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.

Unison Behavioral Health Group, Inc. (NPI 1952370561)

Field	Value
Entity Type	Organization
Organization	Unison Behavioral Health Group, Inc.
Address	1425 Starr Ave
City	Toledo
State	OH
ZIP	43605
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 16, 2006

Payer Source	Total Paid
Medicaid	$53.1M
Medicare	$0

Key Findings

This provider is effectively single-payer with Medicaid: lifetime Medicaid revenue is $53.1M and there is no Medicare billing on file. The absence of Medicare claims combined with sizeable Medicaid receipts indicates the organization’s operations are focused almost entirely on publicly funded behavioral health services.

Revenue is highly concentrated in a small set of codes: the top 3 Medicaid codes by revenue account for 53.6% of the provider’s total Medicaid revenue. The leading contributors are H0040 ($11.6M, 21.8%), H2019 ($9M, 17.0%), and 99214 ($7.9M, 14.8%), signaling dependence on a few high-volume service lines.

The code mix is consistent with a community/behavioral health agency delivering intensive community-based and outpatient services: high revenue from H0040 (Assertive community treatment per diem), H2019 (Therapeutic behavioral services per 15 minutes), T2022 (case management, per month), and multiple psychotherapy and E/M codes. This pattern suggests the provider operates assertive community treatment teams, delivers frequent therapeutic behavioral interventions, and maintains substantial case management and outpatient E/M volume.

Competitive standing by code shows both dominance and concentrated leadership in specific niches. H0040 ranks #2 of 24 in-state (96th percentile), marking the organization as a leading provider of assertive community treatment in Ohio, while 99214 ranks #53 of 4514 (99th percentile) and is described as notably above typical state volume, indicating unusually high billing of established E/M visits relative to peers.

Several care coordination and medical-home codes contribute materially to revenue and show strong in-state position: T2022 generated $7.6M (14.4%) and ranks #4 of 36 (91th percentile), and S0281 produced $2.4M (4.5%) and ranks #2 of 5 (75th percentile). These placements reflect a significant role in monthly case management and comprehensive care planning, consistent with a provider that integrates coordination services into its care model.

The provider also shows at least one specialized statewide outlier: H2000 (Comprehensive multidisciplinary evaluation) produced $310.8K and ranks #1 of 41 (100th percentile; extreme outlier). Being the top-reporter for H2000 suggests a unique capacity or contract position for multidisciplinary evaluations compared with peers.

Psychotherapy is a meaningful revenue stream supporting outpatient clinical intensity: 90837 generated $3.3M (6.3%) and ranks #70 of 2643 (97th percentile), while 90832 and 90834 also appear in the top codes. High volume and percentile placement on longer psychotherapy sessions indicate sustained delivery of time-intensive clinical care.

The entity has long tenure in the Medicaid market, with its NPI enumerated on 2006-03-16 (~20 years ago). That multi-decade presence, combined with concentrated Medicaid revenue and high statewide ranks on several behavioral health codes, suggests established operational relationships with state Medicaid payers and sustained specialization in community behavioral health services.

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	40,060	$290	$11.6M
H2019	Therapeutic behavioral services, per 15 minutes	123,260	$70	$9M
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…	87,260	$90	$7.9M
T2022	Case management, per month	15,400	$500	$7.6M
H2020	Therapeutic behavioral services, per diem	36,410	$160	$5.8M
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…	38,380	$90	$3.3M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	12,090	$200	$2.4M
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…	6,860	$120	$836.9K
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…	14,620	$60	$818.9K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	18,470	$40	$701.8K

Showing 1–10 of 38

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

Unison Behavioral Health Group, Inc. — 8 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

38 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	48	60	8,280	$370	$5.8M
H2036	Alcohol and/or other drug treatment program, per diem	111	130	13,910	$220	$5.2M
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	2	10	12,000	$270	$3.1M
H0040	Assertive community treatment program, per diem	2	20	3,770	$260	$2.8M
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…	323	610	1,350	$150	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	32	840	240	$90	$1.8M
T2022	Case management, per month	4	40	700	$150	$1.8M
H2020	Therapeutic behavioral services, per diem	24	310	1,190	$150	$1.5M
T2023	Targeted case management; per month	16	20	1,050	$380	$1.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	111	740	480	$60	$669.5K

Showing 1–10 of 38

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unison Behavioral Health Group, Inc	OH	Addiction (Substance Use Disorder) Counselor	$0	$11.6M
Sandeep Gupta	OH	Psychiatry Physician	$62.3K	$462.1K
Thomas Osinowo	MI	Psychiatry Physician	$40.6K	$0

Nearby Providers

Other providers in the same ZIP code as Unison Behavioral Health Group, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Talbot Clinical Services Of Ohio LLC	OH	Professional Counselor	$0	$10.8M
Irfan Ahmed	OH	Psychiatry Physician	$185.7K	$52.7K

Unison Behavioral Health Group, Inc. — Billing Profile & Reimbursement Data

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Unison Behavioral Health Group, Inc. — Billing Profile & Reimbursement Data

Sign up for Unison Behavioral Health Group, 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