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.

Coleman Professional Services, Inc. (NPI 1982637633)

Field	Value
Entity Type	Organization
Organization	Coleman Professional Services, Inc.
Address	5982 Rhodes Rd
City	Kent
State	OH
ZIP	44240
Taxonomy	Mental Health Counselor
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicaid	$109.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while Medicaid billing totals $109.9M, indicating operations are almost entirely supported by Medicaid revenue rather than a mixed Medicare/Medicaid payer mix. Analysts should treat Medicaid reimbursement policy and state behavioral health contracting as the primary commercial context for this entity.

Revenue is highly concentrated: the top 3 Medicaid codes by revenue account for 73.9% of this provider's total Medicaid revenue, driven by H2019 ($41.7M, 38.0%), 99214 ($20.7M, 18.9%), and 90837 ($18.7M, 17.0%). That concentration signals dependence on a small set of service lines for the majority of cash flow.

The code mix points to a behavioral‑health centric operation that combines high‑volume therapeutic behavioral services with routine E/M visits and long psychotherapy sessions. H2019 (Therapeutic behavioral services, per 15 minutes) as the single largest revenue line, alongside 99214 (office/outpatient E/M) and 90837 (psychotherapy, 53+ minutes), suggests a business model built around intensive, repeated outpatient behavioral interventions and substantial clinician time per encounter.

State competitive standing is dominant for multiple high‑revenue codes: H2019 ranks #5 of 840 providers in‑state (100th percentile; extreme outlier), 90837 ranks #3 of 2643 (100th percentile; extreme outlier), and 99214 ranks #21 of 4514 (100th percentile; extreme outlier). These rank and percentile combinations indicate this provider is a major, high‑volume player in Ohio Medicaid for core behavioral health services.

Claim volumes underscore operational scale: H2019 shows 485K claims, 99214 shows 213.5K claims, and 90837 shows 205.1K claims — volumes consistent with a large outpatient behavioral health operation or network. Such throughput implies programmatic capacity (staffing, scheduling, documentation systems) to support sustained, high‑frequency service delivery.

Several additional codes are also extreme outliers or notably elevated in‑state, broadening the provider’s service footprint beyond its top three lines. Examples include 90839 (18K claims, $2M revenue; ranks #1 of 82, 100th percentile; extreme outlier), 90791 (18.9K claims, $1.9M revenue; ranks #5 of 1263, 100th percentile; extreme outlier), and 90833 (27.9K claims, $1.3M revenue; ranks #5 of 510, 99th percentile; extreme outlier), indicating strength in crisis, evaluative, and psychotherapy add‑on services.

The provider also bills programmatic support services alongside psychotherapy: H2017 (psychosocial rehabilitation, $6.4M, 5.9%; ranks #3 of 238, 99th percentile; extreme outlier), T2022 (case management, $4.5M, 4.1%; ranks #3 of 36, 94th percentile; typical, unremarkable), and H0040 (assertive community treatment, $2.7M, 2.5%; ranks #7 of 24, 74th percentile; typical, unremarkable). This mix shows operations that combine direct clinical encounters with community‑based and care coordination programs.

The NPI was enumerated on 2006-07-08 (~20 years ago), indicating long tenure in the market; combined with large Medicaid revenue and repeated top‑percentile ranks, the provider likely has established referral relationships and scale advantages within state Medicaid behavioral health networks. That longevity plus concentrated Medicaid exposure creates negotiating leverage with payers but also concentrated exposure to state policy or rate changes affecting behavioral health reimbursement.

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	485,020	$90	$41.7M
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…	213,530	$100	$20.7M
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…	205,140	$90	$18.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	161,060	$40	$6.4M
T2022	Case management, per month	24,800	$180	$4.5M
H0040	Assertive community treatment program, per diem	11,780	$230	$2.7M
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	17,950	$110	$2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	18,930	$100	$1.9M
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…	35,130	$50	$1.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	49,540	$30	$1.5M

Showing 1–10 of 40

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

Coleman Professional Services, Inc. — 14 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	7	20	3,770	$260	$2.8M
H2019	Therapeutic behavioral services, per 15 minutes	5	840	240	$90	$1.8M
T2022	Case management, per month	3	40	700	$150	$1.8M
H2020	Therapeutic behavioral services, per diem	177	310	1,190	$150	$1.5M
T2023	Targeted case management; per month	4	20	1,050	$380	$1.2M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	50	740	480	$60	$669.5K
H2017	Psychosocial rehabilitation services, per 15 minutes	3	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…	3	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…	21	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…	400	5,080	560	$40	$323.9K

Showing 1–10 of 40

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Darlene Baliga-brown	OH	Professional Counselor	$980	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family And Community Services, Inc.	OH	Case Management Agency	$0	$18.5M
Aeratech Medical LLC	OH	Oxygen Equipment & Supplies (DME)	$0	$17.4M
The Bair Foundation	OH	Developmental Disabilities Clinic/Center	$0	$10.8M
Elizabeth Esparaz	OH	Ophthalmology Physician	$402.9K	$0
Matthew Willett	OH	Ophthalmology Physician	$287.1K	$0
Jaudat Mahmood	OH	Interventional Pain Medicine Physician	$259.5K	$0
Cory Kutlick	OH	Diagnostic Radiology Physician	$93.8K	$0
Paul Chesis	OH	Vascular & Interventional Radiology Physician	$62.1K	$22.8K
Paul Pathadan	OH	Diagnostic Radiology Physician	$53.3K	$0
Karen Hodakievic	OH	Nurse Practitioner	$32.1K	$0

Coleman Professional Services, Inc. — Billing Profile & Reimbursement Data

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Coleman Professional Services, Inc. — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References