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.

Zepf Center (NPI 1942566468)

Field	Value
Entity Type	Organization
Organization	Zepf Center
Address	2005 Ashland Ave
City	Toledo
State	OH
ZIP	43620
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 10, 2012

Payer Source	Total Paid
Medicaid	$56.8M
Medicare	$0

Key Findings

ZEPF CENTER is effectively a Medicaid-focused provider: there is no Medicare billing on file and lifetime Medicaid revenue is $56.8M, making Medicaid the sole payer of record in our data. The NPI was enumerated on 2012-04-10 (~14 years ago), indicating more than a decade of active billing history under this identifier.

Revenue is highly concentrated in substance-use treatment codes: the top 3 Medicaid codes (H0020, H0015, H0011) account for 60.8% of the provider's Medicaid revenue. Those three codes individually generate $17.2M (H0020, 30.3%), $9.9M (H0015, 17.3%), and $7.5M (H0011, 13.2%) of the $56.8M total.

The code mix points to a specialty operation centered on addiction services and a continuum of care model. High volumes and payments for H0020 (260.4K claims, $66 avg paid/claim, $17.2M) signal a large methadone administration program; H0015 (66.6K claims, $148 avg paid/claim, $9.9M) reflects intensive outpatient programming; and H0011 (20.5K claims, $366 avg paid/claim, $7.5M) shows material acute detoxification/residential activity.

State-level ranking and percentile labels show ZEPF is a meaningful player in Ohio's SUD treatment market but not universally dominant across all services. H0020 ranks #10 of 117 in-state (92nd percentile; typical, unremarkable volume), H0015 ranks #26 of 608 (96th percentile; typical, unremarkable volume), and H0011 ranks #16 of 60 (75th percentile; typical, unremarkable volume), which together indicate strong placement in key addiction-treatment categories without clear market monopolization.

Several individual codes are statistical high outliers relative to peers, indicating operational emphasis on certain modalities beyond the top three revenue drivers. 90837 (31K claims, $96 avg, $3M) is described as notably above typical state volume (97th percentile), H0048 (83.9K claims, $14 avg, $1.2M) is notably above typical (98th percentile), and T1003 (32K claims, $21 avg, $672.6K) is notably above typical (97th percentile), suggesting robust testing, extended psychotherapy, and licensed practical nurse service volumes.

The provider appears to operate an integrated set of SUD services across settings: in addition to methadone and IOP, the billing mix includes sub-acute and ambulatory detox codes (H0010, H0014), per-diem treatment (H2036), and residential-related codes (H2034). This spread of residential, per-diem, detoxification, and outpatient codes implies a care model that captures revenue across multiple points in the addiction treatment pathway rather than only single-visit outpatient care.

Operationally, the sheer volume of H0020 activity (260.4K claims) implies a high-throughput, recurring-treatment workflow (e.g., daily/regular medication administration), which drives a large share of revenue but also concentrates financial exposure. Because the top three codes make up 60.8% of Medicaid revenue, policy, reimbursement, or utilization shifts targeting methadone or intensive outpatient services could materially affect overall revenue.

While ZEPF shows specialty strength in addiction services, its general outpatient evaluation-and-management footprint sits within typical ranges for many E/M codes despite some high-percentile metrics. For example, 99214 accounts for $3.9M and ranks #141 of 4514 (97th percentile; typical, unremarkable volume), indicating broad outpatient behavioral-health activity but not an unusual dominance in routine E/M services across the state.

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	260,390	$70	$17.2M
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…	66,560	$150	$9.9M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	20,500	$370	$7.5M
H2036	Alcohol and/or other drug treatment program, per diem	28,060	$200	$5.6M
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…	34,430	$110	$3.9M
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…	31,040	$100	$3M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	8,320	$250	$2.1M
H0006	Alcohol and/or drug services; case management	24,230	$50	$1.3M
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	83,930	$10	$1.2M
H0005	Alcohol and/or drug services; group counseling by a clinician	24,030	$50	$1.2M

Showing 1–10 of 29

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

Zepf Center — 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	16	60	8,280	$370	$5.8M
H2036	Alcohol and/or other drug treatment program, per diem	42	130	13,910	$220	$5.2M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	10	120	7,190	$30	$2.6M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	5	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…	26	610	1,350	$150	$1.9M
H2034	Alcohol and/or drug abuse halfway house services, per diem	40	50	3,790	$140	$1.5M
H0014	Alcohol and/or drug services; ambulatory detoxification	17	40	780	$260	$1.1M
H0012	Behavioral health day treatment, per hour	20	30	650	$340	$476.3K
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…	93	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…	141	4,510	500	$60	$377.8K

Showing 1–10 of 29

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zepf Center	OH	Community/Behavioral Health Agency	$92.5K	$60.8M
Rodney Thomas	OH	Clinical Social Worker	$22K	$0

Zepf Center — Billing Profile & Reimbursement Data

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Zepf Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References