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NPI 1942451216 · Dublin, OH · Community/Behavioral Health Agency
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Viaquest Psychiatric & Behavioral Solutions LLC is a community/behavioral health agency provider located in Dublin, Ohio. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Viaquest Psychiatric & Behavioral Solutions LLC |
| Address | 525 Metro Pl N |
| City | Dublin |
| State | OH |
| ZIP | 43017 |
| Taxonomy | Community/Behavioral Health Agency |
| NPI Enumerated | October 6, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $130.7M |
| Medicare | $0 |
Payer mix and scale: This provider is effectively a single‑payer Medicaid operator — Medicare: none (no Medicare billing on file) — and reports $130.7M in lifetime Medicaid revenue. The absence of Medicare billing combined with the large Medicaid total indicates the organization’s business and reimbursement exposure is concentrated in state Medicaid programs rather than federal Medicare lines.
Extreme revenue concentration in a few time‑based behavioral codes: The top three Medicaid codes account for 92.1% of the provider’s Medicaid revenue, led by H2019 with $99M revenue (75.8% of this provider's total Medicaid revenue), H2017 with $15.8M revenue (12.1% of this provider's total Medicaid revenue), and 90837 with $5.5M revenue (4.2% of this provider's total Medicaid revenue). This level of concentration signals the organization’s financial performance is highly dependent on a narrow set of high‑volume behavioral health services.
Service‑line profile and operational model: The dominant use of H2019 (Therapeutic behavioral services, per 15 minutes) and H2017 (Psychosocial rehabilitation services, per 15 minutes) points to a care model built around intensive, time‑based community behavioral services and rehabilitation visits. The material presence of 90837 (long psychotherapy sessions) plus evaluation and management codes such as 90792 and 99214/99215 indicates the organization combines high‑volume, short‑interval, community‑based interventions with traditional psychotherapy and psychiatric evaluation/office visit services.
Statewide competitive standing for core behavioral codes: The provider ranks #1 of 840 in‑state for H2019 (100th percentile; extreme outlier) and #2 of 238 for H2017 (100th percentile; extreme outlier), demonstrating market dominance for time‑based therapeutic and psychosocial rehab services in Ohio. Its ranking of #34 of 2643 for 90837 (99th percentile; extreme outlier) also shows unusually high psychotherapy volume relative to peers, establishing the organization as a major statewide player for multiple behavioral service lines.
High psychiatric evaluation and add‑on utilization: Codes for psychiatric evaluation and intensity are also elevated — 90792 shows 23.7K claims with $1.5M revenue and ranks #1 of 393 providers in‑state (100th percentile; extreme outlier), while add‑on code 90785 appears with 69K claims and $482.9K revenue (rank #7 of 445, 99th percentile; extreme outlier). These patterns suggest frequent use of formal psychiatric assessments and additional psychotherapy intensity modifiers as part of routine encounters.
Presence in facility and extended‑time services: The provider reports 41.1K claims for 99309 with $246.5K revenue (rank #13 of 628, 98th percentile; extreme outlier) and 2K claims for 99358 with $43K revenue (rank #1 of 20, 100th percentile; extreme outlier), indicating meaningful involvement in nursing‑facility E/M visits and preparatory or follow‑up time billed outside direct patient contact. This expands the operational footprint beyond outpatient community visits into facility‑based and non‑face‑to‑face work.
Contracting and utilization implications for payers: Given that H2019 and H2017 together represent the bulk of revenue and are billed per 15 minutes, contracting, rate negotiation, and utilization management efforts should focus on time‑based reimbursement rules, visit duration documentation, and service delivery settings. The extreme outlier rankings on these codes mean network adequacy, unit prices, and utilization thresholds for Therapeutic behavioral services and Psychosocial rehabilitation will materially affect spend with this provider.
Tenure and stability: The provider’s NPI was enumerated on 2008-10-06 (~18 years ago), indicating a long‑standing presence in the market. That tenure, combined with the concentrated service mix and large Medicaid footprint, suggests an established operational model that has consistently delivered high volumes of time‑based behavioral services over many years.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, per 15 minutes | 1,394,820 | $70 | $99M |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 207,710 | $80 | $15.8M |
| 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… | 65,670 | $80 | $5.5M |
| 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… | 54,730 | $80 | $4.2M |
| 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… | 23,740 | $60 | $1.5M |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 17,960 | $70 | $1.3M |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 27,410 | $30 | $904.6K |
| 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… | 14,360 | $50 | $660.7K |
| 90785 | This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service. | 68,990 | $10 | $482.9K |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 4,820 | $90 | $429.1K |
Showing 1–10 of 24
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
24 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, per 15 minutes | 1 | 840 | 240 | $90 | $1.8M |
| H0036 | Community psychiatric supportive treatment, face-to-face, per 15 minutes | 83 | 740 | 480 | $60 | $669.5K |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 2 | 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… | 34 | 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… | 84 | 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… | 3,198 | 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… | 166 | 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… | 77 | 1,320 | 450 | $40 | $139.1K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 17 | 1,030 | 180 | $90 | $127K |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 32 | 1,260 | 130 | $110 | $84.7K |
Showing 1–10 of 24
Other providers in the same ZIP code as Viaquest Psychiatric & Behavioral Solutions LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Primary Care Nursing Services, Inc. | OH | Home Health Agency | $0 | $27.6M |
| Audiology Distribution, LLC | OH | Audiologist-Hearing Aid Fitter | $0 | $21.9M |
| Bioscrip Pharmacy Services, Inc | OH | Home Infusion Therapy Pharmacy | $0 | $19.2M |
| Syntero, Inc. | OH | Mental Health Counselor | $0 | $8.1M |
| Seth Kantor | OH | Rheumatology Physician | $1.7M | $0 |
| Stephanie Zaino | OH | Nurse Practitioner | $357.2K | $0 |
| Brett Kockentiet | OH | MOHS-Micrographic Surgery Physician | $270.6K | $0 |
| Melissa Hans | OH | Physical Therapist | $239.8K | $0 |
| Ernest Debourbon | OH | Surgery Physician | $237K | $0 |
| Charlotte Agnone | OH | Integrative Medicine Physician | $215.4K | $0 |
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