($535.2K, 95th percentile) show notable volume in psychotherapy, group therapy, and LPN services.

The provider delivers medication-assisted treatment at scale alongside residential care: H0020 shows 82.6K claims and $4.6M revenue (5.1%), and buprenorphine products appear in the top codes (J0575 $1M, J0574 $800K, J0571 $178.1K). High claim counts and dedicated medication codes suggest integrated MAT operations (both methadone administration and buprenorphine dispensing) are part of routine care.

Operational intensity is evident from claim volumes and per-claim payments on flagship codes: H2036 records 171.1K claims at an average paid/claim of $192, and H0011 records 82.9K claims at $370 average paid/claim. These volumes and per-claim rates point to sustained, high-throughput residential and detox operations that drive the majority of the provider’s Medicaid revenue.

Given the combination of extreme outlier rankings, top-code concentration, and the provider’s tenure (NPI enumerated on 2012-05-22 (~14 years ago)), payers should consider MARYHAVEN a long-standing, high-volume Medicaid addiction services provider for Ohio. Contracting, utilization management, and network adequacy reviews should reflect its role as a major supplier for per-diem and detox services statewide.

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	171,100	$190	$32.9M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	82,870	$370	$30.7M
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…	39,210	$130	$5.1M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	82,560	$60	$4.6M
H0012	Behavioral health day treatment, per hour	13,190	$330	$4.4M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	10,630	$210	$2.2M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	48,000	$40	$1.9M
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…	15,980	$80	$1.2M
S5001	Prescription drug, brand name	5,070	$240	$1.2M
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…	22,140	$50	$1M

Showing 1–10 of 37

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

Maryhaven Inc. — 6 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5000	Prescription drug, generic	16	20	2,720	$150	$7.7M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	2	60	8,280	$370	$5.8M
H2036	Alcohol and/or other drug treatment program, per diem	1	130	13,910	$220	$5.2M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	8	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)	21	120	7,190	$30	$2.6M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	4	20	3,200	$240	$2.1M
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…	51	610	1,350	$150	$1.9M
H2034	Alcohol and/or drug abuse halfway house services, per diem	46	50	3,790	$140	$1.5M
S5001	Prescription drug, brand name	6	10	2,720	$50	$1.5M
H0012	Behavioral health day treatment, per hour	1	30	650	$340	$476.3K

Showing 1–10 of 37

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maryhaven Inc.	OH	Community/Behavioral Health Agency	$0	$7.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Columbus	OH	Ambulance	$3M	$31.7M
Drug Store Pharmacy Inc	OH	Pharmacy	$0	$15.4M
Buckeye Health And Research LLC	OH	Family Medicine Physician	$0	$10.3M
Hope 4 2morrow Counseling & Treatment Center LLC	OH	Substance Abuse Rehabilitation Facility	$0	$6.9M
Columbus Neighborhood Health Center Inc	OH	Federally Qualified Health Center (FQHC)	$0	$6.7M

Maryhaven Inc. — Billing Profile & Reimbursement Data

Sign up for Maryhaven Inc. — Billing Profile & Reimbursement Data policy alerts

Maryhaven Inc. — Billing Profile & Reimbursement Data

Sign up for Maryhaven Inc. — Billing Profile & Reimbursement Data policy alerts

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