Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OHIOGUIDESTONE

NPI: 1174680557 · BEREA, OH 44017 · Community/Behavioral Health Agency · NPI assigned 01/03/2007

$195.02M
Total Medicaid Paid
2,216,965
Total Claims
1,019,129
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZIEMSKI, MARGIE (CREDENTIALING SPECIALIST)
NPI Enumeration Date01/03/2007

Related Entities

Other providers sharing the same authorized official: ZIEMSKI, MARGIE

ProviderCityStateTotal Paid
OHIOGUIDESTONE BEREA OH $18.30M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 322,670 $27.80M
2019 289,768 $27.49M
2020 324,904 $29.05M
2021 294,958 $25.38M
2022 296,800 $26.53M
2023 367,380 $28.98M
2024 320,485 $29.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2019 Therapeutic behavioral services, per 15 minutes 1,131,437 426,065 $103.57M
90837 Psychotherapy, 53 minutes with patient 403,081 175,523 $37.49M
H0040 Assertive community treatment program, per diem 39,834 28,788 $10.58M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 87,932 76,834 $9.30M
90832 Psychotherapy, 30 minutes with patient 124,795 64,381 $6.26M
H2020 Therapeutic behavioral services, per diem 41,419 9,154 $6.18M
90834 Psychotherapy, 45 minutes with patient 77,005 44,717 $4.94M
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 75,602 43,001 $3.17M
99354 28,078 13,507 $1.89M
T2022 Case management, per month 9,044 3,861 $1.84M
90791 Psychiatric diagnostic evaluation 16,361 15,339 $1.67M
H2017 Psychosocial rehabilitation services, per 15 minutes 41,080 30,900 $1.55M
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 21,670 20,090 $1.22M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,964 13,224 $1.02M
T2023 Targeted case management; per month 1,060 714 $770K
90847 Family psychotherapy with the patient present, 50 minutes 8,347 5,001 $634K
90785 51,155 26,090 $555K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,430 3,216 $545K
H2036 Alcohol and/or other drug treatment program, per diem 4,338 194 $261K
H2012 Behavioral health day treatment, per hour 6,561 2,377 $252K
H2015 Comprehensive community support services, per 15 minutes 1,205 156 $215K
99205 Prolong outpt/office vis 954 868 $195K
99215 Prolong outpt/office vis 1,119 1,035 $165K
90846 Family psychotherapy without the patient present, 50 minutes 1,816 1,362 $144K
90839 1,009 895 $127K
H0006 Alcohol and/or drug services; case management 3,288 1,184 $124K
96101 673 378 $81K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 554 539 $62K
H2000 Comprehensive multidisciplinary evaluation 402 329 $59K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,361 1,250 $53K
90853 Group psychotherapy (other than of a multiple-family group) 1,790 443 $43K
96118 355 246 $33K
99355 204 153 $18K
90836 191 189 $14K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 737 328 $5K
99201 75 72 $3K
90840 46 32 $1K
90838 12 12 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $863.64
T1003 Lpn/lvn services, up to 15 minutes 115 97 $247.94
G9006 Coordinated care fee, home monitoring 8,027 3,091 $0.00
T1002 Rn services, up to 15 minutes 15 14 $0.00
G9007 Coordinated care fee, scheduled team conference 151 130 $0.00
G9005 Coordinated care fee, risk adjusted maintenance 12 12 $0.00
G9002 Coordinated care fee, maintenance rate 5,634 3,314 $0.00
81205 15 12 $0.00